{"id":"https://openalex.org/W7204249367","doi":"https://doi.org/10.1186/s12913-026-15447-5","title":"First steps in the co-development of a virtual care prioritization tool for indigenous communities: community perspectives from a formative exploratory engagement process","display_name":"First steps in the co-development of a virtual care prioritization tool for indigenous communities: community perspectives from a formative exploratory engagement process","publication_year":2026,"publication_date":"2026-08-26","ids":{"openalex":"https://openalex.org/W7204249367","doi":"https://doi.org/10.1186/s12913-026-15447-5"},"language":"en","primary_location":{"id":"doi:10.1186/s12913-026-15447-5","doi":"https://doi.org/10.1186/s12913-026-15447-5","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-026-15447-5","pdf_url":null,"source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12913-026-15447-5","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112403449","display_name":"Amal Shahzad Khan","orcid":"https://orcid.org/0000-0001-8615-4024","observed_orcids":["https://orcid.org/0000-0001-8615-4024","https://orcid.org/0009-0008-7501-3291"]},"institutions":[{"id":"https://openalex.org/I32625721","display_name":"University of Saskatchewan","ror":"https://ror.org/010x8gc63","country_code":"CA","type":"education","lineage":["https://openalex.org/I32625721"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Amal Khan","raw_affiliation_strings":["Department of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, Box 7, Health Sciences Building, 107 Wiggins Road, Saskatoon, SK, Canada","Virtual Health Hub, 111 2nd Ave South, Saskatoon, SK, S7K 1K6, Canada"],"raw_orcid":"https://orcid.org/0000-0001-8615-4024","affiliations":[{"raw_affiliation_string":"Department of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, Box 7, Health Sciences Building, 107 Wiggins Road, Saskatoon, SK, Canada","institution_ids":["https://openalex.org/I32625721"]},{"raw_affiliation_string":"Virtual Health Hub, 111 2nd Ave South, Saskatoon, SK, S7K 1K6, Canada","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148234075","display_name":"Daly Haas","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daly Haas","raw_affiliation_strings":["Virtual Health Hub, 111 2nd Ave South, Saskatoon, SK, S7K 1K6, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Virtual Health Hub, 111 2nd Ave South, Saskatoon, SK, S7K 1K6, Canada","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148257879","display_name":"William Roberts","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"William Roberts","raw_affiliation_strings":["Lac La Ronge Indian Band, Stanley Mission Health Services, Box 310 Stanley Mission, Saskatoon, SK, S7K 1K6, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lac La Ronge Indian Band, Stanley Mission Health Services, Box 310 Stanley Mission, Saskatoon, SK, S7K 1K6, Canada","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148244511","display_name":"Rena Sutherland","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rena Sutherland","raw_affiliation_strings":["Lac La Ronge Indian Band, Stanley Mission Health Services, Box 310 Stanley Mission, Saskatoon, SK, S7K 1K6, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lac La Ronge Indian Band, Stanley Mission Health Services, Box 310 Stanley Mission, Saskatoon, SK, S7K 1K6, Canada","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075439062","display_name":"Cassandra J. Opikokew Wajuntah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I32625721","display_name":"University of Saskatchewan","ror":"https://ror.org/010x8gc63","country_code":"CA","type":"education","lineage":["https://openalex.org/I32625721"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Cassandra Opikokew Wajuntah","raw_affiliation_strings":["Department of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, Box 7, Health Sciences Building, 107 Wiggins Road, Saskatoon, SK, Canada","Virtual Health Hub, 111 2nd Ave South, Saskatoon, SK, S7K 1K6, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, Box 7, Health Sciences Building, 107 Wiggins Road, Saskatoon, SK, Canada","institution_ids":["https://openalex.org/I32625721"]},{"raw_affiliation_string":"Virtual