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BMC Geriatrics
Published in: BMC Geriatrics 1/2020

Open Access 01-12-2020 | Study protocol

Kaumātua Mana Motuhake Pōi: a study protocol for enhancing wellbeing, social connectedness and cultural identity for Māori elders

Authors: Brendan Hokowhitu, John G. Oetzel, Mary Louisa Simpson, Sophie Nock, Rangimahora Reddy, Pare Meha, Kirsten Johnston, Anne-Marie Jackson, Bevan Erueti, Poia Rewi, Isaac Warbrick, Michael P. Cameron, Yingsha Zhang, Stacey Ruru

Published in: BMC Geriatrics | Issue 1/2020

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Abstract

Background

The Aotearoa New Zealand population is ageing accompanied by health and social challenges including significant inequities that exist between Māori and non-Māori around poor ageing and health. Although historically kaumātua (elder Māori) faced a dominant society that failed to realise their full potential as they age, Māori culture has remained steadfast in upholding elders as cultural/community anchors. Yet, many of today’s kaumātua have experienced ‘cultural dissonance’ as the result of a hegemonic dominant culture subjugating an Indigenous culture, leading to generations of Indigenous peoples compelled or forced to dissociate with their culture. The present research project, Kaumātua Mana Motuhake Pōī (KMMP) comprises two interrelated projects that foreground dimensions of wellbeing within a holistic Te Ao Māori (Māori epistemology) view of wellbeing. Project 1 involves a tuakana-teina/peer educator model approach focused on increasing service access and utilisation to support kaumātua with the greatest health and social needs. Project 2 focuses on physical activity and cultural knowledge exchange (including te reo Māori--Māori language) through intergenerational models of learning.

Methods

Both projects have a consistent research design and common set of methods that coalesce around the emphasis on kaupapa kaumatua; research projects led by kaumātua and kaumātua providers that advance better life outcomes for kaumātua and their communities. The research design for each project is a mixed-methods, pre-test and two post-test, staggered design with 2–3 providers receiving the approach first and then 2–3 receiving it on a delayed basis. A pre-test (baseline) of all participants will be completed. The approach will then be implemented with the first providers. There will then be a follow-up data collection for all participants (post-test 1). The second providers will then implement the approach, which will be followed by a final data collection for all participants (post-test 2).

Discussion

Two specific outcomes are anticipated from this research; firstly, it is hoped that the research methodology provides a framework for how government agencies, researchers and relevant sector stakeholders can work with Māori communities. Secondly, the two individual projects will each produce a tangible approach that, it is anticipated, will be cost effective in enhancing kaumātua hauora and mana motuhake.

Trial registration

Australia New Zealand Clinical Trial Registry (ACTRN12620000316​909). Registered 6 March 2020.
Appendix
Available only for authorised users
Glossary
HRQOL
Health-related quality of life
ICEA
Incremental cost effectiveness analysis
ICER
Incremental cost-effectiveness ratio
SRMR
Standardized root mean square residual
Aotearoa
New Zealand
Hauora
Health
Hapū
Subtribe
Hinengaro
Mind, thought, intellect
Iwi
Tribe
Kaupapa Māori
Research by Māori for Māori
Koha
Offering
Mana
Status and prestige
Mana motuhake
Autonomy, identity and self-actualisation
Māori
Indigenous people of New Zealand
Mātauranga
Indigenous knowledge
Pono
Truth, integrity
Te Ao Māori
Māori epistemology
Te Kupenga
Māori Social Survey
Teina
Peer education recipient
Tikanga
Customs and protocols
Tinana
Body
Tino rangatiratanga
Independence and autonomy
Tuakana
Peer educator
Tuakana-teina
Older sibling/younger sibling
Wairua
Spirit
Whakawhanaungatanga
Making social connections
Whānau
Extended family
Whanaungatanga
Social health
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Metadata
Title
Kaumātua Mana Motuhake Pōi: a study protocol for enhancing wellbeing, social connectedness and cultural identity for Māori elders
Authors
Brendan Hokowhitu
John G. Oetzel
Mary Louisa Simpson
Sophie Nock
Rangimahora Reddy
Pare Meha
Kirsten Johnston
Anne-Marie Jackson
Bevan Erueti
Poia Rewi
Isaac Warbrick
Michael P. Cameron
Yingsha Zhang
Stacey Ruru
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2020
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-020-01740-3

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