Evidence map›Paper›PMID 28870225›Full record

ArticleGlobalization and health2017

Implementation framework for chronic disease intervention effectiveness in Māori and other indigenous communities.

John Oetzel, Nina Scott, Maui Hudson, Bridgette Masters-Awatere, Moana Rarere, Jeff Foote, Angela Beaton, Terry Ehau

Abstract read
In one paragraph

Article in Globalization and health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  16. Transformative community-engaged science: Strengthening relationships between science and society.Proceedings of the National Academy of Sciences of the United States of America · 2025
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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

John OetzelUniversity of Waikato, Private Bag 3105, Hamilton, 3240, New Zealand. joetzel@waikato.ac.nz.ORCID http://orcid.org/0000-0003-3188-776X
Nina ScottWaikato District Health Board, Pembroke Street, Private Bag 3200, Hamilton, 3240, New Zealand.
Maui HudsonUniversity of Waikato, Private Bag 3105, Hamilton, 3240, New Zealand.
Bridgette Masters-AwatereUniversity of Waikato, Private Bag 3105, Hamilton, 3240, New Zealand.
Moana RarereUniversity of Waikato, Private Bag 3105, Hamilton, 3240, New Zealand.
Jeff FooteThe Institute of Environmental Science and Research, 34 Kenepuru Drive, PO Box 50348, Porirua, 5240, New Zealand.
Angela BeatonWaikato Institute of Technology, Private Bag 3036, Waikato Mail Centre, Hamilton, 3240, New Zealand.
Terry EhauUniversity of Waikato, Private Bag 3105, Hamilton, 3240, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbout 40% of all health burden in New Zealand is due to cancer, cardiovascular disease, and type 2 diabetes/obesity. Outcomes for Māori (indigenous people) are significantly worse than non-Maori; these inequities mirror those found in indigenous communities elsewhere. Evidence-based interventions with established efficacy may not be effective in indigenous communities without addressing specific implementation challenges. We present an implementation framework for interventions to prevent and treat chronic conditions for Māori and other indigenous communities. THEORETICAL FRAMEWORK: The He Pikinga Waiora Implementation Framework has indigenous self-determination at its core and consists of four elements: cultural-centeredness, community engagement, systems thinking, and integrated knowledge translation. All elements have conceptual fit with Kaupapa Māori aspirations (i.e., indigenous knowledge creation, theorizing, and methodology) and all have demonstrated evidence of positive implementation outcomes. APPLYING THE FRAMEWORK: A coding scheme derived from the Framework was applied to 13 studies of diabetes prevention in indigenous communities in Australia, Canada, New Zealand, and the United States from a systematic review. Cross-tabulations demonstrated that culture-centeredness (p = .008) and community engagement (p = .009) explained differences in diabetes outcomes and community engagement (p = .098) explained difference in blood pressure outcomes. IMPLICATIONS AND

conclusionsThe He Pikinga Waiora Implementation 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 effective interventions for chronic disease prevention in indigenous communities.

Indexed as

Health Status DisparitiesAustraliaCanadaChronic DiseaseDiabetes Mellitus, Type 2HumansNew ZealandObesityCommunity-engaged researchCulture-centerednessImplementation scienceIntegrated knowledge translationKaupapa MāoriSystems thinking

Identifiers

PMID28870225
PMCPMC5584010

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.