<i>He awa whiria</i>—A “Braided River”: An Indigenous Māori Approach to Mixed Methods Research

Martel, Rhiannon; Shepherd, Matthew; Goodyear‐Smith, Felicity

doi:10.1177/1558689820984028

Cited by 31 publications

(29 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most studies of weight reduction programmes involving dietary changes and/or increased exercise show initial weight loss but this is not maintained, and by 5 years weight reduction is modest, or participants have regained their preprogramme weight 25 26. Connectedness, relationships, sharing and collaboration are fundamental Pacific and Māori cultural principles in which BBM is grounded 27. The value of an ethnic-led intervention that is characterised by ‘no excuses’, ‘no judgements’ and everyone helping each other, appear to contribute to the long-term sustainability of the programme.…”

Section: Discussionmentioning

confidence: 99%

Understanding engagement with Brown Buttabean Motivation, an Auckland grassroots, Pacific-led holistic health programme: a qualitative study

et al. 2022

Self Cite

View full text Add to dashboard Cite

ObjectivesThe aim was to understand how participants engage with Brown Buttabean Motivation (BBM) a grassroots, Pacific-led holistic health programme and the meaning it has in their lives. The objectives were to explore the impact BBM had on all aspects of their health and well-being, what attracted them, why they stayed, identify possible enablers and barriers to engagement, and understand impact of COVID-19 restrictions.DesignQualitative study with thematic analysis of semi-structured interviews of BBM participants, followed by theoretical deductive analysis of coded data guided by Pacific Fonofale and Māori Te Whare Tapa Whā health models. In this meeting-house metaphor, floor is family, roof is culture, house-posts represent physical, mental, spiritual and sociodemographic health and well-being, with surroundings of environment, time and context.SettingInterviews of BBM members conducted in South Auckland, New Zealand, 2020.Participants22 interviewees (50% female) aged 24–60 years of mixed Pacific and Māori ethnicities with a mixture of regular members, attendees of the programme for those morbidly obese and trainers.ResultsTwo researchers independently coded data with adjudication and kappa=0.61 between coders. Participants identified the interactive holistic nature of health and well-being. As well as physical, mental and spiritual benefits, BBM helped many reconnect with both their family and their culture.ConclusionsBBM’s primary aim is weight-loss motivation. Many weight loss studies provide programmes to improve physical exercise and nutrition, but seldom address sustainability and other core factors such as mental health. Programmes are often designed by researchers or authorities. BBM is a community-embedded intervention, with no reliance external authorities for its ongoing implementation. It addresses many factors impacting participants’ lives and social determinants of health as well as its core business of exercise and diet change. Our results indicate that BBM’s holistic approach and responsiveness to perceived community needs may contribute to its sustained success.

show abstract

Section: Discussionmentioning

confidence: 99%

Understanding engagement with Brown Buttabean Motivation, an Auckland grassroots, Pacific-led holistic health programme: a qualitative study

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…Some have posited that realism as a stance facilitates effective collaboration between qualitative and quantitative researchers (Maxwell & Mittapalli, 2010), while others have argued for pragmatism as a research paradigm (Biesta, 2010;Feilzer, 2010). More recent contributions have called for expanding philosophical perspectives to include non-North American and European views like the Chinese Yangying philosophy (Fetters & Molina-Azorin, 2019) and the indigenous M aori approach (Martel et al, 2021).…”

Section: Mixed Methods Research and The Developing Country Contextmentioning

confidence: 99%

Mixed Methods Research in Developing Country Contexts: Lessons From Field Research in Six Countries Across Africa and the Caribbean

Harris

2021

Journal of Mixed Methods Research

View full text Add to dashboard Cite

Mixed methods research in developing countries has been increasing since the turn of the century. Given this, there is need to consolidate insights for future researchers. This article contributes to the methodological literature by exploring how cultural factors and logistical challenges in developing contexts interplay with mixed methods research design and implementation. Insights are based on the author’s research experience of using mixed methods in six projects across three African and three Caribbean countries. Three lessons are provided to aid researchers using mixed methods working in developing countries. First, cultural factors call for more reflexivity. Second, adopting a pragmatic research paradigm is necessary. And third, the research process should be iterative and adaptive.

show abstract

“…Establishing these relationships took place prior to, and throughout this study, and were integral to its success [24]. Using the Māori metaphor of a braided river, a framework for bi-cultural research was developed by blending the principles of co-design research and those of kaupapa Māori [25].…”

Section: Designmentioning

confidence: 99%

Implementing YouthCHAT – Evaluation and Development of An Implementation Framework

Goodyear‐Smith

Darragh

Martel

2021

Preprint

Self Cite

View full text Add to dashboard Cite

Background Northland, New Zealand has a generally socioeconomically deprived population with a high proportion of indigenous Māori. Māori youth suffer a high rate of mental ill-health, substance misuse, and other risky behaviours. While evidence demonstrates that early detection and management of these issues leads to long-term positive health outcomes, implementation of systematic screening and intervention is challenging. This study aimed to implement YouthCHAT, a self-administered digital tool screening young people for mental health concerns and risky health behaviours, into youth services in Northland using an iterative process of implementation, evaluation, and modification, and to create a framework for national-level rollout and implementation.Methods Normalisation Process Theory and a Māori research approach informed the implementation and its evaluation. Data sources included end-user focus groups, staff surveys, field notes, and informal communications with key stakeholders. Number of YouthCHAT screens completed measured intervention uptake.Results: Ongoing staff and youth feedback led to changes in YouthCHAT which increased acceptability. Facilitating two-way communication between providers and management, providing accessible training, and improved e-health record integration assisted uptake. Contextual factors, such as establishing a bicultural co-design approach and programming remote functionality during COVID-19 lockdown, were important factors in YouthCHAT’s ultimate acceptability and implementation. Other impediments such as staff redeployed during meningococcal and measles epidemics merely required patience. An implementation framework for YouthCHAT was developed which addresses tool acceptance and uptake, requiring ongoing effective communication and coordination, and iterative evaluation.Conclusions Failure to launch may be due to the interplay between the intervention, its users, contextual factors, and wider organisational aspects. Interventions may need to be tailored to a specific context to meet the needs of users, and address organisational and system barriers. Ultimately there will only be uptake where providers see this as worthwhile. Perception that its effective use will reduce their workload serves as a valuable incentive. The participatory research and bicultural Māori approaches employed in this project eventually led to YouthCHAT’s successful implementation in Northland. Full ownership of the Northland YouthCHAT version was transferred to local stakeholders on project completion. An iterative and evaluative strategy is recommended for future implementation. While derived for a specific population, the principles are generic, and our framework should be generalisable to other settings.Trial registration Australian and New Zealand Clinical Trials Registry ACTRN12618000299202p, 16-02-2018; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=374532

show abstract

He awa whiria—A “Braided River”: An Indigenous Māori Approach to Mixed Methods Research

Cited by 31 publications

References 35 publications

Understanding engagement with Brown Buttabean Motivation, an Auckland grassroots, Pacific-led holistic health programme: a qualitative study

Understanding engagement with Brown Buttabean Motivation, an Auckland grassroots, Pacific-led holistic health programme: a qualitative study

Mixed Methods Research in Developing Country Contexts: Lessons From Field Research in Six Countries Across Africa and the Caribbean

Implementing YouthCHAT – Evaluation and Development of An Implementation Framework

Contact Info

Product

Resources

About