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CTN 301: DRUM (Development of a Rural Model)

Development of a Rural Model (DRUM) for Integrated Shared Care in First Nation and Métis Communities

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About the study (objectives)

The DRUM Study strives to understand and improve health and well-being outcomes for people living with HIV or vulnerable to HIV in First Nations, Inuit, and Métis communities. This program builds upon a previous, CIHR-funded project entitled Aboriginal Community Resilience to HIV/AIDS (ACRA).


There are several reasons for initiating the DRUM study. It is well known that within Canada, many First Nation, Métis, and Inuit communities have unmet health needs. To address these health needs and to expand existing programs, health care must be integrated into the community. Participation of community members in the care process is vital, not only for the effectiveness of programs, but for relationship-building and for the creation of service models that may be adapted for other communities.

Study Approach (methodology)

The study will integrate culturally-relevant prevention, treatment, and care of HIV and related conditions using a shared-care model (SCM). A SCM refers to a partnership between community members and clinicians, researchers, and health providers where patients are empowered to become involved in their health and care. The study team is made up of local, regional, and national policy makers, community members, and health service network leaders, as well as researchers and clinicians. The DRUM SCM will focus on both people living with HIV and related conditions and HIV prevention.

The objectives of DRUM are to:

1.     develop the SCM,
2.     build capacity to provide and support care, and
3.     assess the feasibility, impact, and outcomes of the SCM.

Eligibility criteria

First Nation community members living with HIV or people with vulnerabilities to HIV who live in one of three participating Northern Alberta communities: Tallcree First Nation, Sucker Creek First Nation, and Driftpile First Nation.

Additional Information

If you would like more information on this implementation science study, please refer to the principal investigator.

Principal Investigator

Catherine Worthington
University of Victoria
Associate Professor
School of Public Health and Social Policy, B202e, Human and Social Development University of Victoria
PO Box 1700, STN CSC, Victoria, BC V8W 2Y2
Tel: 250-472-4709

Lead Investigators

Renée Masching
Canadian Aboriginal AIDS Network (CAAN)

Karen Saganiuk
First Nations and Inuit Health Branch, Health Canada

Alexandra King
Lu’ma Medical Centre 

Site Collaborators

Tallcree First Nations
Wendy Ward

Sucker Creek Cree Nation
Tanis Willier

Driftpile First Nation
Rosalie Tallman

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