None listed
Conditions
Brief summary
The Aotearoa New Zealand population is ageing and numerous studies demonstrate that with this phenomenon comes health and social challenges including chronic conditions, cancer, end-of-life issues and social isolation. More importantly, significant inequities exist between Maori and non-Maori around poor ageing and health. These inequities are due to structural discrimination such as unjust and unequal distribution of social determinants (e.g., income, education, housing) and a colonial history that resulted in cultural dissonance from loss of language and land, as well as other losses. The broader thesis to be tested is that Indigenous cultural revitalisation and physical activity increase the wellbeing of kaumatua (elders). This programme proposes a strengths-based approach that highlights the potential of kaumatua mana motuhake by focusing on and valuing Maori epistemologies surrounding ageing. Specifically, the project will use a co-designed intervention programme where kaumatua and a whanau member participate in activities to enhance cultural exchange (including te reo Maori--language) and physical activity. Please note that the term intervention is one that is seen by our partnership as a weakness-based approach and we prefer the term programme as it is more neutral. Our expectation is that participation in the programme will lead to significant increases in the primary and secondary outcomes including health-related quality of life, cultural identity, cultural knowledge, physical functioning, intergenerational relationships, and social support.
Interventions
He Huarahi Tautoko’(HHT) is a holistic, cultural and strength-based model of support that helps facilitate cultural continuity through enhancing kaumatua hauora (health) and mana motuhake (self-actualisation). HHT was co-designed by Maori health service providers, kaumatua (elders) and Te Kahui Rangahau (researcher group) this innovative model of support. HHT incorporates matapono or principles and values such as; kotahitanga (solidarity), manaakitanga (respect, caring, sharing) whanaungatanga
He Huarahi Tautoko’(HHT) is a holistic, cultural and strength-based model of support that helps facilitate cultural continuity through enhancing kaumatua hauora (health) and mana motuhake (self-actualisation). HHT was co-designed by Maori health service providers, kaumatua (elders) and Te Kahui Rangahau (researcher group) this innovative model of support. HHT incorporates matapono or principles and values such as; kotahitanga (solidarity), manaakitanga (respect, caring, sharing) whanaungatanga (forging connections), wairuatanga (spirituality), tautokotanga (assistance, support), rangatiratanga (control/autonomy), hauoratanga (healthiness, vigorous), maramatanga (enlightenment), mana motuhaketanga (self-governing) to enhance the well-being and hauora of kaumatua. Each programme has four wananga lasting approximately 4-6 hours spaced approximately 2 months apart with activities in between each wananga. Participants will be encouraged to engaged in the activities at least weekly. The wananga will be attended by approximately 40 people (30 participants and other interest parties). Wananga will be supervised by community researchers and Maori health service providers. University researchers are available if requested by the providers. Attendance list will be used for participation at the wananga; a journal will be used to track participation in actvities. The general topics relate to sharing cultural knowledge, learning/sharing tikanga and te reo Maori and physical activities. The topics of wananga for each provider are adapted to fit their own tikanga (protocols), kaumatua experiences (e.g., some areas are strong in te reo and want to focus on physical activity; others want to learn more about tikanga and te reo), and physical communities. The key pou or pillars for the wananga include: a) walks to culturally significant places; b) cultural activities (e.g., weaving, singing, kapa haka (traditional chant/dance); c) cultural knowledge exchange (sharing traditional stories of wakapapa or ancestry); and d) relevant physical activity (e.g., planting a community garden, gathering food, exercising together). The intervention provides lessons that a kaumatua and a member of his/her extended family participate in together. The four pillars provide the functional structure, while each provider adapts the form or specific content to be locally relevant.
Sponsors
University of Waikato
Study design
Allocation
Non-randomised trial
Intervention model
Other
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
55 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Participants will be kaumatua (55 or older) from the communities served by the six providers participating in this study and one whanau (extended family) member for each kaumatua (kaumatua choice).
Exclusion criteria
Dementia and related cognitive impairment; any other health condition that a health professional suggests they shouldn't participate (eg., heart condition)
Outcome results
None listed