title: "Kia Mauri Tau!" Narratives of recovery from disabling mental health problems

authors: Lapsley, Hilary

subjects: Maori

abstract: A bicultural research team at the University of Waikato successfully applied for funding from the Health Research Council to do a qualitative research project in the area of ‘pathways to wellness’. The Mental Health Narratives Project set out to gather forty narratives of mental ill health, recovery and life after recovery by interviewing Maori and non-Maori women and men who once had a disabling mental health problem. We aimed to describe journeys to mental health, identify key themes in accounts of the recovery process and describe the impact of the experience of mental ill health on life after recovery.

text: "Kia Mauri Tau!" Narratives of recovery from disabling mental health problems A bicultural research team at the University of Waikato successfully applied for funding from the Health Research Council to do a qualitative research project in the area of ‘pathways to wellness’. The Mental Health Narratives Project set out to gather forty narratives of mental ill health, recovery and life after recovery by interviewing Maori and non-Maori women and men who once had a disabling mental health problem. We aimed to describe journeys to mental health, identify key themes in accounts of the recovery process and describe the impact of the experience of mental ill health on life after recovery.

year: 2002

title: Kaumtua Mana Motuhake: A study protocol for a peer education intervention to help Māori elders work through later-stage life transitions

authors: Oetzel, John G.

subjects: Science & Technology

abstract: Background
The Aotearoa/New Zealand population is ageing and numerous studies demonstrate with this phenomenon comes increases in non-communicable diseases, injuries and healthcare costs among other issues. Further, significant inequities exist between Māori (Indigenous peoples of Aotearoa/New Zealand) and non-Māori around poor ageing and health. Most research addressing these issues is deficit oriented; however, the current research project takes a strengths-based approach that highlights the potential of kaumātua (elders) by asserting mana motuhake (autonomy, identity and self-actualisation). We believe that the esteem of elders in Māori culture signals transformative potential. Specifically, this project utilises a ‘tuakana-teina’ (older sibling/younger sibling) peer-educator model, where kaumātua work with other kaumātua in relation to health and wellbeing. The objectives of the project are (a) to develop the capacity of kaumātua as peer educators, whilst having positive impacts on their sense of purpose, health and wellbeing; and (b) to enhance the social and health outcomes for kaumātua receiving the intervention.

Methods
The research is grounded in principles of Kaupapa Māori and community-based participatory research, and brings together an Indigenous community of kaumātua, community health researchers, and academic researchers working with two advisory boards. The project intervention involves an orientation programme for tuakana peer educators for other kaumātua (teina). The research design is a pre- and post-test, clustered staggered design. All participants will complete a baseline assessment of health and wellbeing consistent with Māori worldviews (i.e., holistic model). The tuakana and teina participants will be divided into two groups with the first group completing the intervention during the first half of the project and the second group during the second half of the project. All participants will complete post-test assessments following both interventions allowing comparison of the two groups along with repeated measures over time.

Discussion
The findings will provide an evidence base for the importance and relevancy of kaumātua knowledge to create contextually based and culturally safe age-friendly environments that facilitate engagement and participation by kaumātua for kaumātua. If the model is effective, we will seek to facilitate the dissemination and scalability of the intervention.

Trial registration
Australia New Zealand Clinical Trial Registry (ACTRN12617001396314); Date Registered: 3 October 2017 (retrospectively registered).

text: Kaumtua Mana Motuhake: A study protocol for a peer education intervention to help Māori elders work through later-stage life transitions Background
The Aotearoa/New Zealand population is ageing and numerous studies demonstrate with this phenomenon comes increases in non-communicable diseases, injuries and healthcare costs among other issues. Further, significant inequities exist between Māori (Indigenous peoples of Aotearoa/New Zealand) and non-Māori around poor ageing and health. Most research addressing these issues is deficit oriented; however, the current research project takes a strengths-based approach that highlights the potential of kaumātua (elders) by asserting mana motuhake (autonomy, identity and self-actualisation). We believe that the esteem of elders in Māori culture signals transformative potential. Specifically, this project utilises a ‘tuakana-teina’ (older sibling/younger sibling) peer-educator model, where kaumātua work with other kaumātua in relation to health and wellbeing. The objectives of the project are (a) to develop the capacity of kaumātua as peer educators, whilst having positive impacts on their sense of purpose, health and wellbeing; and (b) to enhance the social and health outcomes for kaumātua receiving the intervention.

