Klassen Pamela N, Chan Catherine B
Department of Agricultural, Food and Nutritional Sciences, University of Alberta, Edmonton, AB T6G 2R3, Canada.
Department of Physiology, University of Alberta, Edmonton, AB T6G 2H7, Canada.
Nutrients. 2024 Nov 29;16(23):4136. doi: 10.3390/nu16234136.
BACKGROUND/OBJECTIVES: Particularly in racially and ethnically diverse countries, the necessity of providing individualized care to people seeking diet advice is increasingly recognized and embedded in practice guidelines. Some jurisdictions have a history of colonization with subjugation and marginalization of the Indigenous population, which has led to serious health inequities. One overarching strategy to reduce health inequities is to provide education through a decolonizing lens, so that graduate healthcare professionals, such as dietitians, have a better understanding of how to mitigate colonial attitudes, racism, stereotyping and other behaviours, thereby improving health equity. This review aims to summarize and evaluate educational strategies to decolonize dietetics training programs.
A narrative review was conducted.
Professional dietetics organizations in Canada, Australia and New Zealand have incorporated Indigenous-specific outcomes into their standards of practice. Six primary research studies were reviewed, two each from Australia, New Zealand and the United States. The strategies developed include reviewing curriculum content, providing experiential learning opportunities and identifying barriers to the participation of Indigenous students in dietetics programs. Lack of engagement of Indigenous persons in curriculum development, planning and evaluation of efforts is a gap that needs to be addressed.
Meeting practice standards and closing the health equity gap for Indigenous peoples require additional research and implementation into practice.
背景/目标：特别是在种族和民族多元化的国家，为寻求饮食建议的人提供个性化护理的必要性日益得到认可，并已纳入实践指南。一些司法管辖区有殖民历史，对原住民进行征服和边缘化，这导致了严重的健康不平等。减少健康不平等的一项总体战略是通过去殖民化的视角提供教育，以便像营养师这样的研究生医疗专业人员更好地理解如何减轻殖民态度、种族主义、刻板印象和其他行为，从而改善健康公平。本综述旨在总结和评估使饮食学培训计划去殖民化的教育策略。
进行了一项叙述性综述。
加拿大、澳大利亚和新西兰的专业饮食学组织已将针对原住民的成果纳入其实践标准。审查了六项主要研究，分别来自澳大利亚、新西兰和美国各两项。制定的策略包括审查课程内容、提供体验式学习机会以及确定原住民学生参与饮食学课程的障碍。原住民在课程开发、规划和评估工作中的参与不足是一个需要解决的差距。
要达到实践标准并缩小原住民的健康公平差距，需要进一步开展研究并将其应用于实践。