Health Hub, 111 2nd Ave South, Saskatoon, SK, S7K 1K6, Canada","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103574329","display_name":"Ivar M. Mendez","orcid":"https://orcid.org/0000-0002-2877-7570","observed_orcids":["https://orcid.org/0000-0002-2877-7570"]},"institutions":[{"id":"https://openalex.org/I32625721","display_name":"University of Saskatchewan","ror":"https://ror.org/010x8gc63","country_code":"CA","type":"education","lineage":["https://openalex.org/I32625721"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Ivar Mendez","raw_affiliation_strings":["Department of Surgery, College of Medicine, University of Saskatchewan, Suite B419, Health Sciences Building, 107 Wiggins Road, Saskatoon, SK, S7N 5E5, Canada","Virtual Health Hub, 111 2nd Ave South, Saskatoon, SK, S7K 1K6, Canada"],"raw_orcid":"https://orcid.org/0000-0002-2877-7570","affiliations":[{"raw_affiliation_string":"Department of Surgery, College of Medicine, University of Saskatchewan, Suite B419, Health Sciences Building, 107 Wiggins Road, Saskatoon, SK, S7N 5E5, Canada","institution_ids":["https://openalex.org/I32625721"]},{"raw_affiliation_string":"Virtual Health Hub, 111 2nd Ave South, Saskatoon, SK, S7K 1K6, Canada","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5112403449"],"corresponding_institution_ids":["https://openalex.org/I32625721"],"apc_list":{"value":3290,"currency":"USD","value_usd":3290},"apc_paid":{"value":3290,"currency":"USD","value_usd":3290},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.68293459,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.6098999977111816,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.6098999977111816,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10348","display_name":"Indigenous Health, Education, and Rights","score":0.3831000030040741,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11977","display_name":"Technology Use by Older Adults","score":0.0024999999441206455,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/virtual-care","display_name":"virtual care","score":0.9929999709129333},{"id":"https://openalex.org/keywords/indigenous-health","display_name":"Indigenous health","score":0.8899999856948853},{"id":"https://openalex.org/keywords/co-design","display_name":"co-design","score":0.8450000286102295},{"id":"https://openalex.org/keywords/community-engagement","display_name":"community participation","score":0.8169999718666077},{"id":"https://openalex.org/keywords/two-eyed-seeing","display_name":"Two-Eyed Seeing","score":0.7689999938011169},{"id":"https://openalex.org/keywords/indigenous-knowledge","display_name":"indigenous knowledge","score":0.6430000066757202},{"id":"https://openalex.org/keywords/barriers-to-care","display_name":"barriers to care","score":0.7670000195503235},{"id":"https://openalex.org/keywords/technology-adoption","display_name":"technology adoption","score":0.4790000021457672},{"id":"https://openalex.org/keywords/trust-and-relationship-building","display_name":"trust and relationship building","score":0.6779999732971191},{"id":"https://openalex.org/keywords/cultural-safety","display_name":"cultural safety","score":0.6629999876022339},{"id":"https://openalex.org/keywords/digital-confidence","display_name":"digital confidence","score":0.4129999876022339},{"id":"https://openalex.org/keywords/colonialism","display_name":"colonialism","score":0.4970000088214874},{"id":"https://openalex.org/keywords/systemic-racism","display_name":"systemic racism","score":0.5540000200271606},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.7670000195503235},{"id":"https://openalex.org/keywords/youth-perspectives","display_name":"youth perspectives","score":0.75}],"concepts":[{"id":"https://openalex.org/C2776193868","wikidata":"https://www.wikidata.org/wiki/Q5154950","display_name":"Community engagement","level":2,"score":0.6150000095367432},{"id":"https://openalex.org/C55958113","wikidata":"https://www.wikidata.org/wiki/Q169480","display_name":"Indigenous","level":2,"score":0.5964000225067139},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5855000019073486},{"id":"https://openalex.org/C42525527","wikidata":"https://www.wikidata.org/wiki/Q1209955","display_name":"Formative