000 | 04371nab a22005417a 4500 | ||
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_c8730 _d8730 |
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005 | 20250625151703.0 | ||
008 | 240523s2021 -nz|| |||| 00| 0 eng d | ||
040 | _aAFVC | ||
100 |
_aDetzel, John G. _912753 |
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245 |
_aEnhancing well-being and social connectedness for Māori elders through a peer education (tuakana-teina) programme : _ba cross-sectional baseline study _cJohn G. Detzel, Stacey Ruru, Yingsha Zhang, Mary Louisa Simpson , Sophie Nock, Pare Meha, Kath Holmes, Marama Clark, Hariata Adams, Ngapera Akapita, Kawarau Ngaia, Shane Murphy, Reuben Moses, Rangimahora Reddy and Brendan Hokowhitu |
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_bFrontiers, _c2021 |
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500 | _aFrontiers in Public Health, 2022, 9:775545. | ||
520 | _aBackground: Māori kaumātua (elders) face stark health and social inequities compared to non-Māori New Zealanders. The tuakana-teina (older sibling-younger sibling) peer education programme is a strengths-based approach to enhance well-being and social connectedness. The purpose of this study is to present the baseline data from this programme and identify correlates of well-being outcomes. Method: Participants included 128 kaumātua who completed a self-report survey about health-related quality of life, spirituality, social connection and loneliness, life satisfaction, cultural identity and connection, elder abuse, health service utilisation and demographics. Findings: Multiple regression models illustrated the following correlates of outcomes: (a) self-rated health: needing more help with daily tasks (β = −0.36) and housing problems (β = –0.17); (b) health-related quality of life: needing more help with daily tasks (β = –0.31), housing problems (β = –0.21), and perceived autonomy (β = 0.19); (c) spiritual well-being: understanding of tikanga (cultural protocols) (β = 0.32) and perceived autonomy (β = 0.23); (d) life satisfaction: social support (β = 0.23), sense of purpose (β = 0.23), cultural identity (β = 0.24), trouble paying bills (β = –0.16), and housing problems (β = –0.16); (e) loneliness: elder abuse (β = 0.27), social support (β = –0.21), and missing pleasure of being with whānau (extended family) (β = 0.19). Conclusions: Key correlates for outcomes centred on social support, housing problems, cultural connection and perceived autonomy. These correlates are largely addressed through the programme where tuakana/peer educators provide support and links to social and health services to teina/peer recipients in need. This study illustrates needs and challenges for kaumātua, whilst the larger programme represents a strengths-based and culturally-centred approach to address health issues related to ageing in an Indigenous population. (Authors' abstract). This research is part of the Kaumātua Mana Motuhake Pōi project, part of the aging well National Science Challenge. Follow the link to learn more about the research. Record #8730 | ||
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_aELDER ABUSE _9220 |
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_aHAUORA _9281 |
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_aHEALTH _9283 |
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_aHOUSING _9300 |
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_aINTERVENTION _9326 |
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_aKAUMĀTUA _95537 |
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_aMĀORI _9357 |
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_aOLDER PEOPLE _9414 |
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_aORA _95716 |
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_aRANGAHAU MĀORI _95532 |
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650 |
_aTE AO MĀORI _912662 |
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650 | 0 |
_aTIKANGA TUKU IHO _95542 |
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650 |
_aWELLBEING _96275 |
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650 |
_aWHARE HOHO _913046 |
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651 | 4 |
_aNEW ZEALAND _92588 |
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700 |
_aRuru, Stacey _913047 |
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700 |
_aZhang, Yingsha _913048 |
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700 |
_aSimpson, Mary L. _912754 |
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700 |
_aNock, Sophie _912756 |
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700 |
_aMeha, Pare _913049 |
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700 |
_aHolmes, Kath _913050 |
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700 |
_aClark, Marama _913051 |
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700 |
_aAdams, Hariata _913052 |
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700 |
_aAkapita, Ngapera _913053 |
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700 |
_aNgaia, Kawarau _913054 |
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700 |
_aMurphy, Shane _913055 |
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700 |
_aMoses, Reuben _913056 |
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700 |
_aReddy, Rangimahora _912757 |
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700 |
_aHokowhitu, Brendan _913057 |
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773 | 0 | _tFrontiers in Public Health, 2022, 9:775545. | |
830 |
_aFrontiers in Public Health _912649 |
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_uhttps://doi.org/10.3389/fpubh.2021.775545 _zDOI: 10.3389/fpubh.2021.775545 (Open access) |
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_yKaumātua Mana Motuhake Pōi website _uhttps://www.ageingwellchallenge.co.nz/research/kaumatua-mana-motuhake-poi/ |
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_2ddc _cARTICLE _hnews128 |