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Adaptation and implementation processes of a culture-centred community-based peer-education programme for older Māori

BACKGROUND: Health inequities experienced by kaumātua (older Māori) in Aotearoa, New Zealand, are well documented. Examples of translating and adapting research into practice that identifies ways to help address such inequities are less evident. The study used the He Pikinga Waiora (HPW) implementat...

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Autores principales: Simpson, Mary Louisa, Ruru, Stacey, Oetzel, John, Meha, Pare, Nock, Sophie, Holmes, Kathrine, Adams, Hariata, Akapita, Ngapera, Clark, Marama, Ngaia, Kawarau, Moses, Reuben, Reddy, Rangimahora, Hokowhitu, Brendan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9694883/
https://www.ncbi.nlm.nih.gov/pubmed/36424640
http://dx.doi.org/10.1186/s43058-022-00374-3
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author Simpson, Mary Louisa
Ruru, Stacey
Oetzel, John
Meha, Pare
Nock, Sophie
Holmes, Kathrine
Adams, Hariata
Akapita, Ngapera
Clark, Marama
Ngaia, Kawarau
Moses, Reuben
Reddy, Rangimahora
Hokowhitu, Brendan
author_facet Simpson, Mary Louisa
Ruru, Stacey
Oetzel, John
Meha, Pare
Nock, Sophie
Holmes, Kathrine
Adams, Hariata
Akapita, Ngapera
Clark, Marama
Ngaia, Kawarau
Moses, Reuben
Reddy, Rangimahora
Hokowhitu, Brendan
author_sort Simpson, Mary Louisa
collection PubMed
description BACKGROUND: Health inequities experienced by kaumātua (older Māori) in Aotearoa, New Zealand, are well documented. Examples of translating and adapting research into practice that identifies ways to help address such inequities are less evident. The study used the He Pikinga Waiora (HPW) implementation framework and the Consolidated Framework for Implementation Research (CFIR) to explore promising co-design and implementation practices in translating an evidence-based peer-education programme for older Māori to new communities. METHODS: The study was grounded in an Indigenous methodology (Kaupapa Māori) and a participatory research approach. Data were collected from research documentation, community meeting and briefing notes, and interviews with community researchers. RESULTS: The data analysis resulted in several key promising practices: Kaumātua mana motuhake (kaumātua independence and autonomy) where community researchers centred the needs of kaumātua in co-designing the programme with researchers; Whanaungatanga (relationships and connectedness) which illustrated how community researchers’ existing and emerging relationships with kaumātua, research partners, and each other facilitated the implementation process; and Whakaoti Rapanga (problem-solving) which centred on the joint problem-solving undertaken by the community and university researchers, particularly around safety issues. These results illustrate content, process, and relationship issues associated with implementation effectiveness. CONCLUSIONS: This study showed that relational factors are central to the co-design process and also offers an example of a braided river, or He Awa Whiria, approach to implementation. The study offers a valuable case study in how to translate, adapt, and implement a research-based health programme to Indigenous community settings through co-design processes. TRIAL REGISTRATION: The project was registered on 6 March 2020 with the Australia New Zealand Clinical Trial Registry: ACTRN12620000316909. Prospectively registered. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s43058-022-00374-3.
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spelling pubmed-96948832022-11-26 Adaptation and implementation processes of a culture-centred community-based peer-education programme for older Māori Simpson, Mary Louisa Ruru, Stacey Oetzel, John Meha, Pare Nock, Sophie Holmes, Kathrine Adams, Hariata Akapita, Ngapera Clark, Marama Ngaia, Kawarau Moses, Reuben Reddy, Rangimahora Hokowhitu, Brendan Implement Sci Commun Research BACKGROUND: Health inequities experienced by kaumātua (older Māori) in Aotearoa, New Zealand, are well documented. Examples of translating and adapting research into practice that identifies ways to help address such inequities are less evident. The study used the He Pikinga Waiora (HPW) implementation framework and the Consolidated Framework for Implementation Research (CFIR) to explore promising co-design and implementation practices in translating an evidence-based peer-education programme for older Māori to new communities. METHODS: The study was grounded in an Indigenous methodology (Kaupapa Māori) and a participatory research approach. Data were collected from research documentation, community meeting and briefing notes, and interviews with community researchers. RESULTS: The data analysis resulted in several key promising practices: Kaumātua mana motuhake (kaumātua independence and autonomy) where community researchers centred the needs of kaumātua in co-designing the programme with researchers; Whanaungatanga (relationships and connectedness) which illustrated how community researchers’ existing and emerging relationships with kaumātua, research partners, and each other facilitated the implementation process; and Whakaoti Rapanga (problem-solving) which centred on the joint problem-solving undertaken by the community and university researchers, particularly around safety issues. These results illustrate content, process, and relationship issues associated with implementation effectiveness. CONCLUSIONS: This study showed that relational factors are central to the co-design process and also offers an example of a braided river, or He Awa Whiria, approach to implementation. The study offers a valuable case study in how to translate, adapt, and implement a research-based health programme to Indigenous community settings through co-design processes. TRIAL REGISTRATION: The project was registered on 6 March 2020 with the Australia New Zealand Clinical Trial Registry: ACTRN12620000316909. Prospectively registered. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s43058-022-00374-3. BioMed Central 2022-11-24 /pmc/articles/PMC9694883/ /pubmed/36424640 http://dx.doi.org/10.1186/s43058-022-00374-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Simpson, Mary Louisa
Ruru, Stacey
Oetzel, John
Meha, Pare
Nock, Sophie
Holmes, Kathrine
Adams, Hariata
Akapita, Ngapera
Clark, Marama
Ngaia, Kawarau
Moses, Reuben
Reddy, Rangimahora
Hokowhitu, Brendan
Adaptation and implementation processes of a culture-centred community-based peer-education programme for older Māori
title Adaptation and implementation processes of a culture-centred community-based peer-education programme for older Māori
title_full Adaptation and implementation processes of a culture-centred community-based peer-education programme for older Māori
title_fullStr Adaptation and implementation processes of a culture-centred community-based peer-education programme for older Māori
title_full_unstemmed Adaptation and implementation processes of a culture-centred community-based peer-education programme for older Māori
title_short Adaptation and implementation processes of a culture-centred community-based peer-education programme for older Māori
title_sort adaptation and implementation processes of a culture-centred community-based peer-education programme for older māori
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9694883/
https://www.ncbi.nlm.nih.gov/pubmed/36424640
http://dx.doi.org/10.1186/s43058-022-00374-3
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