dc.contributor.author |
Oetzel, John |
en |
dc.contributor.author |
Scott, Katrina |
en |
dc.contributor.author |
Hudson, Maui |
en |
dc.contributor.author |
Masters-Awatere, Bridgette |
en |
dc.contributor.author |
Rarere, Moana |
en |
dc.contributor.author |
Foote, Jeff |
en |
dc.contributor.author |
Beaton, Angela |
en |
dc.contributor.author |
Ehau, Terry |
en |
dc.date.accessioned |
2018-10-14T19:56:14Z |
en |
dc.date.issued |
2017-09-05 |
en |
dc.identifier.citation |
Globalization and Health 13(1):13 pages 05 Sep 2017 |
en |
dc.identifier.issn |
1744-8603 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/41266 |
en |
dc.description.abstract |
BACKGROUND:About 40% of all health burden in New Zealand is due to cancer, cardiovascular disease, and type 2 diabetes/obesity. Outcomes for Māori (indigenous people) are significantly worse than non-Maori; these inequities mirror those found in indigenous communities elsewhere. Evidence-based interventions with established efficacy may not be effective in indigenous communities without addressing specific implementation challenges. We present an implementation framework for interventions to prevent and treat chronic conditions for Māori and other indigenous communities. THEORETICAL FRAMEWORK:The He Pikinga Waiora Implementation Framework has indigenous self-determination at its core and consists of four elements: cultural-centeredness, community engagement, systems thinking, and integrated knowledge translation. All elements have conceptual fit with Kaupapa Māori aspirations (i.e., indigenous knowledge creation, theorizing, and methodology) and all have demonstrated evidence of positive implementation outcomes. APPLYING THE FRAMEWORK:A coding scheme derived from the Framework was applied to 13 studies of diabetes prevention in indigenous communities in Australia, Canada, New Zealand, and the United States from a systematic review. Cross-tabulations demonstrated that culture-centeredness (p = .008) and community engagement (p = .009) explained differences in diabetes outcomes and community engagement (p = .098) explained difference in blood pressure outcomes. IMPLICATIONS AND CONCLUSIONS:The He Pikinga Waiora Implementation Framework appears to be well suited to advance implementation science for indigenous communities in general and Māori in particular. The framework has promise as a policy and planning tool to evaluate and design effective interventions for chronic disease prevention in indigenous communities. |
en |
dc.format.medium |
Electronic |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
Globalization and health |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
en |
dc.subject |
Humans |
en |
dc.subject |
Diabetes Mellitus, Type 2 |
en |
dc.subject |
Obesity |
en |
dc.subject |
Chronic Disease |
en |
dc.subject |
Oceanic Ancestry Group |
en |
dc.subject |
Canada |
en |
dc.subject |
Australia |
en |
dc.subject |
New Zealand |
en |
dc.subject |
Health Status Disparities |
en |
dc.title |
Implementation framework for chronic disease intervention effectiveness in Māori and other indigenous communities. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1186/s12992-017-0295-8 |
en |
pubs.issue |
1 |
en |
pubs.begin-page |
69 |
en |
pubs.volume |
13 |
en |
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
28870225 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
research-article |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
701851 |
en |
dc.identifier.eissn |
1744-8603 |
en |
pubs.record-created-at-source-date |
2017-09-06 |
en |
pubs.dimensions-id |
28870225 |
en |