Heart Guide Aotearoa, Reducing Inequalities in Cardiac Rehabilitation

Eadie, S.; Tane, Moana Pera

doi:10.1016/j.hlc.2010.06.642

Cited by 4 publications

(4 citation statements)

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“…A CR program that is more culturally inclusive in the rural district within the boundaries of this research may increase participation by Māori (Sangster et al., ). In addition, the use of Heart Guide Aotearoa (HGA; Eadie & Tane, ) for the more rural Māori may increase participation. Wilson discusses how the role of a nurse is important to improving Māori health by exposing and eliminating prejudice and advocating for equity of health care for Māori (Wilson, ).…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Outpatient Cardiac Rehabilitation Attendance

Hutchinson

Meyer

Marshall

2015

Rehabilitation Nursing

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Section: Discussionmentioning

confidence: 99%

Factors Influencing Outpatient Cardiac Rehabilitation Attendance

Hutchinson

Meyer

Marshall

2015

Rehabilitation Nursing

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“…Submit your Manuscript | www.austinpublishinggroup.com these issues. For example, a home-based programmes, such as the Heart manual or its modified NZ version, the Heart Guide Aotearoa, Manaaki Manawa are potential alternatives that address both timing and location barriers [27,28].…”

Section: Kira a Austin Publishing Groupmentioning

confidence: 99%

“…In any case, future interventions should take note of this for further study. Although home-based interventions, such as HGA [28] and Manaaki Manawa [32], have attempted to address some of these barriers, this research highlights that patients' needs require more than one variation of current practices.…”

Section: Individualized Programmesmentioning

confidence: 99%

Barriers and Facilitators to Uptake and Attendance of Secondary Cardiac Prevention Programmes for Indigenous New Zealanders

Kira¹

2021

jcardiovascdisord

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Aim: Cardiac Rehabilitation (CR) has good success in improving health outcomes after a heart event. There is poor enrolment and attendance of CR programmes worldwide, particularly for indigenous peoples, such as New Zealand (NZ) Maori. The present study aimed to provide in-depth interview information about barriers and facilitators of both enrolment and attendance in CR, as well as identifying potential solutions. Methods: Thirty-two semi-structured interviews with Maori referred to CR who either: did not enroll; enrolled but did not complete; and completed the programme. Interview topics were based on meta-syntheses and NZspecific information as well as suggested improvements. The transcripts were inductively analysed. Results: Barriers specific to enrolment were inadequate timing or format communication about CR. Time of day or day of week of sessions, and ability to find transportation to attend were barriers to attending. Group format and cultural focus were perceived as barriers to some, but facilitators for others (enrolment and attendance). Participants suggested ways to improve CR communication (enrolment), flexibility regarding content and timing of CR, and, provision of transport (enrolment and attendance), and, increased cultural focus (enrolment and attendance). Conclusions: Providing a greater variety and flexibility in CR programme design could potentially improve enrolment and attendance for indigenous and for non-indigenous clients. Offering CR sessions after hours, in locations that are easily accessible, having different formats such as: groups, individual versus online, or, indigenous- or European dominant-focus may mean that CR appeals to a larger group of CR patients.

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“…In addition, in New Zealand, Toi Tangata (an agency that aims to inform, educate, and advocate about wellness for Māori at government level) advise the Ministry of Health regarding Māori approaches to nutrition and physical activity and have encouraged particular kaupapa Māori-based approaches to heart health, thereby addressing some of the issues around medical modelling of service. The Heart Guide Aotearoa (Eadie & Tane, 2010) programme and the associated "Heart Coaches" have provided a Māori-centred approach, with a home-based cardiac rehabilitation programme that suits the Māori worldview more closely than other primary and secondary services. However, the Heart Guide Aoteoroa is a defined rehabilitation programme following a cardiac event and therefore does not service a population with CVD who have not had a cardiac event.…”

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confidence: 99%

The effect of a 12-week exercise and lifestyle management programme on cardiac risk reduction: A pilot using a kaupapa Māori philosophy

Rolleston¹,

Doughty²,

Poppe³

2017

IJIH

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Introduction: Cardiovascular disease remains the leading cause of premature death and disability for all New Zealanders. Māori, the Indigenous people of New Zealand, are disproportionately affected. The New Zealand Māori Health Strategy recognises that "health and wellbeing are influenced and affected by the 'collective' … and the importance of working with people in their social contexts, not just with their physical symptoms" (Ministry of Health, 2002, p. 1). In a Māori worldview, a holistic approach to health is innate. Objectives: This project piloted a kaupapa Māori approach within an existing 12-week clinical exercise and lifestyle management programme. The aims of the study were to determine the effectiveness of a kaupapa Māori 12-week exercise and lifestyle management programme on parameters of cardiac risk and quality of life. Methods: 12 Māori participants attended, 3 times per week over a 12-week period, for monitored, supervised, and individualised exercise. Participants performed a progressive aerobic-only programme for 6 weeks and then a combined aerobic and resistance training programme from weeks 7 through 12. Education sessions were chosen by participants. Results: There was a statistically significant improvement in waist circumference (-3.7 cm; p = .05), hip circumference (-4.6 cm; p = .03), systolic blood pressure (-22 mm Hg; p = .01), and HDL cholesterol (0.22 mmol/L; p = .01). In addition, physical (p = .05) and overall (p = .03) quality of life improved. Conclusion: A kaupapa Māori approach within a structured lifestyle management programme modifies cardiac risk parameters in Māori.

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Heart Guide Aotearoa, Reducing Inequalities in Cardiac Rehabilitation

Cited by 4 publications

References 0 publications

Factors Influencing Outpatient Cardiac Rehabilitation Attendance

Factors Influencing Outpatient Cardiac Rehabilitation Attendance

Barriers and Facilitators to Uptake and Attendance of Secondary Cardiac Prevention Programmes for Indigenous New Zealanders

The effect of a 12-week exercise and lifestyle management programme on cardiac risk reduction: A pilot using a kaupapa Māori philosophy

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