Ngā Kaumātua, ō Mātou Taonga
Supporting kaumātua health in a changing world: A feasibility study in Te Tai Tokerau
Māori conceptions of ageing are traditionally positive and are a strength within many Māori communities. This feasibility study will build on this premise through a pilot study within the two Māori communities of Takahiwai and Ngati Wai. The study will generate emergent themes that are specific to Māori and will provide guidance and data suitable for inclusion within a larger subsequent study. Participants within this feasibility study will have the opportunity to define what it means to age well for Māori within the context of their own community and to contribute their understandings of ageing to broader discussions around ageing within New Zealand.
The study will indicate whether participant selection procedures and data-gathering and analysis methods will provide the necessary data to draw conclusions around what it means to age well for Māori communities within the region. The project team has designed a research pathway that brings together kaupapa Māori methods with multi-sited ethnography, focus groups, individual interviews and community disseminations. The proposed study will test the methodology of engagement with older Māori within their communities and the effectiveness of a kaupapa Māori approach in generating information that is applicable to the delivery of health and health-care recommendations to communities and health- care providers.
Unlocking the potential of mātauranga to support Māori women ageing well within whānau
The overall aim of this project is to consider the cultural context of ageing well for kuia, with specific reference to the value and esteem that kuia are held in and the essential roles that they have in facilitating whānau and hapu well-being.
Kaumātua Mana Motuhake
The research seeks to address the mana motuhake (identity, autonomy) of kaumātua (older Māori aged 55 or older).
It will investigate the health outcomes of a ‘tuakana-teina’ (mentoring) peer-educator model, and result in evidence-based interventions to meet social and health needs of kaumātua and their whānau.
For further information, please visit the Kaumātua Mana Motuhake Pōi page at Waikato.
Oetzel, J. G., Ruru, S., Zhang, Y., Simpson, M. L., Nock, S., Meha, P., . . . Hokowhitu, B. (2021). Enhancing well-being and social connectedness for Māori elders through a peer education (Tuakana-Teina) programme: A cross-sectional baseline study. Frontiers in Public Health, 9. doi:10.3389/fpubh.2021.775545
Hokowhitu, B., Oetzel, J.G., Simpson, M.L., Nock, S., Reddy, R., Meha, P., Johnston, K., Jackson, A-M., Erueti, B., Rewi, P., Warbrick, I., Cameron, M.P., Zhang, Y., Ruru, S. (2020). Kaumātua Mana Motuhake Pōi: a study protocol for enhancing wellbeing, social connectedness and cultural identity for Māori elders. BMC Geriatrics, 20 (1):377.
Simpson, M. L., Oetzel, J., Nock, S., Greensill, H., Meha, P., Reddy, R., . . . Hokowhitu, B. (2020). Maori becoming peer educators in later life: Impact on identity, wellbeing and social connectedness. Journals of Gerontology. Series B: Psychological Sciences and Social Sciences. doi:10.1093/geronb/gbaa078
Simpson, M. L., Greensill, H.-M., Nock, S., Meha, P., Harding, T., Shelford, P., . . . Reddy, R. (2020). Kaumātua mana motuhake in action: Developing a culture-centred peer support programme for managing transitions in later life. Ageing and Society, 40(8), 1822-1845. doi:10.1017/S0144686X19000370
Oetzel, J. G., Cameron, M. P., Simpson, M. L., Reddy, R., Nock, S., Greensill, H., . . . Hokowhitu, B. (2020). Kaumātua Mana Motuhake: Peer education intervention to help Māori elders during later-stage life transitions. BMC Geriatrics, 20(1), 186. doi:10.1186/s12877-020-01590-z
Oetzel, J. G., Hokowhitu, B., Simpson, M., Reddy, R., Nock, S., Greensill, H., Cameron, M.P., Meha, P., Johnston, K., Harding, T., Shelford, P., & Smith, L. T. (2019). Kaumātua Mana Motuhake: A study protocol for a peer education intervention to help Māori elders work through later-stage life transitions. BMC Geriatrics, 19(1), 36. doi:10.1186/s12877-019-1041-2
Oetzel, J. G., Hokowhitu, B., Simpson, M., Reddy, R., Cameron, M. P., Meha, P., . . . Smith, L. T. (2019). Correlates of health-related quality of life for Māori elders involved in a peer education intervention. Journal of Health Communication, 24(5), 559-569. doi:10.1080/10810730.2019.1637483
Hokowhitu, B. (2017). Weaving past, present, and future. Journal of Indigenous wellbeing, Te Mauri- Pimatisiwin, 2(1), 2-3.
