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A pilot study on the effect of career interventions on health outcomes for unemployed or underemployed Maori adults

Pilot study: The effect of targeted career interventions on health outcomes in unemployed and underemployed Maori patients incorporating the Meihana Model

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12622000653763
Enrollment
15
Registered
2022-05-04
Start date
2022-06-01
Completion date
2022-08-01
Last updated
2022-05-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Maori in Aoteoaroa New Zealand, particularly young adults, are disproportionately impacted by inequitable rates of unemployment and under-employment, which has been shown to have significant long-term impacts on physical and mental health and well-being. Targeted and individualised career interventions have proven efficacy in improving individuals’ career clarity, self-efficacy, and optimism for the future, employability and employment rates. A logical conclusion would be to postulate that targeted career interventions for unemployed or under-employed Maori should result in improved health outcomes, but research on this correlation is scarce worldwide, much less in New Zealand. We propose a study where under-employed or unemployed Maori patients from a high needs semi-urban area are provided with targeted and individualised career interventions, using best current practice in culturally safe career guidance, and then evaluate their outcomes using the framework of the Meihana Model – physical, mental, spiritual and whanau health. We hypothesise that targeted career intervention will prove effective at improving Maori health and well-being across a range of metrics. This pilot study aims to investigate the practicalities of delivering a career intervention service to the target population, explore methods of engagement with the targeted population, and determine scalability for potential future power studies.

Interventions

Participants will undertake targeted career development intervention delivered by two career development specialists, one of whom is Maori, over a period of 4-8 weeks. The career development practice will be approached through a constructivist paradigm –where practitioners are open to multiple worldviews and are cognizant that there are more than one version of reality. The constructivist paradigm allows for different cultures and contexts to be imbued into the career development practice and co

Participants will undertake targeted career development intervention delivered by two career development specialists, one of whom is Maori, over a period of 4-8 weeks. The career development practice will be approached through a constructivist paradigm –where practitioners are open to multiple worldviews and are cognizant that there are more than one version of reality. The constructivist paradigm allows for different cultures and contexts to be imbued into the career development practice and compels practitioners to explore the meanings and experiences of concepts of career through a cultural lens. Practitioners will draw on tikanga and Maori values to guide and influence each session while establishing a relational environment where clients feel they are important. The service will be delivered in English, and participants will be informed of this in advance. The semi structured nature of the career development sessions will be influenced by Durie’s 3 E’s Model (Whakapiri, Whakamarama, Whakamana). Our practice will encompass Te Whare Tapa Wha and will be influenced by career theories such Amundson’s Active Engagement Model, Savickas’ Life Design, Krumboltz’s Social Learning Theory, Bright’s Chaos Career Theory, and Holland’s theory of Vocational Typology. Career development sessions will be delivered in a mixed modality format. There will be a mixture of group activities, one on one and remote consultations. The sessions will start and finish with a group hui (meeting), korero (conversation) and karakia (prayer). There will be five career interventions delivered across a 4-8 week period by two career practitioners at a culturally appropriate site e.g. Nga Miro Health Centre and/or a marae. Adherence will be monitored by an attendance record, and kaiawhina/wraparound services will be supplied by Raukura Hauora o Tainui to help with issues of access/transport/attendance. Breakdown of Sessions Career development sessions will be delivered in a mixed modality format. There will be a mixture of group activities, one on one and remote consultations. The sessions will start and finish with a group hui, korero and karakia. The expected duration of the sessions will be 2-3 hours for the initial and final hui, and 1 hour for each of the three individual sessions. Introductory Group Session Kai (food) will be shared and a group hui will be conducted to introduce career practitioners to the participants and whanau, and to introduce the concepts of career development. Many of the participants and whanau may not be familiar with career development and it is crucial that participants and whanau have a clear understanding of the activities undertaken in career development sessions and what the expected outcomes may be. Participants and their whanau will have the opportunity to ask questions. Individual Sessions Session 1 The first individual session will be conducted by both Hana and Claire. In this session, practice will be influenced mainly by Savickas Life Design theory and Krumboltz Social learning theory. Participants will be encouraged to explore the concepts of career and work through storytelling and exploration of experiences. An introduction to the concept of gas and goal setting take place and an exploration of values and principles. Session 2 Hana will facilitate the second session. Throughout this session, there will be a focus on skills and interests. Using such career models such as Hollands’ Theory of Career choice and exploration of past roles and skills developed through these will enable the participant to create an understanding of their own unique set of skills and interest and gain a greater understanding of how these relate to the world of work. Session 3 Claire will facilitate this session. The focus on this session will draw mainly on Krumboltz's Learning Theory and Bright’s Chaos theory of careers. The focus will be on taking practical steps to explore career possibilities and opportunity awareness. The practitioner’s main role in this session will be to assist the participants in creating an action plan for their career and equipping them with the necessary tools to access resources required. Final Group Session The final group hui will be facilitated by Claire and Hana. This will be an opportunity to reflect on learnings throughout the career development process. Assess the process and whether participant objectives were achieved. It will be a shared learning and reflection process where participants evaluate their perceptions and expectations of both the world of work and the career development process both prior to and after the interventions. There will be an opportunity for participants to consolidate their learning and reflections and hopefully share their achievements with the wider whanau.

Sponsors

Raukura Hauora o Tainui
Lead SponsorOther

Study design

Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

Underemployed (employed in less than 30 hours’ work per week) or unemployed for at least the preceding 3 months Maori adults aged 18-65

Exclusion criteria

On a Work and Income New Zealand supported living payment (“sickness benefit”) Employed in a full-time capacity at any stage within the past 3 months

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026