Enhancing Well-Being and Social Connectedness for Māori Elders Through a Peer Education (Tuakana-Teina) Programme: A Cross-Sectional Baseline Study
Māori kaumātua (elders) face stark health and social inequities compared to non-Māori New Zealanders. The tuakana-teina (older sibling-younger sibling) peer education programme is a strengths-based approach to enhance well-being and social connectedness. The purpose of this study is to present the b...
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| Published in | Frontiers in public health Vol. 9; p. 775545 |
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| Main Authors | , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
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Frontiers Media S.A
08.12.2021
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| Abstract | Māori kaumātua (elders) face stark health and social inequities compared to non-Māori New Zealanders. The tuakana-teina (older sibling-younger sibling) peer education programme is a strengths-based approach to enhance well-being and social connectedness. The purpose of this study is to present the baseline data from this programme and identify correlates of well-being outcomes.
Participants included 128 kaumātua who completed a self-report survey about health-related quality of life, spirituality, social connection and loneliness, life satisfaction, cultural identity and connection, elder abuse, health service utilisation and demographics.
Multiple regression models illustrated the following correlates of outcomes: (a) self-rated health: needing more help with daily tasks (β = -0.36) and housing problems (β = -0.17); (b) health-related quality of life: needing more help with daily tasks (β = -0.31), housing problems (β = -0.21), and perceived autonomy (β = 0.19); (c) spiritual well-being: understanding of tikanga (cultural protocols) (β = 0.32) and perceived autonomy (β = 0.23); (d) life satisfaction: social support (β = 0.23), sense of purpose (β = 0.23), cultural identity (β = 0.24), trouble paying bills (β = -0.16), and housing problems (β = -0.16); (e) loneliness: elder abuse (β = 0.27), social support (β = -0.21), and missing pleasure of being with whānau (extended family) (β = 0.19).
Key correlates for outcomes centred on social support, housing problems, cultural connection and perceived autonomy. These correlates are largely addressed through the programme where tuakana/peer educators provide support and links to social and health services to teina/peer recipients in need. This study illustrates needs and challenges for kaumātua, whilst the larger programme represents a strengths-based and culturally-centred approach to address health issues related to ageing in an Indigenous population. |
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| AbstractList | Māori kaumātua (elders) face stark health and social inequities compared to non-Māori New Zealanders. The tuakana-teina (older sibling-younger sibling) peer education programme is a strengths-based approach to enhance well-being and social connectedness. The purpose of this study is to present the baseline data from this programme and identify correlates of well-being outcomes.
Participants included 128 kaumātua who completed a self-report survey about health-related quality of life, spirituality, social connection and loneliness, life satisfaction, cultural identity and connection, elder abuse, health service utilisation and demographics.
Multiple regression models illustrated the following correlates of outcomes: (a) self-rated health: needing more help with daily tasks (β = -0.36) and housing problems (β = -0.17); (b) health-related quality of life: needing more help with daily tasks (β = -0.31), housing problems (β = -0.21), and perceived autonomy (β = 0.19); (c) spiritual well-being: understanding of tikanga (cultural protocols) (β = 0.32) and perceived autonomy (β = 0.23); (d) life satisfaction: social support (β = 0.23), sense of purpose (β = 0.23), cultural identity (β = 0.24), trouble paying bills (β = -0.16), and housing problems (β = -0.16); (e) loneliness: elder abuse (β = 0.27), social support (β = -0.21), and missing pleasure of being with whānau (extended family) (β = 0.19).
