title: A case study of using the He Pikinga Waiora Implementation Framework: Challenges and successes in implementing a twelve-week lifestyle intervention to reduce weight in Māori men at risk of diabetes, cardiovascular disease and obesity

authors: Oetzel, John G.

subjects: Science & Technology

abstract: BACKGROUND: Māori men have stark health inequities around non-communicable diseases. This study describes the case of a partnership attempting to develop and implement a culturally centred intervention through a collaborative partnership to potentially address the inequities. In particular, the partnership followed a participatory, co-design approach using the He Pikinga Waiora (HPW) Implementation Framework; the study presents lessons learnt in addressing health inequities following this framework. METHODS: The partnership involved a university research team and a Māori community health provider. They engaged with other stakeholders and several cohorts of Māori men through a co-design process to adapt a 12-week lifestyle intervention. The co-design process was documented through meeting notes and interviews with partners. Two cohorts participated in separate single group pre-intervention/post-intervention designs with multi-method data collection. Key outcome measures included weight loss, self-reported health, physical activity, and nutrition. Post-intervention data collection included qualitative data. RESULTS: The co-design process resulted in a strong and engaged partnership between the university team and the provider. There were significant challenges in implementing the intervention including having two additional partner organisations dropping out of the partnership just after the initial implementation phase. However, a flexible and adaptable partnership resulted in developing two distinct lifestyle interventions run with 32 Māori men (in two different cohorts of 8 and 24). All but one in the first cohort completed the programme. The first cohort had a modest although statistically insignificant improvement in weight loss (d = 1.04) and body mass index (BMI; d = 1.08). The second cohort had a significant reduction in weight loss (d = 1.16) and BMI (d = 1.15). They also had a significant increase in health-related quality of life (d = 1.7) and self-rated health (d = 2.0). CONCLUSION: The HPW 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 interventions for chronic disease prevention in Indigenous communities. Despite this promise, there are structural challenges in developing and implementing interventions to address health inequities. TRIAL REGISTRATION: Retrospectively registered, Australia New Zealand Clinical Trials Registry, ACTRN12619001783112.

text: A case study of using the He Pikinga Waiora Implementation Framework: Challenges and successes in implementing a twelve-week lifestyle intervention to reduce weight in Māori men at risk of diabetes, cardiovascular disease and obesity BACKGROUND: Māori men have stark health inequities around non-communicable diseases. This study describes the case of a partnership attempting to develop and implement a culturally centred intervention through a collaborative partnership to potentially address the inequities. In particular, the partnership followed a participatory, co-design approach using the He Pikinga Waiora (HPW) Implementation Framework; the study presents lessons learnt in addressing health inequities following this framework. METHODS: The partnership involved a university research team and a Māori community health provider. They engaged with other stakeholders and several cohorts of Māori men through a co-design process to adapt a 12-week lifestyle intervention. The co-design process was documented through meeting notes and interviews with partners. Two cohorts participated in separate single group pre-intervention/post-intervention designs with multi-method data collection. Key outcome measures included weight loss, self-reported health, physical activity, and nutrition. Post-intervention data collection included qualitative data. RESULTS: The co-design process resulted in a strong and engaged partnership between the university team and the provider. There were significant challenges in implementing the intervention including having two additional partner organisations dropping out of the partnership just after the initial implementation phase. However, a flexible and adaptable partnership resulted in developing two distinct lifestyle interventions run with 32 Māori men (in two different cohorts of 8 and 24). All but one in the first cohort completed the programme. The first cohort had a modest although statistically insignificant improvement in weight loss (d = 1.04) and body mass index (BMI; d = 1.08). The second cohort had a significant reduction in weight loss (d = 1.16) and BMI (d = 1.15). They also had a significant increase in health-related quality of life (d = 1.7) and self-rated health (d = 2.0). CONCLUSION: The HPW 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 interventions for chronic disease prevention in Indigenous communities. Despite this promise, there are structural challenges in developing and implementing interventions to address health inequities. TRIAL REGISTRATION: Retrospectively registered, Australia New Zealand Clinical Trials Registry, ACTRN12619001783112.

