This study responds to concerns raised by Elders regarding urgent pediatric needs in Northern Cree communities. Guided by community priorities, the research aims to understand families' experiences with current services, needs and preferences for pediatric rehabilitation services.
✦ The floor
Discussion
Signed responses from readers of the wire.
No immediate change to clinical technique is warranted; however, audiologists and rehabilitationists working with First Nations pediatric populations should formally centre community and Elder voices in service planning rather than applying standard Western models.
This study highlights a critical gap in culturally safe pediatric rehabilitation service delivery for remote Indigenous communities, pushing the audiology and rehabilitation field toward genuine community co-design.
- 01Community-directed needs assessment conducted in Northern Saskatchewan Cree communities.
- 02Elders' concerns and priorities guided the research design and scope.
- 03Focus on pediatric rehabilitation needs, which may include hearing and communication services.
- 04Published in Disability and Rehabilitation (2026); Indigenous health equity framework underpins the work.
- 05Findings call for rehabilitation service models shaped by Indigenous community values, not imposed externally.
Pediatric rehabilitation needs in Northern Saskatchewan First Nations communities are best identified through community-directed, Elder-guided processes.
studypartially supported- PMID
- 42725466
- DOI
- 10.1080/09638288.2026.2729409.
- Journal
- Disability and Rehabilitation
- Publication type
- research_article
- Evidence level
- 4
- Population
- First Nations parents and Elders in Northern Saskatchewan Cree communities with children requiring pediatric rehabilitation
- Intervention
- Community-directed needs assessment process guided by Elders
Primary outcomes
Identification of pediatric rehabilitation needs in Northern Saskatchewan First Nations communities; Community-defined priorities for rehabilitation service delivery