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dc.contributor.authorOetzel, John G.en_NZ
dc.contributor.authorScott,Ninaen_NZ
dc.contributor.authorHudson, Mauien_NZ
dc.contributor.authorMasters-Awatere, Bridgetteen_NZ
dc.contributor.authorRarere, Moanaen_NZ
dc.contributor.authorFoote, Jeffen_NZ
dc.contributor.authorBeaton, Angelaen_NZ
dc.contributor.authorEhau, Terryen_NZ
dc.date.accessioned2017-10-12T02:33:50Z
dc.date.available2017-09-05en_NZ
dc.date.available2017-10-12T02:33:50Z
dc.date.issued2017en_NZ
dc.identifier.citationOetzel, J. G., Scott,Nina, Hudson, M., Masters-Awatere, B., Rarere, M., Foote, J., … Ehau, T. (2017). Implementation framework for chronic disease intervention effectiveness in Maori and other indigenous communities. Globalization and Health, 13. https://doi.org/10.1186/s12992-017-0295-8en
dc.identifier.issn1744-8603en_NZ
dc.identifier.urihttps://hdl.handle.net/10289/11396
dc.description.abstractBackground: About 40% of all health burden in New Zealand is due to cancer, cardiovascular disease, and type 2 diabetes/obesity. Outcomes for Māori (indigenous people) are significantly worse than non-Maori; these inequities mirror those found in indigenous communities elsewhere. Evidence-based interventions with established efficacy may not be effective in indigenous communities without addressing specific implementation challenges. We present an implementation framework for interventions to prevent and treat chronic conditions for Māori and other indigenous communities. Theoretical framework: The He Pikinga Waiora Implementation Framework has indigenous self-determination at its core and consists of four elements: cultural-centeredness, community engagement, systems thinking, and integrated knowledge translation. All elements have conceptual fit with Kaupapa Māori aspirations (i.e., indigenous knowledge creation, theorizing, and methodology) and all have demonstrated evidence of positive implementation outcomes. Applying the framework: A coding scheme derived from the Framework was applied to 13 studies of diabetes prevention in indigenous communities in Australia, Canada, New Zealand, and the United States from a systematic review. Cross-tabulations demonstrated that culture-centeredness (p = .008) and community engagement (p = .009) explained differences in diabetes outcomes and community engagement (p = .098) explained difference in blood pressure outcomes. Implications and conclusions: The He Pikinga Waiora Implementation Framework appears to be well suited to advance implementation science for indigenous communities in general and Māori in particular. The framework has promise as a policy and planning tool to evaluate and design effective interventions for chronic disease prevention in indigenous communities.
dc.format.mimetypeapplication/pdf
dc.language.isoenen_NZ
dc.publisherBioMed Central Ltden_NZ
dc.rights© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.subjectScience & Technologyen_NZ
dc.subjectLife Sciences & Biomedicineen_NZ
dc.subjectPublic, Environmental & Occupational Healthen_NZ
dc.subjectKaupapa Maorien_NZ
dc.subjectCommunity-engaged researchen_NZ
dc.subjectSystems thinkingen_NZ
dc.subjectCulture-centerednessen_NZ
dc.subjectIntegrated knowledge translationen_NZ
dc.subjectImplementation scienceen_NZ
dc.subjectPRIMARY-HEALTH-CAREen_NZ
dc.subjectSPECIAL DIABETES PROGRAMen_NZ
dc.subjectSYSTEM DYNAMICS MODELen_NZ
dc.subjectPARTICIPATORY RESEARCHen_NZ
dc.subjectKNOWLEDGE-TRANSLATIONen_NZ
dc.subjectNEW-ZEALANDen_NZ
dc.subjectENGAGED RESEARCHen_NZ
dc.subjectPUBLIC-HEALTHen_NZ
dc.subjectOUTCOMESen_NZ
dc.subjectSCIENCEen_NZ
dc.titleImplementation framework for chronic disease intervention effectiveness in Maori and other indigenous communitiesen_NZ
dc.typeJournal Article
dc.identifier.doi10.1186/s12992-017-0295-8en_NZ
dc.relation.isPartOfGlobalization and Healthen_NZ
pubs.elements-id202769
pubs.organisational-group/Waikato
pubs.organisational-group/Waikato/2018 PBRF
pubs.organisational-group/Waikato/FASS
pubs.organisational-group/Waikato/FASS/2018 PBRF - FASS
pubs.organisational-group/Waikato/FASS/National Institute Demographic Economic Analysis
pubs.organisational-group/Waikato/FASS/School of Psychology
pubs.organisational-group/Waikato/FMGT
pubs.organisational-group/Waikato/FMGT/2018 PBRF - FMGT
pubs.organisational-group/Waikato/FMGT/School of Management and Marketing
pubs.organisational-group/Waikato/FMIS
pubs.organisational-group/Waikato/FMIS/2018 PBRF - FMIS
pubs.organisational-group/Waikato/Research Institutes And Research Groups
pubs.organisational-group/Waikato/Research Institutes And Research Groups/FASS
pubs.organisational-group/Waikato/Research Institutes And Research Groups/FASS/MPRU
pubs.organisational-group/Waikato/Student
pubs.publication-statusPublisheden_NZ
pubs.volume13en_NZ
uow.identifier.article-noARTN 69


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