year: 2020

title: Tūrangawaewae mō te Kīngitanga

authors: Takerei, Mamae Rangiaroha Tuānewa

subjects: Tūrangawaewae

abstract: Tūrangawaewae is an iconic marae located at the heart of the Kīngitanga. Established by Te Pūea Hērangi and other whānau, this marae has come to represent the struggles, successes and history of the Kīngitanga movement. Tūrangawaewae is therefore the embodiment of the Kīngitanga and the people of Waikato.
From very humble beginnings, and forged on the tireless efforts of Te Pūea and her followers, this marae has hosted world leaders, monarchs and aristocracy from across the world. All have come to Tūrangawaewae to forge relationships with the Kīngitanga, with Māori and with the New Zealand government. It has become a hallowed place when histories are shared and futures are created.
This thesis looks at how Tūrangawaewae encapsulates the Kīngitanga and all that it means. It explores this history of its establishment and highlight the central figures and the motivations behind the building of this marae and complex. In addition, this thesis will show how the different building and features of the marae showcase the ideology of the Kīngitanga movement and its leaders. Based on a traditional approach to Waikato knowledge, and founded on firsthand experience, this thesis reveals an insides perspective of the kīngitanga, the people, various events and the marae of Tūrangawaewae.

text: Tūrangawaewae mō te Kīngitanga Tūrangawaewae is an iconic marae located at the heart of the Kīngitanga. Established by Te Pūea Hērangi and other whānau, this marae has come to represent the struggles, successes and history of the Kīngitanga movement. Tūrangawaewae is therefore the embodiment of the Kīngitanga and the people of Waikato.
From very humble beginnings, and forged on the tireless efforts of Te Pūea and her followers, this marae has hosted world leaders, monarchs and aristocracy from across the world. All have come to Tūrangawaewae to forge relationships with the Kīngitanga, with Māori and with the New Zealand government. It has become a hallowed place when histories are shared and futures are created.
This thesis looks at how Tūrangawaewae encapsulates the Kīngitanga and all that it means. It explores this history of its establishment and highlight the central figures and the motivations behind the building of this marae and complex. In addition, this thesis will show how the different building and features of the marae showcase the ideology of the Kīngitanga movement and its leaders. Based on a traditional approach to Waikato knowledge, and founded on firsthand experience, this thesis reveals an insides perspective of the kīngitanga, the people, various events and the marae of Tūrangawaewae.

year: 2019

title: Delinquency in New Zealand: An Investigation of the Influence of Parental and Peer Group Relationships In the Etiology of Delinquency.

authors: Thompson, George W.

abstract: The object of this research is to compare and contrast delinquent and non-delinquent boys on certain aspects of parent and peer relations.
It should be obvious at the outset that this study was not designed to discover all the causes of delinquency, rather it was assumed that nay one boy is a delinquent for a complex variety of reasons. Two of the most complex being the effects of family and peer relationships.
The main aim is to show that although juvenile delinquency is largely associated with the lower socio-economic groups, a major difference between delinquents and non-delinquents will be shown in the different kinds of attachment that the boys show towards their parents. Throughout attachment to parents is emphasized as a crucial hypothetical variable, as it is thought that adequate parental attachment is a very important aid to an effective socialization process.

text: Delinquency in New Zealand: An Investigation of the Influence of Parental and Peer Group Relationships In the Etiology of Delinquency. The object of this research is to compare and contrast delinquent and non-delinquent boys on certain aspects of parent and peer relations.
It should be obvious at the outset that this study was not designed to discover all the causes of delinquency, rather it was assumed that nay one boy is a delinquent for a complex variety of reasons. Two of the most complex being the effects of family and peer relationships.
The main aim is to show that although juvenile delinquency is largely associated with the lower socio-economic groups, a major difference between delinquents and non-delinquents will be shown in the different kinds of attachment that the boys show towards their parents. Throughout attachment to parents is emphasized as a crucial hypothetical variable, as it is thought that adequate parental attachment is a very important aid to an effective socialization process.

year: 1972