PMID- 34695079
OWN - NLM
STAT- MEDLINE
DCOM- 20211125
LR  - 20211204
IS  - 1175-8716 (Electronic)
IS  - 0028-8446 (Linking)
VI  - 134
IP  - 1543
DP  - 2021 Oct 8
TI  - Maori and Pacific peoples' experiences of a Maori-led diabetes programme.
PG  - 79-89
AB  - AIM: Type 2 diabetes mellitus (T2DM) disproportionately affects Maori and Pacific 
      peoples in Aotearoa (New Zealand). Despite this, the lived experiences of T2DM 
      and its management by Maori and Pacific peoples are scarcely acknowledged in 
      health literature. The present study examines the lived experiences of T2DM by 
      Maori and Pacific participants in the Mana Tu diabetes programme. Mana Tu is a 
      Maori-led diabetes support programme co-designed by the National Hauora Coalition 
      (NHC) alongside patients with diabetes, clinicians, health service planners and 
      whanau ora providers. METHOD: The study used qualitative methods underpinned by 
      Kaupapa Maori (Maori approaches) approaches. Twenty-two semi-structured 
      interviews were conducted with participants of the Mana Tu diabetes programme and 
      their whanau (thirteen Maori, 9 Pacific) from Tamaki Makaurau (Auckland) and Te 
      Tai Tokerau (Northland). RESULTS: The study identified barriers, facilitators and 
      motivators for participants to live well with T2DM. Four key themes were 
      constituted: (1) whanau experience of T2DM, (2) cultural safety in healthcare 
      interactions, (3) whanau ora (collective family wellbeing) and (4) Kaupapa Maori 
      approaches to health interventions. Themes were consistent across Maori and 
      Pacific participants. CONCLUSION: Findings suggest that Maori-led health 
      interventions can better support Maori and Pacific people living with T2DM and 
      are needed to ensure these communities receive appropriate, responsive and 
      equitable healthcare.
FAU - Tane, Taria
AU  - Tane T
AD  - Independent Researcher, Ora Project Solutions: Te Tai Tokerau Northland.
FAU - Selak, Vanessa
AU  - Selak V
AD  - Senior Lecturer, Section of Epidemiology & Biostatistics, University of Auckland: 
      Tamaki Makaurau.
FAU - Hawkins, Kimiora
AU  - Hawkins K
AD  - Mana Tu Kai Manaaki, Whangaroa Health Services: Te Tai Tokerau Northland.
FAU - Lata, Vanita
AU  - Lata V
AD  - Mana Tu Kai Manaaki, Tamaki Family Health Centre: Tamaki Makarau Auckland.
FAU - Murray, Jonathan
AU  - Murray J
AD  - Leader, Primary Health Network, National Hauora Coalition: Tamaki Makarau 
      Auckland.
FAU - Nicholls, DeAnn
AU  - Nicholls D
AD  - Mana Tu Kai Manaaki, Papakura Marae Health Clinic: Tamaki Makarau Auckland.
FAU - Peihopa, Amelia
AU  - Peihopa A
AD  - Mana Tu Kai Manaaki, The Drs New Lynn: Tamaki Makarau Auckland.
FAU - Rice, Ngaraiti
AU  - Rice N
AD  - Kaiwhakamana, Here Toitu, National Hauora Coalition: Tamaki Makarau Auckland.
FAU - Harwood, Matire
AU  - Harwood M
AD  - Associate Professor, School of Population Health, University of Auckland: Tamaki 
      Makaurau.
LA  - eng
PT  - Journal Article
DEP - 20211008
PL  - New Zealand
TA  - N Z Med J
JT  - The New Zealand medical journal
JID - 0401067
SB  - IM
MH  - *Culturally Competent Care
MH  - *Delivery of Health Care
MH  - Diabetes Mellitus, Type 2/diagnosis/*therapy
MH  - Female
MH  - Health Promotion
MH  - Health Services, Indigenous/*organization & administration
MH  - Humans
MH  - Interviews as Topic
MH  - Male
MH  - Middle Aged
MH  - *Native Hawaiian or Other Pacific Islander
MH  - New Zealand
MH  - Qualitative Research
COIS- MH received research funding from NSC Healthier Lives, Health Research Council 
      and Ministry of Health to undertake this research and is a member of the Steering 
      Group for the Maori Health Authority.
EDAT- 2021/10/26 06:00
MHDA- 2021/11/26 06:00
CRDT- 2021/10/25 17:19
PHST- 2021/10/25 17:19 [entrez]
PHST- 2021/10/26 06:00 [pubmed]
PHST- 2021/11/26 06:00 [medline]
PST - epublish
SO  - N Z Med J. 2021 Oct 8;134(1543):79-89.