None listed
Conditions
Brief summary
Te Runanga o Otakou has identified there is a gap in Fall Prevention services for Maori living in Te Runanga o Otakou takiwa. Evidence demonstrates that Maori do not recover as well from fall related injuries and have higher mortality rates following serious falls compared to non-Maori. Taurite Tu research is in response to this health issue. Research objectives include: a) creating a relevant and engaging balance and strengthening exercise programme responsive to needs of Maori b) identifying and reducing falls risks for Maori, and c) increasing hauora research capacity within Te Runanga o Otakou. Kaupapa Maori Research and Participatory Action Research methodologies will apply to this project. Potential health outcomes for Maori living in Te Runanga o Otakou takiwa include increased participation of in balance and strengthening exercise programmes, and decreased falls risk and related costs. An associated outcome is increased hauora research capacity within Te Runanga o Otakou.
Interventions
Development, delivery and analysis of impact of strength and balance (Taurite Tu) exercise programme for Maori in Otakou takiwa (area):
1.Development of Exercise programme by members of research team based on: a) feedback from Ropu Kaiawhina (guiding group of older Maori advisers)/users of Taurite Tu. b) consultation with independent experts in falls risk and prevention programme research and development, c) evidence based criteria on strength and balance group programmes effective for falls
Development, delivery and analysis of impact of strength and balance (Taurite Tu) exercise programme for Maori in Otakou takiwa (area): 1.Development of Exercise programme by members of research team based on: a) feedback from Ropu Kaiawhina (guiding group of older Maori advisers)/users of Taurite Tu. b) consultation with independent experts in falls risk and prevention programme research and development, c) evidence based criteria on strength and balance group programmes effective for falls prevention for use in the community d) Maori movement patterns used traditionally for strength and balance. Examples of types of exercises are based on the Otago Exercise Programme, which is an evidence based programme (https://www.acc.co.nz/assets/injury-prevention/acc1162-otago-exercise-manual.pdf), Steady As You Go, an evidence based community exercise programme, researched by advising experts to Taurite Tu Asso.prof Leigh Hale and Asso. Prof Debra Waters. (Waters D.L. Hale, L. Robertson, L. Hale, B. Herbison, P. Evaluation of a Peer-Led Falls Prevention Program for Older Adults. Arch Phys Med Rehabil, 2011; 92:1581-1586, Wurzer, B. Waters D.L. Hale, L. Leon de la Barra. Long-term participation in peer-led fall prevention classes predicts lower fall incidence. Arch Phys Med Rehabil, 2014;95:1060-6.). Examples of exercises found in Age Concern Otago, Steady As You Go- Falls Prevention Home Exercise Booklet. Jan 2016. These exercises will also be modified using traditional Maori movement forms used in rehabilitation such as mau rakau and poi. 2. Implementation of programme over 12 weeks-by physiotherapists and trained instructors. Duration - 45 mins of exercise (with time allowed for lunch afterwards.) Frequency - once a week Period - 12 weeks (beginning September 2019-end of November 2019). Feedback from the participants will be sought throughout the 12 week programme and alterations made to programme as seen necessary. 3. Analysis of Data: -Comparative analysis of data collected from falls risk assessment tools and qualitative feedback from interviews, prior and following implementation of Taurite Tu exercise programme.
Sponsors
Te Runanga o Otakou
Study design
Allocation
Non-randomised trial
Primary purpose
Prevention
Eligibility
Sex/Gender
All
Age
55 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Inclusion criteria for Participants: - Maori whakapapa - 55+ years old, - Living in Te Runanga o Otakou takiwa.
Exclusion criteria
Exclusion criteria: - No medical clearance from potential participant GP or primary health provider to participate in exercise program.
Outcome results
None listed