What Outcomes Are Associated with Learning About Colonialism and Its Impacts on Indigenous Peoples in Health Professional Programs? A Critical Integrative Review
2024

Learning About Colonialism in Health Education

Sample size: 15 publication Evidence: moderate

Author Information

Author(s): Melro Carolyn M., Matheson Kimberly, Bombay Amy

Primary Institution: Dalhousie University

Hypothesis

Does learning about colonialism reduce racism and improve allyship towards Indigenous Peoples in health professional programs?

Conclusion

Educational opportunities on colonialism may have unintended negative effects on learners' attitudes towards Indigenous Peoples.

Supporting Evidence

  • 15 studies were reviewed to assess the impact of educational experiences on learner outcomes.
  • Short-term evaluations showed positive changes in attitudes, but long-term effects were often negative.
  • Two studies indicated a backfire effect where learners expressed more negative attitudes post-training.

Takeaway

Teaching about colonialism in health programs is important, but sometimes it can make people feel more negatively about Indigenous Peoples instead of helping them.

Methodology

An integrated review of literature assessing educational outcomes related to colonialism in health professional programs.

Potential Biases

Publication bias may favor studies with positive outcomes.

Limitations

Limited long-term evaluations and potential for backfire effects on attitudes.

Participant Demographics

Health professional students from Canada, the United States, Australia, and New Zealand.

Digital Object Identifier (DOI)

10.5334/pme.1407

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