assessment","level":2,"score":0.5429999828338623},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5131000280380249},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.503600001335144},{"id":"https://openalex.org/C85973986","wikidata":"https://www.wikidata.org/wiki/Q1091731","display_name":"Exploratory research","level":2,"score":0.4318999946117401},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4018000066280365},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3944999873638153},{"id":"https://openalex.org/C194541083","wikidata":"https://www.wikidata.org/wiki/Q457174","display_name":"Workaround","level":2,"score":0.36500000953674316},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.36160001158714294},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.3562000095844269},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.35499998927116394},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.3425000011920929},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.3395000100135803},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3287999927997589},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.32510000467300415},{"id":"https://openalex.org/C518773536","wikidata":"https://www.wikidata.org/wiki/Q918533","display_name":"Nursing research","level":2,"score":0.3215000033378601},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.31790000200271606},{"id":"https://openalex.org/C177291462","wikidata":"https://www.wikidata.org/wiki/Q423038","display_name":"Active listening","level":2,"score":0.30559998750686646},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.30390000343322754},{"id":"https://openalex.org/C2777756574","wikidata":"https://www.wikidata.org/wiki/Q210980","display_name":"Virtual community","level":3,"score":0.3034999966621399},{"id":"https://openalex.org/C44210515","wikidata":"https://www.wikidata.org/wiki/Q16968978","display_name":"Bespoke","level":2,"score":0.2815999984741211},{"id":"https://openalex.org/C2776546736","wikidata":"https://www.wikidata.org/wiki/Q1335979","display_name":"Fieldnotes","level":3,"score":0.2791000008583069},{"id":"https://openalex.org/C2776436953","wikidata":"https://www.wikidata.org/wiki/Q5163215","display_name":"Consistency (knowledge bases)","level":2,"score":0.25429999828338623}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12913-026-15447-5","doi":"https://doi.org/10.1186/s12913-026-15447-5","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-026-15447-5","pdf_url":null,"source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12913-026-15447-5","doi":"https://doi.org/10.1186/s12913-026-15447-5","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-026-15447-5","pdf_url":null,"source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9391000270843506},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.7578999996185303}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"For":[0],"many":[1],"rural":[2,330],"and":[3,17,51,66,98,110,134,157,173,193,197,212,221,244,256,268,286,323,331,352,357,368,390,417,430,439,451,457],"remote":[4,85,332],"Indigenous":[5,88,333,386,394,424],"communities":[6,334,402],"across":[7],"Saskatchewan,":[8],"accessing":[9],"healthcare":[10,232,235],"means":[11],"navigating":[12],"distance,":[13],"limited":[14,219],"resources,":[15],"policies":[16],"systems":[18,414],"shaped":[19,239],"by":[20,155],"colonialism.":[21],"Virtual":[22],"care":[23,72,97,115,181,243,291,303,328,399,448,456],"offers":[24],"promise":[25],"in":[26,83,190,230,329,375,393,400,421,444],"bridging":[27],"some":[28],"of":[29,112,167,208,241,252,270,289,341,407,415,426,455],"these":[30,401],"gaps,":[31],"yet":[32],"technology":[33],"alone":[34,308],"cannot":[35,60,304],"create":[36],"trust,":[37,284],"cultural":[38,348],"comfort,":[39,285],"or":[40],"lasting":[41],"community":[42,93,102,125,135,151,159,261,343,436],"adoption.":[43],"Emerging":[44],"evidence":[45],"suggests":[46],"that":[47,69,297,315],"while":[48],"readiness":[49,369,419],"frameworks":[50],"prioritization":[52,116,182,449],"checklists":[53,367],"may":[54,371],"help":[55],"guide":[56],"initial