Enhancing health outcomes for Māori elders through an intergenerational cultural exchange and physical activity programme: a cross-sectional baseline study

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Date
2023-12-12
Open Access Location
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Publisher
Frontiers Media S.A.
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(c) 2023 The Author/s
CC BY 4.0
Abstract
BACKGROUND: The study offers baseline data for a strengths-based approach emphasizing intergenerational cultural knowledge exchange and physical activity developed through a partnership with kaumātua (Māori elders) and kaumātua service providers. The study aims to identify the baseline characteristics, along with correlates of five key outcomes. METHODS: The study design is a cross-sectional survey. A total of 75 kaumātua from six providers completed two physical functioning tests and a survey that included dependent variables based in a holistic model of health: health-related quality of life (HRQOL), self-rated health, spirituality, life satisfaction, and loneliness. RESULTS: The findings indicate that there was good reliability and moderate scores on most variables. Specific correlates included the following: (a) HRQOL: emotional support (β = 0.31), and frequent interaction with a co-participant (β = 0.25); (b) self-rated health: frequency of moderate exercise (β = 0.32) and sense of purpose (β = 0.27); (c) spirituality: sense of purpose (β = 0.46), not needing additional help with daily tasks (β = 0.28), and level of confidence with cultural practices (β = 0.20); (d) life satisfaction: sense of purpose (β = 0.57), frequency of interaction with a co-participant (β = -0.30), emotional support (β = 0.25), and quality of relationship with a co-participant (β = 0.16); and (e) lower loneliness: emotional support (β = 0.27), enjoyment interacting with a co-participant (β = 0.25), sense of purpose (β = 0.24), not needing additional help with daily tasks (β = 0.28), and frequency of moderate exercise (β = 0.18). CONCLUSION: This study provides the baseline scores and correlates of important social and health outcomes for the He Huarahi Tautoko (Avenue of Support) programme, a strengths-based approach for enhancing cultural connection and physical activity.
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Keywords
health equity, health-related quality of life, indigenous aging, older Māori health, physical activity, Aged, Humans, Cross-Sectional Studies, Exercise, Maori People, Outcome Assessment, Health Care, Quality of Life, Reproducibility of Results, Intergenerational Relations, Culture
Citation
Oetzel JG, Zhang Y, Nock S, Meha P, Huriwaka H, Vercoe M, Tahu T, Urlich J, Warbrick R, Brown G, Keown S, Rewi P, Erueti B, Warbrick I, Jackson A-M, Perry T, Reddy R, Simpson ML, Cameron MP, Hokowhitu B. (2023). Enhancing health outcomes for Māori elders through an intergenerational cultural exchange and physical activity programme: a cross-sectional baseline study.. Front Public Health. 11. (pp. 1307685-).
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