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