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    Service Uptake Challenges Experienced by Pasifika Communities during COVID-19 Lockdowns in New Zealand
    (MDPI (Basel, Switzerland), 2023-11-10) Nosa V; Sluyter J; Kiadarbandsari A; Malakai O; Heather M; Fa’alau F; Reddy R; Campus G
    Background: New Zealand was one of the first countries to adopt an elimination strategy based on a four-tier Alert Level system that included strict lockdowns at levels three and four. The lockdowns meant shutting out external social networks and being confining to individual household ‘bubbles’ only. This presented challenges for minority Pasifika communities in New Zealand as their cultural values are based on social bonding, interconnectedness, community engagement and caring for each other. The aim of this research was to conduct a small-scale pilot study to test and refine the study design and identify the major challenges faced by Pasifika communities in relation to accessing health, social and mental services while in lockdown. Methods: This exploratory study was designed using an online anonymous questionnaire survey targeting people who identified as Pasifika. A total of eighty-seven respondents were included in our analyses following the questionnaire survey. Results: Five main barriers to accessing health, social and mental health services during lockdowns were identified; (1) unavailability of or limited services; (2) fear of contracting the virus; (3) perception of high costs associated with seeking medical assistance; (4) transportation difficulties; and (5) lack of time. Almost a quarter of the respondents reported losing their jobs, 80% indicated a decline in their household income and more than half experienced some form of psychosocial distress while in lockdown. Conclusions: The findings of this research highlight existing challenges faced by Pasifika communities in adequately accessing essential services. Future research can focus on the key barriers to access identified in this research to gain a deeper understanding of services and its interaction with Pasifika communities during lockdowns.
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    Wāhi Kōrero: The Development of an Online Story-Sharing Research Platform for Health Research
    (SAGE Publications, 2025-05-30) Severinsen C; Breheny M; Reweti A; Ware F
    Storytelling has the power to forge connections and foster empathy, providing insights into shared human experiences. In the digital age, online platforms offer opportunities to amplify historically underrepresented voices. This article introduces Wāhi Kōrero, a bespoke online story-sharing platform designed to collect stories from people whose experiences are often absent from health research. Wāhi Kōrero was developed through a collaborative approach between Indigenous and non-Indigenous researchers and web designers, prioritizing ethical considerations, cultural respect, and inclusivity. Wāhi Kōrero provides a safe and welcoming space for people to share their experiences, crafted in their own words, with minimal researcher involvement. Analyzing these stories can reveal the structural inequities that shape personal experiences with health professionals. The platform’s transformative impact extends to power dynamics, political discourse, and knowledge production. Wāhi Kōrero works toward a collectively determined health research agenda, elevating the voices of health service users and validating their expertise in their own lives and health. Ultimately, Wāhi Kōrero exemplifies the changing landscape of online information access, presentation, and control, paving the way for a more equitable and inclusive approach to health research and practice.
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    Changes in indicators of well-being on moving from home to long-term care for Māori in Aotearoa New Zealand: A retrospective cohort study
    (John Wiley & Sons Australia, Ltd on behalf of AJA Inc., 2024-08-12) Hikaka J; Abey-Nesbit R; Wu Z; Jamieson HA; Parsons M; Kerse N; Gibson R
    OBJECTIVE: To investigate changes in well-being measures for older Māori after moving from community to long-term care (LTC). METHODS: We undertook a retrospective cohort study of older Māori in New Zealand (NZ) who had received assessments for their health needs whilst living at home (interRAI-HC assessment) as well as a subsequent assessment after moving into a care facility (interRAI-LTCF). All interRAI-HC assessments from 01 July 2013 to 21 December 2018 were identified and matched to LTCF assessments that were undertaken at least 6 months later. Odds ratios (OR) and 95% confidence interval (CI) were calculated to determine the difference in proportion of variables of interest (indicative of movement, socialising, sleep and nutrition, alongside general physical and mental health status) between participants' HC and subsequent LTCF assessments. RESULTS: Changes in well-being measures were investigated among 1531 Māori (mean age 76.2 years, 61% female). Odds of having a fall (OR: 0.40 [95% CI 0.34, 0.48]), being lonely (OR: 0.13 [95% CI 0.09, 0.18]), sleeping difficulty (OR: 0.74 [95% CI 0.60, 0.91]) and fatigue (OR: 0.18 [95% CI 0.14, 0.23]) reduced on moving to LTC. However, the presence of depression (OR 3.96 [95% CI 2.58, 6.09]) and dependence with locomotion (OR 1.56 [95% CI 1.23, 1.97]) significantly increased when moving from home to LTC. CONCLUSION: Despite some indicators of functional and health-related decline, significant improvements are also apparent across multiple domains of well-being. Further investigation of resident and family perceptions of well-being in association with a move to LTC is warranted.
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    Primary health care nursing integration: Bridging the gap with co-designed shared care
    (19/09/2018) Batten L; Bevan M; Davies D; Cooper P