Hokowhitu, B., Oetzel, J., Reddy, R., Smith, L., Simpson, M., Nock, S., et al. (2017). Kaumatua mana motuhake: Kaumatua managing life-transitions through tuakana-teina/peer education. In The New Zealand Medical Journal: Proceedings of the Waikato Clinical Campus Biannual Research Seminar, 130, 108.
Hokowhitu, B., Reddy, R., Simpson, M. (21-22 November, 2017). Kaumātua managing life-transitions through tuakana-teina/peer-education: From intervention to impact and implications. Research impact: Realising the potential, Dunedin, New Zealand.
Simpson, M. (17 November, 2017). Kaumātua managing life-transitions through tuakana-teina/peer- support: An example of integrating student doctoral research with externally funded research. HOPE-Selwyn Knowledge Exchange for Research on Ageing, University of Auckland, Auckland, New Zealand.
Reddy, R., Nock, S., Simpson, M. (13 October 2017). Kaumātua mana motuhake: Kaumātua managing life-transitions through tuakana-teina/peer-education outcomes of a pilot. AgeWise “In IT together”, Hamilton, New Zealand.
From around the web
Loneliness and Social Isolation
The aim of this project is to enable early detection of pathways that lead to loneliness and social isolation for older Māori and Pacific people in NZ and the mitigating factors that will facilitate social connection and enduring relationships during old age. Better-targeted services and policies will improve the quality of life of older Māori and Pacific people and increase the cost-effectiveness of services.
Pacific Islands Families
This study will use participatory action research methods to understand what factors older Pacific people consider important for their well-being and how those factors can improve in social and health system settings. Participant-proposed solutions and action plans will be developed and implemented, to enhance the well-being of older Pacific people.
Watch Dr Tautolo’s presentation, “Charting the life course of Pacific families” at He Ora Te Whakapiri symposium in 2018.
Independence and Housing Tenure
This research is about the future of older people in an increasingly diverse New Zealand where structural population ageing is taking place at the same time as a housing tenure revolution.
From the highest rates of home ownership in the western world, NZ’s owner occupation rates are falling rapidly to levels that prevailed in the 1930s. How will this rising reliance on the (mainly private) rental market impact on older people into the future?
We ask to what extent will reliance on the rental market:
- Inhibit or support older people’s wellbeing and independence
- Promote or reduce older people’s on-going social, economic and cultural contributions and reciprocities
- Reduce or support the mitigation of mental, physical, or cognitive disability to maximise engagement and personal dignity
Our research explores those impacts and dynamics.
We work with older people and stakeholders in New Zealand’s diverse communities to identify adaptive strategies and tools that will mitigate negative impacts and optimise opportunities for older people. We aim to not only add life to their own years but continue to be productive, contributing and valued members of their communities.
This is multi-method research which combines demographic and quantitative data with working with older people and communities to explore the impacts of tenure on older people and community well-being.
- Independence and Housing Tenure presentation slides
- Australasia Housing Research conference presentation slides
- Age Concern Workshop 2016 presentation slides
- Ageing Well Research and Business Plans pp 74-79
Anticipated End Date: June 2019
Bates, L., Kearns, R., Coleman, T., & Wiles, J. (2020). ‘You can’t put your roots down’: Housing pathways, rental tenure and precarity in older age. Housing Studies, 35(8), 1442-1467. doi:10.1080/02673037.2019.1673323
Cram, F., & Munro, M. (2020). Life when renting for older Māori. AlterNative: An International Journal of Indigenous Peoples, 16(1), 64-75. doi:10.1177/1177180120903504
James, B. L., Bates, L., Coleman, T. M., Kearns, R., & Cram, F. (2020). Tenure insecurity, precarious housing and hidden homelessness among older renters in New Zealand. Housing Studies, 1-23. doi:10.1080/02673037.2020.1813259
Pledger, M., McDonald, J., Dunn, P., Cumming, J., & Saville-Smith, K. (2019). The health of older New Zealanders in relation to housing tenure: analysis of pooled data from three consecutive, annual New Zealand Health Surveys. Australian and New Zealand Journal of Public Health, 43(2), 182-189. doi:10.1111/1753-6405.12875
Bates, L., Kearns, R., Coleman, T., & Wiles, J. (2019). Older residents’ experiences of islandness, identity and precarity: Ageing on Waiheke Island. Island Studies Journal 14(2), 171-192.
