Lived experience of Māori diagnosed with obstructive sleep apnoea and using continuous positive airway pressure : a thesis presented in partial fulfilment of the requirements for a Master of Science in Psychology at Massey University, Albany Campus, New Zealand
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Date
2023
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Massey University
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Abstract
Māori have the highest rates of obstructive sleep apnoea in New Zealand, yet there is limited literature that focuses exclusively on the Māori experience. This research aimed to explore and understand Māori experiences of being diagnosed with obstructive sleep apnoea and using a continuous positive airway pressure machine in a historical, cultural, political, and social context. Key principles of Kaupapa Māori research and narrative inquiry were adopted to explore participants distinct experiences. Five Māori diagnosed with obstructive sleep apnoea and using continuous positive airway pressure devices to treat this condition were interviewed. Findings were themed: around before diagnosis, during diagnosis and post-diagnosis. The findings presented supported earlier studies with regards to delays in diagnosis of OSA through emphasising the importance of patient-clinician relationships on patient outcomes. What came through strongly was the influence that social determinants of health had on the participants experience, with stories being shared around financial burden, housing, employment, transport, and social inclusion issues. What motivated participants to use their CPAP more regularly was the feeling of increased energy levels and being around (alive) longer for their whānau. The findings have implications at a societal level and for sleep service specialists or services engaged in supporting Māori living with obstructive sleep apnoea. This study has highlighted the demonstrated lived experiences of Māori who are diagnosed with OSA and using CPAP, so further research in this area would be advantageous in helping to promote OSA as a commonly undiagnosed medical condition.
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Māori Masters Thesis