Browsing by Author "Borman B"
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- ItemA New Zealand regional work‑related sprains and strains surveillance, management and prevention programme: study protocol(BioMed Central Ltd, 2022-12-31) Laird I; McIntyre J; Borman B; Adank R; Ashby LBackground: The impact and costs associated with work-related sprains and strains in New Zealand and globally are substantial and a major occupational and public health burden. In New Zealand around one-third of all sprains and strains workers compensation (ACC) claims (2019) are for back injuries, but shoulder and arm injuries are increasing at a faster rate than other sprain and strain injuries (ACC, 2020). A need exists for a change to current approaches to sprains and strains prevention, to more effectively manage this significant and persistent problem in workplaces. Designing out hazards is one of the most effective means of preventing occupational injuries and illnesses. This paper outlines the study protocol of the surveillance, management and prevention programme and describes the utilisation of prevention through design principles in the prevention of work-related sprains and strains in agriculture/horticulture/ food production in the Hawkes Bay region of New Zealand. Methods: This is a prospective mixed methods study incorporating the collection of quantitative data to describe the epidemiology of work related sprains and strains injuries presenting to the regional health centre (Hastings Health Centre) over a period of 24 months and qualitative data from participants presenting at the health centre to identify high risk industry sectors/ occupations/ workplaces and tasks and design, develop and apply prevention through design principles/ solutions/ interventions to critical features of the work and work environment and undertake an outcome evaluation during the last 6 months of the project. Discussion: The purpose of this project is to establish an epidemiological surveillance programme to assess the incidence and prevalence of work-related sprains and strains according to age, sex, industry sector and occupation to target efforts to prevent work-related sprains and strains, by applying prevention through design (PtD) principles in selected workplaces in agriculture. The collection of more detailed case, occupational and work history data from a sample of patients presenting at the HHC clinic will identify high risk industry sectors/occupations/ workplaces and tasks. Assessment techniques will include comprehensive design, design thinking and human factors/ergonomics methodologies through co-design and participatory ergonomics techniques. The PtD solutions/ interventions implemented will be evaluated using a quasi-experimental design consisting of a pre-test/ post-test with-in subjects design with control groups that do not receive the intervention.
- ItemInvestigating differences in dietary patterns among a small cross-sectional study of young and old Pacific peoples in NZ using exploratory factor analysis: a feasibility study(BMJ Publishing Group Ltd, 2019-03-01) Tupai-Firestone R; Cheng S; Kaholokula J; Borman B; Ellison-Loschmann LOBJECTIVES: Obesity among Pasifika people living in New Zealand is a serious health problem with prevalence rates more than twice those of the general population (67% vs 33%, respectively). Due to the high risk of developing obesity for this population, we investigated diet quality of Pacific youth and their parents and grandparents. Therefore, we examined the dietary diversity of 30 youth and their parents and grandparents (n=34) to identify whether there are generational differences in dietary patterns and investigate the relationship between acculturation and dietary patterns. METHODS: The study design of the overarching study was cross-sectional. Face-to-face interviews were conducted with Pasifika youth, parents and grandparents to investigate dietary diversity, that included both nutritious and discretionary food items and food groups over a 7 day period. Study setting was located in 2 large urban cities, New Zealand. Exploratory factor analyses were used to calculate food scores (means) from individual food items based on proportions consumed over the week, and weights were applied to calculate a standardised food score. The relationship between the level of acculturation and deprivation with dietary patterns was also assessed. RESULTS: Three distinctive dietary patterns across all participants were identified from our analyses. Healthy diet, processed diet and mixed diet. Mean food scores indicated statistically significant differences between the dietary patterns for older and younger generations. Older generations showed greater diversity in food items consumed, as well as eating primarily a 'healthy diet'. The younger generation was more likely to consume a 'processed diet'. There was significant association between acculturation and deprivation with the distinctive dietary patterns. CONCLUSION: Our investigation highlighted generational differences in consuming a limited range of food items. Identified dietary components may, in part, be explained by specific acculturation modes (assimilation and marginalised) and high socioeconomic deprivation among this particular study population.
