title: Barriers to diabetes self-management in a subset of New Zealand adults with Type 2 diabetes and poor glycaemic control

authors: Chepulis, Lynne Merran

subjects: Science & Technology

abstract: Background. Despite the fact that there is an increasingly effective armoury of medications to treat diabetes, many people continue to have substantially elevated blood glucose levels. The purpose of this study was to explore what the barriers to diabetes management are in a cohort of people with diabetes and poor glycaemic control. Methods. Qualitative semistructured interviews were carried out with 10 people with diabetes who had known diabetes and a recent HbA1c of >11.3% (100 mmol/mol) to explore their experiences of barriers to diabetes self-management and glycaemic control. Results. Barriers to diabetes management were based around two key themes: biopsychosocial factors and knowledge about diabetes. Specifically, financial concerns, social stigma, medication side effects, and cognitive impairment due to hyperglycaemia were commonly reported as barriers to medication use. Other barriers included a lack of knowledge about their own condition, poor relationships with healthcare professionals, and a lack of relevant resources to support diet and weight loss. Conclusion. People with diabetes with poor glycaemic control experience many of the same barriers as those reported elsewhere, but also experience issues specifically related to their severe hyperglycaemia. Management of diabetes could be improved via the increased use of patient education and availability of locally relevant resources.

text: Barriers to diabetes self-management in a subset of New Zealand adults with Type 2 diabetes and poor glycaemic control Background. Despite the fact that there is an increasingly effective armoury of medications to treat diabetes, many people continue to have substantially elevated blood glucose levels. The purpose of this study was to explore what the barriers to diabetes management are in a cohort of people with diabetes and poor glycaemic control. Methods. Qualitative semistructured interviews were carried out with 10 people with diabetes who had known diabetes and a recent HbA1c of >11.3% (100 mmol/mol) to explore their experiences of barriers to diabetes self-management and glycaemic control. Results. Barriers to diabetes management were based around two key themes: biopsychosocial factors and knowledge about diabetes. Specifically, financial concerns, social stigma, medication side effects, and cognitive impairment due to hyperglycaemia were commonly reported as barriers to medication use. Other barriers included a lack of knowledge about their own condition, poor relationships with healthcare professionals, and a lack of relevant resources to support diet and weight loss. Conclusion. People with diabetes with poor glycaemic control experience many of the same barriers as those reported elsewhere, but also experience issues specifically related to their severe hyperglycaemia. Management of diabetes could be improved via the increased use of patient education and availability of locally relevant resources.

year: 2021

title: Technical education in New Zealand: A Survey of developments and trends from 1940 to 1966

authors: Collett, Graeme Richard

abstract: We live in a time of change. All around us are a variety of goods; transistor radios, television sets, pre-packed frozen foods, plastic goods, synthetic materials, electrical appliances and a host of others, which were unheard of twenty-five years ago. In fact, we in New Zealand are experiencing the effect of a world wide technological revolution, which is having far reaching effects of the way of life of people throughout the world. 

To the fore of this revolution are the scientists and technologists who generate new ideas and learning, but equally important have become the group of skilled people who apply these ideas in practice. This group in New Zealand, receive its training mainly through our system of technical education, which has undergone vast changes as technology has advanced and needs have changed.

text: Technical education in New Zealand: A Survey of developments and trends from 1940 to 1966 We live in a time of change. All around us are a variety of goods; transistor radios, television sets, pre-packed frozen foods, plastic goods, synthetic materials, electrical appliances and a host of others, which were unheard of twenty-five years ago. In fact, we in New Zealand are experiencing the effect of a world wide technological revolution, which is having far reaching effects of the way of life of people throughout the world. 

