Canadian dietetic education and training actions to support Indigenization, decolonization, and reconciliation.

Objectives: The paper describes activities of dietetic education and training programs within Canada to advance Indigenization, decolonization, and reconciliation.

Methods: A self-administered 34-question cross-sectional, online survey was distributed to all Canadian dietetic education and training programs, and available February-May 2022. A matrix question examined key actions and scope at program and/or institutional levels, while question logic and open-ended feedback options supported further description. Additional open-ended questions explored respondents' perspectives on perceived barriers and needed supports for action. Descriptive statistics and deductive codes are presented.

Results: The survey was completed by 20 of 29 dietetic programs (69%). Adding Indigenous-related content to curricula (n = 18) and cultural immersion opportunities within Indigenous settings (n = 16) mainly occurred at the program level. Attracting and supporting Indigenous students/interns, staff, and faculty and preceptors (n = 19) and providing cultural safety training to staff and faculty (n = 17) were common activities of institutions. Respondents identified lack of resources (funding, staff, and time) as systemic barriers and the need for dietetic leadership support to advance processes of Indigenization, decolonization, and reconciliation.

Conclusion: This study established a baseline record of Indigenization, decolonization, and reconciliation activities in Canadian dietetic education and training programs that can inform future work. Programs are encouraged to (1) evaluate current and future activities; (2) ensure activities are part of a comprehensive approach to Indigenization, decolonization, and reconciliation, rooted in Indigenous, social justice, and health equity principles; and (3) consider collaborative action and advocacy to overcome systemic barriers, with the support of dietetic leadership.