Kaumatua Mana Motuhake: peer education intervention to help Maori elders during later-stage life transitions

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dc.contributor.authorOetzel, John G.en_NZ
dc.contributor.authorCameron, Michael Patricken_NZ
dc.contributor.authorSimpson, Mary L.en_NZ
dc.contributor.authorReddy, Rangimahoraen_NZ
dc.contributor.authorNock, Sophieen_NZ
dc.contributor.authorGreensill, Hineitimoanaen_NZ
dc.contributor.authorMeha, Pareen_NZ
dc.contributor.authorJohnston, Kirstenen_NZ
dc.contributor.authorHarding, Truelyen_NZ
dc.contributor.authorShelford, Pitaen_NZ
dc.contributor.authorSmith, Linda Tuhiwaien_NZ
dc.contributor.authorHokowhitu, Brendanen_NZ
dc.date.accessioned2022-11-10T00:49:45Z
dc.date.available2022-11-10T00:49:45Z
dc.date.issued2020en_NZ
dc.description.abstractBackground Aotearoa/New Zealand has a population that is ageing and there are challenges to health and social outcomes related to related to key life transitions (e.g., retirement, change in health conditions, loss of spouse). Further, there are significant inequities between Māori (Indigenous people) and non-Māori in ageing outcomes. The purpose of this study was to test the impacts and cost effectiveness of a tuakana/teina (peer education) intervention on kaumātua (elders) receiving the intervention. This study was framed by a strengths-based approach based on the key cultural concept of mana motuhake (autonomy and self-actualisation). Methods This study was grounded in principles of Kaupapa Māori and community-based participatory research to bring together a diverse group of stakeholders to co-develop and co-evaluate the intervention. The intervention had tuakana (peer educators) having conversations with up to six teina (recipients) and providing information related to health and social services. The research design was a pre- and post-test, clustered staggered design. Participants completed a baseline assessment of health and mana motuhake measures consistent with Māori worldviews along with two follow-up assessments (one after the first intervention group completed its activities and a second after the second intervention group completed its activities). Additionally, five focus groups and open-ended questions on the assessments were used to provide qualitative evaluation. Findings A total of 180 kaumātua were recruited to the intervention with 121 completing it. The analysis revealed improvements over time in the expected direction on most of the variables. However, only three of the variables had statistically significant intervention effects: received support, tribal identity, and trouble paying bills. Qualitative results supported impacts of the intervention on mana motuhake, social connectedness, and tangible/information support related to services. Cost-effectiveness analysis showed that the intervention is cost effective, with a cost per QALY of less than the conventional threshold of three times gross domestic product per capita. Conclusions The findings support the relevancy and importance of kaumātua knowledge to create a strengths-based approach to improve health and social outcomes. This study demonstrates that a contextually based and culturally safe age-friendly environments can facilitate engagement and participation by kaumātua for kaumātua. Trial registry Australia New Zealand Clinical Trial Registry (ACTRN12617001396314); Date Registered: 3 October 2017 (retrospectively registered); https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=373733&isClinicalTrial=False
dc.format.mimetypeapplication/pdf
dc.identifier.doi10.1186/s12877-020-01590-zen_NZ
dc.identifier.eissn1471-2318en_NZ
dc.identifier.urihttps://hdl.handle.net/10289/15326
dc.language.isoenen_NZ
dc.publisherBMCen_NZ
dc.relation.isPartOfBMC GERIATRICSen_NZ
dc.rights© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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 in a credit line to the data.
dc.subjectScience & Technologyen_NZ
dc.subjectLife Sciences & Biomedicineen_NZ
dc.subjectGeriatrics & Gerontologyen_NZ
dc.subjectGerontologyen_NZ
dc.subjectKaupapa Maorien_NZ
dc.subjectTuakana-teinaen_NZ
dc.subjectPeer educationen_NZ
dc.subjectPositive ageingen_NZ
dc.subjectCommunity-based participatory researchen_NZ
dc.subjectMana motuhakeen_NZ
dc.subjectOF-LIFEen_NZ
dc.subjectPHYSICAL-ACTIVITYen_NZ
dc.subjectSOCIAL-FACTORSen_NZ
dc.subjectOLDER-ADULTSen_NZ
dc.subjectADVANCED AGEen_NZ
dc.subjectHEALTHen_NZ
dc.subjectPROGRAMen_NZ
dc.subjectCAREen_NZ
dc.subjectDISSEMINATIONen_NZ
dc.subjectOUTCOMESen_NZ
dc.titleKaumatua Mana Motuhake: peer education intervention to help Maori elders during later-stage life transitionsen_NZ
dc.typeJournal Article
pubs.elements-id254216
pubs.issue1en_NZ
pubs.organisational-group/Waikato
pubs.organisational-group/Waikato/2026 PBRF
pubs.organisational-group/Waikato/DMGT
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pubs.organisational-group/Waikato/DMGT/SAEF/SAEF Academic
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pubs.organisational-group/Waikato/DMGT/SMMS/SMMS Academic
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pubs.organisational-group/Waikato/VICH/DVCM
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pubs.organisational-group/Waikato/VICH/FMIS/FMIS Academic
pubs.publication-statusPublisheden_NZ
pubs.user.infoOetzel, John (john.oetzel@waikato.ac.nz)
pubs.user.infoCameron, Michael (michael.cameron@waikato.ac.nz)
pubs.user.infoGreensill, Hine-iti-moana (hine.greensill@gmail.com)
pubs.user.infoSimpson, Mary (mary.simpson@waikato.ac.nz)
pubs.user.infoNock, Sophie (sophie.nock@waikato.ac.nz)
pubs.volume20en_NZ
uow.identifier.article-noARTN 186
uow.verification.statusverified
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