Supplement Abstracts OPEN Oral Abstracts A. ABORIGINAL/FIRST NATIONS CANCER CARE cancer treatments. Screening for distress is endorsed as the 6th vital sign in Canada as a means to proactively engage cancer patients in identifying 747 | Inuusinni Aqqusaaqtara: An Inuit Cancer Project their cancer distress for improved symptom management. This presenta- Savanah Ashton1, Tracy Torchetti2, Sipporah Enuaraq1 tion will focus on the evaluation of the Mobile Interactive Symptom As- 1Pauktuutit Inuit Women of Canada, Ottawa, Canada; sessment and Collection (mISAAC) pilot project where First Nations cancer 2Canadian Cancer Society, Toronto, Canada patients were to complete a symptom report when a home visit was done 10/17/2019 on BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD33gDmupaxCIysA/NcnDS8ysIXM/G/Gkkt23Mc/Jph037iBM9NhlLJ5Q== by https://journals.lww.com/jporp from Downloaded Background/rationale or Objectives/purpose: Cancer is a leading cause by a health care provider. of death among Inuit populations. Compared to the general popula- Methodology or Methods: Methods: The research protocol was Downloaded tion of Canada, Inuit have a higher incidence of cancer. Pauktuutit Inuit approved by the Anishinaabek research review committee (September Women of Canada is developing culturally appropriate cancer aware- 2017) and the hospital research ethics board (October 2017). A total from ness tools to support community health representatives, health care pro- of six focus groups were conducted from December 2017 to February https://journals.lww.com/jporp viders and Inuit cancer patients. 2018 with three of the four pilot sites implementing mISAAC; one focus Methodology or Methods: Pauktuutit and the Canadian Cancer So- group with patients (n = 5), three focus groups with health care profes- ciety are working together to develop meaningful ways to support better sionals (n = 23) and two focus groups with Elders/Traditional Healer health across Inuit populations. Inuusinni Aqqusaaqtara - My Journey (n = 10). by – is a suite of cancer resources developed for Inuit patients, caregivers, Impact on practice or Results: Results: Feedback received from the BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD33gDmupaxCIysA/NcnDS8ysIXM/G/Gkkt23Mc/Jph037iBM9NhlLJ5Q== and health care providers with the aim of helping increase patient health focus groups went beyond the project of symptom screening and man- literacy and understanding of the disease, their diagnosis and treatment. agement. Concerns were raised about the structural challenges and is- Along with existing multilingual cancer glossary, personal journal and sues of racism that amplify distress during the cancer journey in addi- information booklet, two new e-learning modules have also been creat- tion to the normal stressors experienced with a cancer diagnosis. ed. One module engages patients and caregivers through videos, what to Discussion or Conclusions: Conclusion/Clinical implications: The expect during the cancer journey and other helpful information.The oth- Truth and Reconciliation Commission of Canada released a report in er engages health care providers on cultural sensitivity, how to include 2015 with a call to action with recommendations. Psychosocial oncol- the Inuit cancer resources into their practice and other key learnings. ogy programs across Canada are poised to strategically plan and advo- Impact on practice or Results: The goal is to increase knowledge cate to improve cancer care for First Nations cancer patients based on about cancer, to improve communication between Inuit cancer patients these recommendations. and non-Inuit health care providers, helps to dispel fear of cancer, en- hance support services, promote mental wellness for newly diagnosed 492 | Understanding the importance of belonging and Inuit cancer patients, and improve overall quality of life of Inuit com- connection to the wellbeing of Indigenous Australians: munities. Yarning circles and interviews with Indigenous Discussion or Conclusions: Pauktuutit’s cancer resources are work- Australians ing to build cancer literacy, increase screening rates, encourage lifestyle Kate Anderson1, Gail Garvey1, Lisa Whop1, Joan Cunningham2, changes to reduce cancer incidence and develop platforms for support Julie Ratcliffe3, Alan Cass4, Allison Tong5, Michelle Dickson5, at every stage of the cancer journey for cancer patients, caregivers and Tamara Butler1, Kirsten Howard5 health practitioners. 