Masters-Awatere, BridgetteCassim, ShemanaTamatea, JadeScott, NinaSimpson, ChaePaekau, Cherie2025-12-042025-12-042021Masters-Awatere, B., Cassim, S., Tamatea, J., Scott, N., Simpson, C., & Paekau, C. (2021). He Pikinga Waiora Kimi Ora lifestyle programme: Case study of a successful community-based indigenous diabetes intervention. New Zealand Medical Journal, 134(1545), 68-78.https://hdl.handle.net/10289/17804AIM: To co-design and implement a whānau-centred, community-based lifestyle programme (Kimi Ora) intended to ensure no worsening of HbA1c and to improve wellbeing for Māori whānau and communities with diabetes or pre-diabetes. METHODS: Māori healthcare providers, community members, research advisors and wider stakeholders used a co-design process underpinned by He Pikinga Waiora to collaboratively develop and implement Kimi Ora Control group comparisons and participants were recruited from Te Kōhao Health. Multi-method monitoring and collection captured individual, whānau and community data. RESULTS: Kimi Ora was run in two communities in Aotearoa New Zealand. In total, there were 35 participants who took part in an eight-week programme offered five times alongside a comparison group comprising 21 participants. Kimi Ora resulted in significant improvements on all biomedical measures compared to baseline, and participants had gains relative to the comparison group for variables including weight, BMI, blood pressure and waist measurement. Of particular note was the 100% retention rate and sustained community support for Kimi Ora. CONCLUSIONS: Outcomes from Kimi Ora demonstrate this programme, which was actively tailored for and worked with Māori communities in a responsive and flexible manner, resulted in successful biomedical outcomes, high engagement and high retention.enThis is an accepted version of an article published in the New Zealand Medical Journal. Used with permission. © 2021 NZMJ.adultagedDiabetes Mellitus, Type 2femalehealth services, indigenoushealthy lifestylehumansmalemiddle agedNative Hawaiian or Other Pacific IslanderNew Zealandprediabetic stateprogram evaluationyoung adultJournal Article1175-87164203 Health Services and Systems4206 Public Health42 Health Sciences32 Biomedical and clinical sciences42 Health sciences3 Good Health and Well Being