- ItemInvestigating principles that underlie frameworks for Pacific health research using a co-design approach: learnings from a Tongan community based project(Pasifika Medical Association, 2021-06-22) Pulu V; Tiatia-Seath J; Borman B; Firestone RThe New Zealand Tongan peoples’ worldview leans more towards a traditional and indigenous paradigm that encompasses the importance of family, spirituality or Christian beliefs and connection with their environment. These priorities align with core principles and values of co-design, and therefore, co-designed interventions will be better used and accepted in addressing health issues prevalent in the Tongan community. Co-design methods adapt to the cultural setting they are applied to, prioritizes the Tongan peoples’ cultural values and world views and captures the needs of the Tongan community to inform the development of the intervention. It supports family members to stand with authority, as well as place the Tongan participants at the centre of the research by including families, employing culturally safe practices, addressing the broader determinants of health, and focusing on system issues rather than on individuals.The generation of discussion in co-design further aligns with the Pacific knowledge of systems, creation stories and oral stories which provide a culturally empowering way to generate discussion and insights from the Tongan community
- ItemPasifika prediabetes youth empowerment programme: evaluating a co-designed community-based intervention from a participants’ perspective(Taylor and Francis Group on behalf of the Royal Society of New Zealand, 2021-02-04) Firestone R; Faeamani G; Okiakama E; Funaki T; Henry A; Prapaveissis D; Filikitonga J; Firestone J; Tiatia-Seath J; Matheson A; Brown B; Schleser M; Kaholokula JKA; Ing C; Borman B; Ellison-Loschmann LThis paper provides insights from a community-centre intervention study that was co-designed by youth, health providers and researchers. The aims of the paper were to highlight the effectiveness of a co-designed community centred diabetes prevention intervention, and to determine whether a culturally tailored approach was successful. The study participants (n = 26) were at risk of developing prediabetes and represented the working age group of Pasifika peoples in NZ (25–44-year olds). The community-centre intervention consisted of 8 weeks of community physical activity organised and led by the local youth, a community facilitator, and the community provider. Semi-structured interviews with each of the intervention participants using a Pasifika narrative approach (talanoa) was carried out. Each interview was transcribed, coded and analysed and compared using thematic analyses. The study highlights four major themes illuminating positive successes of the community-centre intervention programme, and conclude that co-designing interventions for Pasifika peoples, should be culturally tailored to meet the realities of the communities and require strong support from associated community providers.
- ItemSocial Vulnerability Indicators for Flooding in Aotearoa New Zealand(MDPI (Basel, Switzerland), 2021-04-09) Mason K; Lindberg K; Haenfling C; Schori A; Marsters H; Read D; Borman BSocial vulnerability indicators are a valuable tool for understanding which population groups are more vulnerable to experiencing negative impacts from disasters, and where these groups live, to inform disaster risk management activities. While many approaches have been used to measure social vulnerability to natural hazards, there is no single method or universally agreed approach. This paper proposes a novel approach to developing social vulnerability indicators, using the example of flooding in Aotearoa New Zealand. A conceptual framework was developed to guide selection of the social vulnerability indicators, based on previous frameworks (including the MOVE framework), consideration of climate change, and a holistic view of health and wellbeing. Using this framework, ten dimensions relating to social vulnerability were identified: exposure; children; older adults; health and disability status; money to cope with crises/losses; social connectedness; knowledge, skills and awareness of natural hazards; safe, secure and healthy housing; food and water to cope with shortage; and decision making and participation. For each dimension, key indicators were identified and implemented, mostly using national Census population data. After development, the indicators were assessed by end users using a case study of Porirua City, New Zealand, then implemented for the whole of New Zealand. These indicators will provide useful data about social vulnerability to floods in New Zealand, and these methods could potentially be adapted for other jurisdictions and other natural hazards, including those relating to climate change.