Key correlates for outcomes centred on social support, housing problems, cultural connection and perceived autonomy. These correlates are largely addressed through the programme where tuakana/peer educators provide support and links to social and health services to teina/peer recipients in need. This study illustrates needs and challenges for kaumātua, whilst the larger programme represents a strengths-based and culturally-centred approach to address health issues related to ageing in an Indigenous population. Background: Māori kaumātua (elders) face stark health and social inequities compared to non-Māori New Zealanders. The tuakana-teina (older sibling-younger sibling) peer education programme is a strengths-based approach to enhance well-being and social connectedness. The purpose of this study is to present the baseline data from this programme and identify correlates of well-being outcomes. Method: Participants included 128 kaumātua who completed a self-report survey about health-related quality of life, spirituality, social connection and loneliness, life satisfaction, cultural identity and connection, elder abuse, health service utilisation and demographics. Findings: Multiple regression models illustrated the following correlates of outcomes: (a) self-rated health: needing more help with daily tasks (β = −0.36) and housing problems (β = –0.17); (b) health-related quality of life: needing more help with daily tasks (β = –0.31), housing problems (β = –0.21), and perceived autonomy (β = 0.19); (c) spiritual well-being: understanding of tikanga (cultural protocols) (β = 0.32) and perceived autonomy (β = 0.23); (d) life satisfaction: social support (β = 0.23), sense of purpose (β = 0.23), cultural identity (β = 0.24), trouble paying bills (β = –0.16), and housing problems (β = –0.16); (e) loneliness: elder abuse (β = 0.27), social support (β = –0.21), and missing pleasure of being with whānau (extended family) (β = 0.19). Conclusions: Key correlates for outcomes centred on social support, housing problems, cultural connection and perceived autonomy. These correlates are largely addressed through the programme where tuakana/peer educators provide support and links to social and health services to teina/peer recipients in need. This study illustrates needs and challenges for kaumātua, whilst the larger programme represents a strengths-based and culturally-centred approach to address health issues related to ageing in an Indigenous population. Background: Māori kaumātua (elders) face stark health and social inequities compared to non-Māori New Zealanders. The tuakana-teina (older sibling-younger sibling) peer education programme is a strengths-based approach to enhance well-being and social connectedness. The purpose of this study is to present the baseline data from this programme and identify correlates of well-being outcomes.Method: Participants included 128 kaumātua who completed a self-report survey about health-related quality of life, spirituality, social connection and loneliness, life satisfaction, cultural identity and connection, elder abuse, health service utilisation and demographics.Findings: Multiple regression models illustrated the following correlates of outcomes: (a) self-rated health: needing more help with daily tasks (β = −0.36) and housing problems (β = –0.17); (b) health-related quality of life: needing more help with daily tasks (β = –0.31), housing problems (β = –0.21), and perceived autonomy (β = 0.19); (c) spiritual well-being: understanding of tikanga (cultural protocols) (β = 0.32) and perceived autonomy (β = 0.23); (d) life satisfaction: social support (β = 0.23), sense of purpose (β = 0.23), cultural identity (β = 0.24), trouble paying bills (β = –0.16), and housing problems (β = –0.16); (e) loneliness: elder abuse (β = 0.27), social support (β = –0.21), and missing pleasure of being with whānau (extended family) (β = 0.19).Conclusions: Key correlates for outcomes centred on social support, housing problems, cultural connection and perceived autonomy. These correlates are largely addressed through the programme where tuakana/peer educators provide support and links to social and health services to teina/peer recipients in need. This study illustrates needs and challenges for kaumātua, whilst the larger programme represents a strengths-based