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    Promoting health through waka ama
    (Global Journal of Community Psychology Practice) Severinsen C; Reweti A
    Cultural identity and participation in society are acknowledged as key determinants of health. This research aims to identify successful measures to improve health and reduce inequities through a focus on waka ama (outrigger canoe). Waka ama is the fastest growing sport in Aotearoa New Zealand, and is increasingly used as a vehicle for health promotion. The research is informed by a kaupapa M?ori framework, utilising narratives to explore paddlers’ experience in being involved in waka ama. Waka ama is unique as a sport because, as well as the physical benefits for paddlers, it also has a strong foundation in indigenous knowledge and practice. The research findings are presented in the form of a short professionally-produced documentary. The short film showcases waka ama and its contribution to the health of paddlers. It presents the local initiative, providing an exemplar of best practice and practical health promotion solutions to inform wider communities. The film features interviews with paddlers, and footage of waka ama action.
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    Physical activity participation in community dwelling stroke survivors: Synergy and dissonance between motivation and capability. A qualitative study
    (Elsevier, 2016) Morris JH; Oliver T; Kroll T; Joice SA; Willaims B
    Objectives The evidence supporting benefits of physical activity (PA) on fitness, functioning, health and secondary prevention after strokeis compelling. However, many stroke survivors remain insufficiently active. This study explored survivors’ perspectives and experiences ofPA participation to develop an explanatory framework that physiotherapists and other health professionals can use to develop person-specificstrategies for PA promotion.Design Qualitative study using semi-structured in-depth interviews. Data was audio-recorded and transcribed. Analysis followed theFramework Approach.Setting Community setting, interviews conducted within participants’ homes.Participants Community dwelling stroke survivors (n = 38) six months or more after the end of their rehabilitation, purposively selected bydisability, PA participation and socio-demographic status.Results Findings suggest that survivors’ beliefs, attitudes, and physical and social context generated synergy or dissonance between motivation(desire to be active) and capability (resources to be active) for PA participation. Dissonance occurred when motivated survivors had limitedcapability for activity, often leading to frustration. Confidence to achieve goals and determination to overcome barriers, acted as activitycatalysts when other influences were synergistic. We illustrate these relationships in a dynamic explanatory model that can be used to supportboth novel interventions and personal activity plans.Conclusions This study suggests a shift is required from purely pragmatic approaches to PA promotion towards conceptual solutions. Under-standing how synergy or dissonance between motivation and capability influence individual survivors’ behaviour will support physiotherapists and other health professionals in promoting PA. This study provides a model for developing person-centred, tailored interventions that address barriers encountered by stroke survivors.