":[57,78,146,376],"implementation,":[58,363],"they":[59],"fully":[61],"capture":[62],"the":[63,100,145,179,246,265,293,338,382,408,463],"relational,":[64],"cultural,":[65],"lived":[67,350],"realities":[68],"shape":[70],"how":[71],"is":[73],"experienced":[74],"within":[75,292],"communities.":[76],"This":[77,118],"exploratory":[79,120],"engagement":[80,121,147,276],"phase,":[81],"conducted":[82],"a":[84,113,149,404,446],"northern":[86],"Saskatchewan":[87],"community,":[89],"sought":[90],"to":[91,107,174,223,282,355,362,385],"understand":[92],"perspectives":[94],"on":[95],"virtual":[96,114,180,215,242,271,290,302,327,398,447],"identify":[99],"conditions":[101],"members":[103,160,203],"viewed":[104],"as":[105,165,280],"essential":[106,443],"informing":[108],"implementation":[109],"co-development":[111],"tool.":[117,183],"multi-phase":[119],"process":[122,172],"involved":[123],"58":[124],"listening":[126],"conversations":[127],"with":[128,336,423],"Elders":[129,156],"(":[130,139,161],"n":[131,140,162],"=":[132,141,163],"12)":[133],"members,":[136],"including":[137],"youth":[138],"46).":[142],"Findings":[143],"from":[144,185,218],"informed":[148],"structured":[150],"feedback":[152],"survey":[153],"completed":[154],"other":[158],"27),":[164],"part":[166],"an":[168],"ongoing":[169],"formative":[170],"planning":[171,378,416],"refine":[175],"priorities":[176,441],"for":[177,249,320,462],"co-designing":[178],"Data":[184],"both":[186],"phases":[187],"were":[188],"organized":[189],"NVivo":[191],"14":[192],"analyzed":[194],"using":[195],"Braun":[196],"Clarke\u2019s":[198],"thematic":[199],"synthesis":[200],"approach.":[201],"Community":[202],"demonstrated":[204],"highly":[205],"variable":[206],"levels":[207],"awareness,":[209,321],"knowledge,":[210],"attitudes,":[211],"beliefs":[213,263],"regarding":[214],"care,":[216],"ranging":[217],"familiarity":[220],"uncertainty":[222],"cautious":[224],"optimism":[225],"about":[226,264],"its":[227],"potential":[228],"role":[229],"improving":[231],"access.":[233],"Longstanding":[234],"access":[236],"barriers":[237,392],"further":[238],"perceptions":[240],"intensified":[245],"perceived":[247],"need":[248],"alternative":[250],"forms":[251,454],"support.":[253],"Technological":[254],"limitations":[255],"privacy":[257],"concerns":[258],"significantly":[259],"influenced":[260],"members\u2019":[262],"feasibility,":[266],"safety,":[267],"acceptability":[269],"care.":[272,358],"Relational,":[273],"culturally":[274,317],"grounded":[275],"was":[277],"widely":[278],"understood":[279],"foundational":[281],"fostering":[283],"long-term":[287],"adoption":[288],"community.":[294,464],"Participants":[295],"emphasized":[296],"meaningful":[298],"attitudinal":[299],"shifts":[300],"toward":[301],"occur":[305],"through":[306,312,344],"education":[307],"but":[309,379],"must":[310],"emerge":[311],"reciprocal":[313],"relationship-building":[314],"creates":[316],"safe":[318],"pathways":[319],"knowledge-sharing,":[322],"digital":[324],"confidence.":[325],"Sustainable":[326],"begins":[335],"understanding":[337],"unique":[339],"landscape":[340],"each":[342],"relationship-building,":[345],"trust":[346],"formation,":[347],"values,":[349],"realities,":[351],"local":[353,440],"approaches":[354],"healing":[356],"The":[359],"Western":[360,413],"approach":[361],"which":[364],"utilizes":[365],"ease-of-use":[366],"frameworks,":[370],"be":[372],"potentially":[373],"useful":[374],"higher-level":[377],"can":[380],"sacrifice":[381],"required":[383],"attention":[384],"knowledges,":[387],"systemic":[388],"racism,":[389],"institutional":[391],"health":[395],"contexts.":[396],"Advancing":[397],"requires":[403],"balanced":[405],"use":[406],"Two-Eyed":[409],"Seeing":[410],"approach,":[411],"where":[412],"technological":[418],"move":[420],"tandem":[422],"ways":[425],"knowing,":[427],"seeing,":[428],"believing,":[429],"healing.":[431],"Within":[432],"this":[433],"relational":[434],"space,":[435],"voices,":[437],"languages":[438],"become":[442],"shaping":[445],"tool":[450],"guiding":[452],"\u2018which":[453],"technology\u2019":[458],"are":[459],"most":[460],"appropriate":[461]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2026-08-27T00:00:00"}