and culturally-centred approach to address health issues related to ageing in an Indigenous population. Background: Māori kaumātua (elders) face stark health and social inequities compared to non-Māori New Zealanders. The tuakana-teina (older sibling-younger sibling) peer education programme is a strengths-based approach to enhance well-being and social connectedness. The purpose of this study is to present the baseline data from this programme and identify correlates of well-being outcomes. Method: Participants included 128 kaumātua who completed a self-report survey about health-related quality of life, spirituality, social connection and loneliness, life satisfaction, cultural identity and connection, elder abuse, health service utilisation and demographics. Findings: Multiple regression models illustrated the following correlates of outcomes: (a) self-rated health: needing more help with daily tasks (β = -0.36) and housing problems (β = -0.17); (b) health-related quality of life: needing more help with daily tasks (β = -0.31), housing problems (β = -0.21), and perceived autonomy (β = 0.19); (c) spiritual well-being: understanding of tikanga (cultural protocols) (β = 0.32) and perceived autonomy (β = 0.23); (d) life satisfaction: social support (β = 0.23), sense of purpose (β = 0.23), cultural identity (β = 0.24), trouble paying bills (β = -0.16), and housing problems (β = -0.16); (e) loneliness: elder abuse (β = 0.27), social support (β = -0.21), and missing pleasure of being with whānau (extended family) (β = 0.19). Conclusions: Key correlates for outcomes centred on social support, housing problems, cultural connection and perceived autonomy. These correlates are largely addressed through the programme where tuakana/peer educators provide support and links to social and health services to teina/peer recipients in need. This study illustrates needs and challenges for kaumātua, whilst the larger programme represents a strengths-based and culturally-centred approach to address health issues related to ageing in an Indigenous population.Background: Māori kaumātua (elders) face stark health and social inequities compared to non-Māori New Zealanders. The tuakana-teina (older sibling-younger sibling) peer education programme is a strengths-based approach to enhance well-being and social connectedness. The purpose of this study is to present the baseline data from this programme and identify correlates of well-being outcomes. Method: Participants included 128 kaumātua who completed a self-report survey about health-related quality of life, spirituality, social connection and loneliness, life satisfaction, cultural identity and connection, elder abuse, health service utilisation and demographics. Findings: Multiple regression models illustrated the following correlates of outcomes: (a) self-rated health: needing more help with daily tasks (β = -0.36) and housing problems (β = -0.17); (b) health-related quality of life: needing more help with daily tasks (β = -0.31), housing problems (β = -0.21), and perceived autonomy (β = 0.19); (c) spiritual well-being: understanding of tikanga (cultural protocols) (β = 0.32) and perceived autonomy (β = 0.23); (d) life satisfaction: social support (β = 0.23), sense of purpose (β = 0.23), cultural identity (β = 0.24), trouble paying bills (β = -0.16), and housing problems (β = -0.16); (e) loneliness: elder abuse (β = 0.27), social support (β = -0.21), and missing pleasure of being with whānau (extended family) (β = 0.19). Conclusions: Key correlates for outcomes centred on social support, housing problems, cultural connection and perceived autonomy. These correlates are largely addressed through the programme where tuakana/peer educators provide support and links to social and health services to teina/peer recipients in need. This study illustrates needs and challenges for kaumātua, whilst the larger programme represents a strengths-based and culturally-centred approach to address health issues related to ageing in an Indigenous population. |
| Author | Meha, Pare Clark, Marama Ruru, Stacey Murphy, Shane Holmes, Kath Ngaia, Kawarau Hokowhitu, Brendan Moses, Reuben Oetzel, John G Zhang, Yingsha Akapita, Ngapera Simpson, Mary Louisa Nock, Sophie Adams, Hariata Reddy, Rangimahora |
