000			04371nab a22005417a 4500
999			_c8730 _d8730
005			20250625151703.0
008			240523s2021 -nz|| |||| 00| 0 eng d
040			_aAFVC
100			_aDetzel, John G. _912753
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
260			_bFrontiers, _c2021
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
650			_aELDER ABUSE _9220
650			_aHAUORA _9281
650			_aHEALTH _9283
650			_aHOUSING _9300
650			_aINTERVENTION _9326
650			_aKAUMĀTUA _95537
650			_aMĀORI _9357
650			_aOLDER PEOPLE _9414
650			_aORA _95716
650			_aRANGAHAU MĀORI _95532
650			_aTE AO MĀORI _912662
650		0	_aTIKANGA TUKU IHO _95542
650			_aWELLBEING _96275
650			_aWHARE HOHO _913046
651		4	_aNEW ZEALAND _92588
700			_aRuru, Stacey _913047
700			_aZhang, Yingsha _913048
700			_aSimpson, Mary L. _912754
700			_aNock, Sophie _912756
700			_aMeha, Pare _913049
700			_aHolmes, Kath _913050
700			_aClark, Marama _913051
700			_aAdams, Hariata _913052
700			_aAkapita, Ngapera _913053
700			_aNgaia, Kawarau _913054
700			_aMurphy, Shane _913055
700			_aMoses, Reuben _913056
700			_aReddy, Rangimahora _912757
700			_aHokowhitu, Brendan _913057
773	0		_tFrontiers in Public Health, 2022, 9:775545.
830			_aFrontiers in Public Health _912649
856			_uhttps://doi.org/10.3389/fpubh.2021.775545 _zDOI: 10.3389/fpubh.2021.775545 (Open access)
856			_yKaumātua Mana Motuhake Pōi website _uhttps://www.ageingwellchallenge.co.nz/research/kaumatua-mana-motuhake-poi/
942			_2ddc _cARTICLE _hnews128