Bates, L., Wiles, J., Kearns, R., & Coleman, T. (2019). Precariously placed: Home, housing and wellbeing for older renters. Health & Place, 58, 102152. doi:10.1016/j.healthplace.2019.102152
Lorraine James, B., & Saville-Smith, K. (2018). Designing housing decision-support tools for resilient older people. Architectural Science Review, 61(5), 305-312. doi:10.1080/00038628.2018.1505597
Saville-Smith, K. (28 February, 2018). Sustainability and Environment in an Ageing New Zealand Keeping Pace with Two National Science Challenges. Presentation for Ministry for the Environment, New Zealand.
James, B., Rehm, M., & Saville-Smith, K. (2017). Impacts of leaky homes and leaky building stigma on older homeowners. Pacific Rim Property Research Journal, 23(1), 15-34. doi:10.1080/14445921.2016.1266983
James, B., Saville-Smith, K. (13 December, 2017). Older Tenants, Advocacy and Research-based Tools. Presentation to Council of Christian Social Services and the Tenants Advocacy Network, New Zealand.
McDonald, J., Pledger, M., Cumming, J., Dunn, P., Fraser, R., & Saville-Smith, K. (1-3 November, 2017). Ageing well in New Zealand – is the health of older people related to their housing tenure? 10th Health Services & Policy Research Conference, Surfers Paradise, Australia.
Saville-Smith, K. (18 October, 2017). Unsustainable, Dysfunctional, and Costly Cities for an Ageing New Zealand. New Zealand Sustainable Cities Seminar, Wellington, New Zealand.
James, B., Saville-Smith, K. (18 September, 2017) Housing in an Ageing Society . Presentation to Housing Stakeholders, Nelson, New Zealand.
James, B., Saville-Smith, K. (18 September, 2017) Secure Housing as We Age. Presentation to Housing Meeting Tasman District, New Zealand.
Cram, F. (30 May, 2017). He Whare Rīhi – Older Māori and Life When Renting. Presentation to the Mid-term Summit, Tauranga, New Zealand.
Ho, E. (30 May, 2017). New Settlers Case Study: The housing experience of Indian elders. Presentation to the Mid-term Summit, Tauranga, New Zealand.
Jackson, N. (30 May, 2017). NZ’s Tenure Revolution and its Ageing Society -New Zealand’s Renting Revolution-, Address to ‘Life when renting’ Mid term Summit, Tauranga, New Zealand.
James, B. (30 May, 2017). Older Renters in the Western Bay of Plenty and Tauranga. Presentation to the Mid-term Summit, Tauranga, New Zealand.
Kearns, R., Coleman, T., Bates, L. (30 May, 2017). Older Renters’ Wellbeing: Waiheke Island case study. Regional Summit, Tauranga, New Zealand.
Saville-Smith, K. (30 May, 2017). Landlords and the New World of Older Tenants. Regional Summit, Tauranga, New Zealand.
Saville-Smith, K. (30 May, 2017). NZ’s Tenure Revolution and its Ageing Society. Regional Summit, Tauranga, New Zealand.
Saville-Smith, K. (30 May, 2017). Dealing with ageing and our housing system. Regional Summit, Tauranga, New Zealand.
Saville-Smith, K. (30 May, 2017). Enriching Relations between Landlords and Older Tenants. Regional Summit, Tauranga, New Zealand.
Saville-Smith, K. (18 April, 2017). Auckland’s Future: Dealing with ageing and our housing system. RIMU Insights, Auckland Council, Auckland, New Zealand.
Saville-Smith, K., James, B. (15-17 February, 2017). Affordability, Health and Renting for Older New Zealanders. Australasian Housing Researchers Conference, RMIT, Melbourne, Australia.
Saville-Smith, K. (29 September, 2016) Older People of Tomorrow Realising the Longevity Dividend. HCHA Conference, Te Papa, Wellington, New Zealand.
From around the web
Risk Factors in Reduced Social Engagement
This project will comprehensively assess the health and social needs of older people who are supported at home with community-based care.
The interRAI Community Health Assessment tool will be used to identify risk factors for reduced social engagement of older people from different demographic groups, making gender, ethnic and regional comparisons.