Methods
The research is grounded in principles of Kaupapa Māori and community-based participatory research, and brings together an Indigenous community of kaumātua, community health researchers, and academic researchers working with two advisory boards. The project intervention involves an orientation programme for tuakana peer educators for other kaumātua (teina). The research design is a pre- and post-test, clustered staggered design. All participants will complete a baseline assessment of health and wellbeing consistent with Māori worldviews (i.e., holistic model). The tuakana and teina participants will be divided into two groups with the first group completing the intervention during the first half of the project and the second group during the second half of the project. All participants will complete post-test assessments following both interventions allowing comparison of the two groups along with repeated measures over time.

Discussion
The findings will provide an evidence base for the importance and relevancy of kaumātua knowledge to create contextually based and culturally safe age-friendly environments that facilitate engagement and participation by kaumātua for kaumātua. If the model is effective, we will seek to facilitate the dissemination and scalability of the intervention.

Trial registration
Australia New Zealand Clinical Trial Registry (ACTRN12617001396314); Date Registered: 3 October 2017 (retrospectively registered).

year: 2019

title: Debridement of wounds with honey

authors: Molan, Peter C.

subjects: honey

abstract: Honey has been used as a debriding agent since ancient times. Its debriding properties have been rediscovered in more recent times, with various case reports published in the latter decades of the 20th century describing its effectiveness in cleaning up wounds. More recently its effectiveness has been compared with that of modern debriding agents, and honey has been found to work more rapidly than all except larval therapy. A randomised controlled trial demonstrated significantly better debriding with honey than with hydrogel. Other trials have shown that honey is a good alternative to surgical debridement for the treatment of necrotising fasciitis in the genital region. Seven case series and ten single case studies have also been published in which the effectiveness of honey in debriding wounds was reported. A prophylactic action of honey has also been reported, where in a randomised controlled trials comparing honey with silver sulfadiazine for the treatment of burns there was no eschar formed with honey but there was eschar formed in the cases treated with silver sulfadiazine. A similar finding has been reported in an animal model, where adjacent experimental wounds were kept clean with honey-soaked gauze but formed thick dense scabs where treated with saline-soaked gauze. The mechanism of action of honey is as yet unknown, but appears to be by way of stimulating autolytic debridement. Additional advantages using honey rather than other moist debridement are that its antibacterial action prevents bacterial growth from being encouraged, and its osmolarity prevents maceration of periwound skin.

text: Debridement of wounds with honey Honey has been used as a debriding agent since ancient times. Its debriding properties have been rediscovered in more recent times, with various case reports published in the latter decades of the 20th century describing its effectiveness in cleaning up wounds. More recently its effectiveness has been compared with that of modern debriding agents, and honey has been found to work more rapidly than all except larval therapy. A randomised controlled trial demonstrated significantly better debriding with honey than with hydrogel. Other trials have shown that honey is a good alternative to surgical debridement for the treatment of necrotising fasciitis in the genital region. Seven case series and ten single case studies have also been published in which the effectiveness of honey in debriding wounds was reported. A prophylactic action of honey has also been reported, where in a randomised controlled trials comparing honey with silver sulfadiazine for the treatment of burns there was no eschar formed with honey but there was eschar formed in the cases treated with silver sulfadiazine. A similar finding has been reported in an animal model, where adjacent experimental wounds were kept clean with honey-soaked gauze but formed thick dense scabs where treated with saline-soaked gauze. The mechanism of action of honey is as yet unknown, but appears to be by way of stimulating autolytic debridement. Additional advantages using honey rather than other moist debridement are that its antibacterial action prevents bacterial growth from being encouraged, and its osmolarity prevents maceration of periwound skin.

year: 2009