1Menzies School of Health Research, Brisbane, Australia; 2Menzies School of Health Research, Melbourne, Australia; 3Flinders University, 545 | The structural challenges and concerns of racism Adelaide, Australia; 4Menzies School of Health Research, Darwin, causing distress for First Nations cancer patients- How Australia; 5University of Sydney, Sydney, Australia do we achieve Truth and Reconciliation in oncology care? Background/rationale or Objectives/purpose: There are growing con- Carole Mayer1,2,3, Usman Aslam 4, Roger Beaudin5, Mark Collins1, cerns that existing measures of wellbeing commonly used in cancer care Yvette Corbierre6, Anna Grigull7, Doris Howell8,9, Tammy Maguire10, do not index aspects of life that are relevant to Indigenous people. Using on 6 10 10/17/2019 Mary-Jo Wabano , Pamela Williamson wellbeing tools that are not culturally-relevant to the target population 1Health Sciences North Research Institute, Sudbury, Canada; 2Division have questionable value to cancer research, policy, and practice. We of Psychosocial Oncology, Cumming School of Medicine, University aimed to describe the perspectives of Indigenous Australians on what of Calgary, Calgary, Canada; 3School of Social Work, Laurentian comprises wellbeing to inform the development of a culturally-appro- University, Sudbury, Canada; 4Aboriginal Cancer Care Unit, Cancer priate measure of wellbeing for this population. Care Ontario, Toronto, Canada; 5M’Chigeeng Health Centre, Methodology or Methods: We conducted 37 yarning circles and 6 M’Chigeeng, Canada; 6Wikwemikong Health Centre, Wikwemikong, interviews with 359 Indigenous Australian adults to explore concepts of Canada; 7Mnaamodzawin Health Centre, Little Current, Canada; wellbeing. We used purposive sampling to ensure diversity in gender, age 8Princess Margaret Cancer Center, Toronto, Canada; 9Faculty of and geography. A thematic analysis was led by six Indigenous Austra- Nursing, University of Toronto, Toronto, Canada; 10Noojmowin Teg lian researchers and guided by an Indigenous Advisory Group. Health Centre, Little Current, Canada Impact on practice or Results: Despite great diversity among Indige- Background/rationale or Objectives/purpose: Objectives/Purpose: Distress nous Australians, our analysis revealed a common centrality of belong- experienced by cancer patients is often associated with the disease and ing and connection with family, community, and culture to individuals’ Journal of Psychosocial Oncology Research and Practice (2019) 1:1 1 Supplement Abstracts www.ipos-journal.com sense of wellbeing. While other components of wellbeing emerged, this alongside conventional treatment. Given the potential risks and benefits presentation focuses on the importance of belonging and connection, of T&CM to cancer patients, doctor-patient communication is critical- due to its particular relevance to cancer care. A strong sense of belong- ly important. Little is known about T&CM use by Indigenous cancer ing and connection reinforces social and emotional strength and sup- patients. This study explored T&CM use and disclosure among Indige- port and fortifies Indigenous identity and pride. nous women undergoing gynaecological cancer investigation and cancer Discussion or Conclusions: Including aspects of life such as belonging care providers for this patient group. and connection in wellbeing measures, which are relevant to and value Methodology or Methods: Fourteen Indigenous women undergoing by Indigenous Australians, will enable better informed decision-making hospital-based gynaecological cancer investigations completed the R-I- and patient-centred care provision for Indigenous people with cancer. CAM-Q survey to determine T&CM use. Semi-structured interviews There is scope for clinicians to harness the wellbeing benefits of a strong were conducted with these women and 18 cancer care providers. Data sense of belonging and connection to advance Indigenous cancer pa- were analysed using frequencies and proportions and thematic analysis. tients’ coping and healing. Impact on practice or Results: Most (86%) women reported having used T&CM, however, only 36% of women disclosed this to their care 211 | Aboriginal and Torres Strait Islander People’s providers. Indigenous care providers demonstrated greater knowledge Domains of Wellbeing: A Comprehensive Literature of T&CM than non-indigenous providers and those with little T&CM Review knowledge rarely asked patients about T&CM use. Care providers de- Tamara Butler1, Kate Anderson1, Gail Garvey1, Joan Cunningham1, scribed creating a trusting environment and building rapport with In- Julie Ratcliffe2, Allison Tong3, Lisa Whop1, Alan Cass1, digenous patients as important to discussing patients T&CM use. Michelle Dickson1, Kirsten Howard3 Discussion or Conclusions: Identifying strategies to foster commu- 1Menzies School of Health Research, Darwin, Australia; 2Flinders nication about T&CM between Indigenous cancer patients and their University, Adelaide, Australia; 3The University of Sydney, Sydney, cancer care providers