Evidence map›Paper›PMID 38291380›Full record

ArticleBMC geriatrics2024

Tuakana-teina peer education programme to help Māori elders enhance wellbeing and social connectedness.

John G Oetzel, Mary Simpson, Pare Meha, Michael P Cameron, Yingsha Zhang, Sophie Nock, Rangimahora Reddy, Hariata Adams, Ngapera Akapita, Ngareo Akariri and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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

14 authors.

John G OetzelUniversity of Waikato, Private Bag 3105, 3240, Hamilton, New Zealand. john.oetzel@waikato.ac.nz.
Mary SimpsonUniversity of Waikato, Private Bag 3105, 3240, Hamilton, New Zealand.
Pare MehaRauawaawa Kaumātua Charitable Trust, 50 Colombo St, 3204, Hamilton, New Zealand.
Michael P CameronUniversity of Waikato, Private Bag 3105, 3240, Hamilton, New Zealand.
Yingsha ZhangSun Yat-sen University, Zhuahi, Guangdong, China.
Sophie NockUniversity of Waikato, Private Bag 3105, 3240, Hamilton, New Zealand.
Rangimahora ReddyRauawaawa Kaumātua Charitable Trust, 50 Colombo St, 3204, Hamilton, New Zealand.
Hariata AdamsTe Korowai Hauora o Hauraki, 210 Richmond St, 3500, Thames, New Zealand.
Ngapera AkapitaNgāti Ruanui Whānau Ora, 96 Collins Street, 4610, Hawera, New Zealand.
Ngareo AkaririTui Ora Limited, 36 Maratahu Street, 4342, New Plymouth, New Zealand.
Justina AndersonTui Ora Limited, 36 Maratahu Street, 4342, New Plymouth, New Zealand.
Marama ClarkPoutiri Trust, 35 Commerce Lane, 3119, Te Puke, New Zealand.
Kawarau NgaiaTe Korowai o Ngāruahine Trust, 4610, Hawera, PO Box 474, New Zealand.
Brendan HokowhituUniversity of Queensland, Brisbane, Australia.

Funding

Ministry of Business, Innovation and Employment 18566SUB1953
6 · The paper itself

Abstract

backgroundThere are significant inequities between Māori (Indigenous people) and non-Māori in ageing outcomes. This study used a strengths-based approach based on the key cultural concept of mana motuhake (autonomy and self-actualisation) to develop a tuakana-teina (literally older sibling-younger sibling) peer education programme to assist kaumātua (elders) in addressing health and social needs. The purpose of this study was to test the impact on those receiving the programme. Three aims identify the impact on outcomes, resources received and the cost effectiveness of the programme.

methodsFive Kaupapa Māori (research and services guided by Māori worldviews) iwi (tribe) and community providers implemented the project using a partnership approach. Tuakana (peer educators) had up to six conversations each with up to six teina (peer learners) and shared information related to social and health services. A pre- and post-test, clustered staggered design was the research design. Participants completed a baseline and post-programme assessment of health and mana motuhake measures consistent with Māori worldviews. Open-ended questions on the assessments, five focus groups, and four individual interviews were used for qualitative evaluation.

findingsA total of 113 kaumātua were recruited, and 86 completed the programme. The analysis revealed improvements in health-related quality of life, needing more help with daily tasks, life satisfaction, paying bills and housing problems. Qualitative results supported impacts of the programme on mana motuhake and hauora (holistic health) through providing intangible and tangible resources. Cost-effectiveness analysis showed that the intervention is cost effective, with a cost per QALY of less than the conventional threshold of three times GDP per capita.

conclusionsA culturally-resonant, strengths-based programme developed through a participatory approach can significantly improve health and social outcomes in a cost-effective way. TRIAL REGISTRY: Clinical trial registry: Trial registration: (ACTRN12620000316909). Prospectively registered 06/03/2020, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=379302&isClinicalTrial=False .

Indexed as

Maori PeoplePsychological Well-BeingQuality of LifeSocial ParticipationAgedAgingHealth ServicesHumansNew ZealandPeer GroupProgram EvaluationCommunity-based participatory researchKaupapa MāoriMana MotuhakePeer educationPositive ageingtuakana-teina

Identifiers

PMID38291380
PMCPMC10826274

What OpenQuestion holds

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Registered trials

None linked

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.