To the fore of this revolution are the scientists and technologists who generate new ideas and learning, but equally important have become the group of skilled people who apply these ideas in practice. This group in New Zealand, receive its training mainly through our system of technical education, which has undergone vast changes as technology has advanced and needs have changed.

year: 1967

title: Eke panuku, eke tangaroa! How Black Ferns 7s athletes navigate Instagram and inspire the next generation in Aotearoa

authors: Keet, Thandiwe Maia

subjects: Gender

abstract: This thesis considers the role of Instagram in the lives of players on the New Zealand Black Ferns 7s rugby team, and audience engagement with players’ social media accounts. Using a mana wāhine methodology, this study explores how Black Ferns 7s players utilize and navigate Instagram, through mixed-methods enquiry, including a social media analysis of 8 players’ accounts, interviews with 3 Black Ferns 7s players, and talanoa sessions with members of the women’s rugby community in the Bay of Plenty, supplemented by input from Black Ferns players and fans via direct messages on Instagram. The quantitative social media analysis identified 4 key themes in players’ Instagram posts: achievement, team & rugby, life outside rugby, and culture & vulnerability. The analysis reveals that players post the most regarding their “team & rugby”, generating an “athlete first” self- representation. It finds a statistically significant difference in the thematic content of Instagram posts based on squad seniority and the number of followers a player has. Followers were found to engage most with posts regarding “achievement”, and the least with posts regarding “culture and vulnerability”.
The interviews elaborate upon these quantitative differences by highlighting why athletes specifically use Instagram, insights into Black Ferns aspirational team dynamics, and the importance of a player’s life outside of rugby. The thematic analysis also reveals the digital economic and collective labour involved in producing social media content as a member of this team, and what it means to be culturally “authentic” online in Aotearoa. It reveals the unique elements generated by the team-sport context of this study, including intra-team differences in social media usage. Furthermore, hauora, Indigenous role modeling, and Tall Poppy Syndrome emerge as factors particularly unique to the cultural context within which this study takes place. The discussions culminate in the establishment of a layered understanding of the external, internal, and individual factors which shape Instagram posting habits, and the features which most significantly impact why audiences follow the curated displays Black Ferns 7s athletes provide online.
This project contributes to international literature on sportswomen’s use of social media, demonstrating the powerful ways that players support one another in what, when, and how they post, and the importance of cultural identity in Māori and Pasifika players’ social media engagement. It further reveals the importance of team culture in shaping individual players’ social media and audience engagement. This thesis also highlights the significance of sporting and cultural histories and intersectional identities in digital self-representation and fan engagement with sportswomen’s social media usage.

text: Eke panuku, eke tangaroa! How Black Ferns 7s athletes navigate Instagram and inspire the next generation in Aotearoa This thesis considers the role of Instagram in the lives of players on the New Zealand Black Ferns 7s rugby team, and audience engagement with players’ social media accounts. Using a mana wāhine methodology, this study explores how Black Ferns 7s players utilize and navigate Instagram, through mixed-methods enquiry, including a social media analysis of 8 players’ accounts, interviews with 3 Black Ferns 7s players, and talanoa sessions with members of the women’s rugby community in the Bay of Plenty, supplemented by input from Black Ferns players and fans via direct messages on Instagram. The quantitative social media analysis identified 4 key themes in players’ Instagram posts: achievement, team & rugby, life outside rugby, and culture & vulnerability. The analysis reveals that players post the most regarding their “team & rugby”, generating an “athlete first” self- representation. It finds a statistically significant difference in the thematic content of Instagram posts based on squad seniority and the number of followers a player has. Followers were found to engage most with posts regarding “achievement”, and the least with posts regarding “culture and vulnerability”.
The interviews elaborate upon these quantitative differences by highlighting why athletes specifically use Instagram, insights into Black Ferns aspirational team dynamics, and the importance of a player’s life outside of rugby. The thematic analysis also reveals the digital economic and collective labour involved in producing social media content as a member of this team, and what it means to be culturally “authentic” online in Aotearoa. It reveals the unique elements generated by the team-sport context of this study, including intra-team differences in social media usage. Furthermore, hauora, Indigenous role modeling, and Tall Poppy Syndrome emerge as factors particularly unique to the cultural context within which this study takes place. The discussions culminate in the establishment of a layered understanding of the external, internal, and individual factors which shape Instagram posting habits, and the features which most significantly impact why audiences follow the curated displays Black Ferns 7s athletes provide online.
This project contributes to international literature on sportswomen’s use of social media, demonstrating the powerful ways that players support one another in what, when, and how they post, and the importance of cultural identity in Māori and Pasifika players’ social media engagement. It further reveals the importance of team culture in shaping individual players’ social media and audience engagement. This thesis also highlights the significance of sporting and cultural histories and intersectional identities in digital self-representation and fan engagement with sportswomen’s social media usage.

year: 2022