Open AccessA Kaupapa Māori approach to a community cohort study of heart disease in New Zealand
Author(s) -
Pitama Suzanne,
Wells J. Elisabeth,
Faatoese Allamanda,
TikaoMason Karen,
Robertson Paul,
Huria Tania,
Gillies Tawhirimatea,
Doughty Rob,
Whalley Gillian,
Troughton Richard,
Sheerin Ian,
Richards Mark,
Cameron Vicky A.
Publication year - 2011
Publication title -
australian and new zealand journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.946
H-Index - 76
eISSN - 1753-6405
pISSN - 1326-0200
DOI - 10.1111/j.1753-6405.2011.00702.x
Subject(s) - community engagement , logistic regression , cohort , cohort study , medicine , community health , community based participatory research , gerontology , environmental health , sociology , nursing , public health , public relations , political science , participatory action research , pathology , anthropology
Objective:To report the processes and protocols that were developed in the design and implementation of the Hauora Manawa Project, a cohort study of heart disease in New Zealand and to report the participation at baseline.Methods:This study utilised application of a Kaupapa Māori Methodology in gaining tribal and health community engagement, design of the project and random selection of participants from territorial electoral rolls, to obtain three cohorts: rural Māori, urban Māori and urban non‐Māori. Logistic regression was used to model response rates.Results:Time invested in gaining tribal and health community engagement assisted in the development and design of clear protocols and processes for the study. Response rates were 57.6%, 48.3% and 57.2%. Co‐operation rates (participation among those with whom contact was established) were 74.7%, 66.6% and 71.4%.Conclusions:Use of electoral rolls enables straightforward sampling but results in low response rates because electors have moved. Co‐operation rates highlight the acceptability of this research project to the participants; they indicate the strength of Kaupapa Māori Methodologies in engaging Māori participants and community.Implications:This study provides a model for conducting clinical/biomedical research projects that are compatible with cultural protocols and methodologies, in which the primary aim of the research was Māori health gain.