| AuthorAffiliation | 4 Poutiri Trust , Te Puke , New Zealand 1 Waikato Management School, University of Waikato , Hamilton , New Zealand 6 Te Korowai o Ngāruahine , Hāwera , New Zealand 3 Rauawaawa Kaumātua Charitable Trust , Hamilton , New Zealand 5 Te Korowai Hauora o Hauraki , Thames , New Zealand 7 Te Roopu Tautoko ki te Tonga , Dunedin , New Zealand 2 Faculty of Māori and Indigenous Studies, University of Waikato , Hamilton , New Zealand 8 University of Queensland , Brisbane, QC , Australia |
| AuthorAffiliation_xml | – name: 1 Waikato Management School, University of Waikato , Hamilton , New Zealand – name: 7 Te Roopu Tautoko ki te Tonga , Dunedin , New Zealand – name: 2 Faculty of Māori and Indigenous Studies, University of Waikato , Hamilton , New Zealand – name: 3 Rauawaawa Kaumātua Charitable Trust , Hamilton , New Zealand – name: 4 Poutiri Trust , Te Puke , New Zealand – name: 5 Te Korowai Hauora o Hauraki , Thames , New Zealand – name: 6 Te Korowai o Ngāruahine , Hāwera , New Zealand – name: 8 University of Queensland , Brisbane, QC , Australia |
| Author_xml | – sequence: 1 givenname: John G surname: Oetzel fullname: Oetzel, John G organization: Waikato Management School, University of Waikato, Hamilton, New Zealand – sequence: 2 givenname: Stacey surname: Ruru fullname: Ruru, Stacey organization: Waikato Management School, University of Waikato, Hamilton, New Zealand – sequence: 3 givenname: Yingsha surname: Zhang fullname: Zhang, Yingsha organization: Waikato Management School, University of Waikato, Hamilton, New Zealand – sequence: 4 givenname: Mary Louisa surname: Simpson fullname: Simpson, Mary Louisa organization: Waikato Management School, University of Waikato, Hamilton, New Zealand – sequence: 5 givenname: Sophie surname: Nock fullname: Nock, Sophie organization: Faculty of Māori and Indigenous Studies, University of Waikato, Hamilton, New Zealand – sequence: 6 givenname: Pare surname: Meha fullname: Meha, Pare organization: Rauawaawa Kaumātua Charitable Trust, Hamilton, New Zealand – sequence: 7 givenname: Kath surname: Holmes fullname: Holmes, Kath organization: Rauawaawa Kaumātua Charitable Trust, Hamilton, New Zealand – sequence: 8 givenname: Marama surname: Clark fullname: Clark, Marama organization: Poutiri Trust, Te Puke, New Zealand – sequence: 9 givenname: Hariata surname: Adams fullname: Adams, Hariata organization: Te Korowai Hauora o Hauraki, Thames, New Zealand – sequence: 10 givenname: Ngapera surname: Akapita fullname: Akapita, Ngapera organization: Te Korowai o Ngāruahine, Hāwera, New Zealand – sequence: 11 givenname: Kawarau surname: Ngaia fullname: Ngaia, Kawarau organization: Te Korowai o Ngāruahine, Hāwera, New Zealand – sequence: 12 givenname: Shane surname: Murphy fullname: Murphy, Shane organization: Te Roopu Tautoko ki te Tonga, Dunedin, New Zealand – sequence: 13 givenname: Reuben surname: Moses fullname: Moses, Reuben organization: Te Roopu Tautoko ki te Tonga, Dunedin, New Zealand – sequence: 14 givenname: Rangimahora surname: Reddy fullname: Reddy, Rangimahora organization: Rauawaawa Kaumātua Charitable Trust, Hamilton, New Zealand – sequence: 15 givenname: Brendan surname: Hokowhitu fullname: Hokowhitu, Brendan organization: University of Queensland, Brisbane, QC, Australia |
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| Copyright | Copyright © 2021 Oetzel, Ruru, Zhang, Simpson, Nock, Meha, Holmes, Clark, Adams, Akapita, Ngaia, Murphy, Moses, Reddy and Hokowhitu. Copyright © 2021 Oetzel, Ruru, Zhang, Simpson, Nock, Meha, Holmes, Clark, Adams, Akapita, Ngaia, Murphy, Moses, Reddy and Hokowhitu. 2021 Oetzel, Ruru, Zhang, Simpson, Nock, Meha, Holmes, Clark, Adams, Akapita, Ngaia, Murphy, Moses, Reddy and Hokowhitu |
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| Keywords | social support health equity health-related quality of life peer education older Māori health Indigenous ageing |
| Language | English |
| License | Copyright © 2021 Oetzel, Ruru, Zhang, Simpson, Nock, Meha, Holmes, Clark, Adams, Akapita, Ngaia, Murphy, Moses, Reddy and Hokowhitu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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| Title | Enhancing Well-Being and Social Connectedness for Māori Elders Through a Peer Education (Tuakana-Teina) Programme: A Cross-Sectional Baseline Study |
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