We will also assess possible interplay with other factors such as:
- Living situation
- Reduced cognition
- Risk of falls
- Reduced mobility
- Depression and anxiety
- Limitations in daily living activities
Anticipated End Date: December 2016
Abey-Nesbit, R. (2021). Exploration of loneliness and informal carer stress in older adults. Eldernet.
Beere, P., Keeling, S., & Jamieson, H. (2019). Ageing, loneliness, and the geographic distribution of New Zealand’s interRAI-HC cohort. Social Science and Medicine, 227, 84-92. doi:10.1016/j.socscimed.2018.08.002
Jamieson, H., Abey-Nesbit, R., Bergler, U., Keeling, S., Schluter, P. J., Scrase, R., & Lacey, C. (2019). Evaluating the influence of social factors on aged residential care admission in a national home care assessment database of older adults. Journal of the American Medical Directors Association, 20(11), 1419-1424. doi:10.1016/j.jamda.2019.02.005
Jamieson, H. A., Gibson, H. M., Abey-Nesbit, R., Ahuriri-Driscoll, A., Keeling, S., & Schluter, P. J. (2018). Profile of ethnicity, living arrangements and loneliness amongst older adults in Aotearoa New Zealand: A national cross-sectional study. Australasian Journal on Ageing, 37(1), 68-73. doi:10.1111/ajag.12496
Jamieson, H. A., Gibson, H. M., Abey-Nesbit, R., Ahuriri-Driscoll, A. , Keeling, S., and Schluter, P. J. (2017). Profile of ethnicity, living arrangements and loneliness amongst older adults in Aotearoa New Zealand: A national cross-sectional study. Australasian Journal of Ageing, 37(1), 68-73.
Schluter, P. J., Ahuriri, Driscoll, A., Anderson, T. J., Beere, P., Brown, J., Dalrymple‐Alford, J., … Keeling, S., Jamieson, H. A. (2016). Comprehensive clinical assessment of home‐based older persons within New Zealand: an epidemiological profile of a national cross‐section. Australian and New Zealand journal of Public Health, 40 (4), 349-355. doi:10.1111/1753-6405.12525
From around the web
This research project is about the understanding of social isolation and its effect on older people’s health and wellbeing.
Approximately 10% of people over the age of 65 are lonely all or most of the time, with rates rising to 50% amongst those over 80. Loneliness has a negative impact on the health of older people and may even lead to premature deaths for the loneliest.
Little is known about how loneliness and social isolation is experienced by Maori, Pacific and Asian older peoples who make up an increasing number of New Zealand’s aging population. Research is insufficient on efficiency of the existing volunteer and befriending services in NZ.
Age Concern is collaborating on this project is to look at how their Accredited Visiting Service can better meet the needs of NZ’s multi-cultural population.
The project has the potential to make an important scientific contribution to the understanding of social isolation of older people’s health and wellbeing, ensuring that the findings have an immediate impact upon the lives of older New Zealanders.
- Social Isolation and Loneliness Presentation Slides
- Ageing Well Research and Business Plans– pp.48—52
Anticipated End Date: December 2018
Morgan, T., Wiles, J., Moeke-Maxwell, T., Black, S., Park, H. J., Dewes, O., . . . Gott, M. (2020). ‘People haven’t got that close connection’: Meanings of loneliness and social isolation to culturally diverse older people. Aging & Mental Health, 24(10), 1627-1635. doi:10.1080/13607863.2019.1633619
Morgan, T., Wiles, J., Park, H.-J., Moeke-Maxwell, T., Dewes, O., Black, S., . . . Gott, M. (2019). Social connectedness: What matters to older people? Ageing and Society, 1-19. doi:10.1017/S0144686X1900165X
Park, H. J., Morgan, T., Wiles, J., & Gott, M. (2019). Lonely ageing in a foreign land: Social isolation and loneliness among older Asian migrants in New Zealand. Health and Social Care in the Community, 27(3), 740-747. doi:10.1111/hsc.12690
Staying Upright and Eating Well
Staying UPright and Eating well Research (SUPER), aims to test the impact and cost-effectiveness of physical activity and/or nutrition, and social group attendance, to reduce frailty and falls of older people.
Life expectancy has increased in New Zealand and it is estimated 16.5% of the population will be aged over 65 by the mid-2020s.
Frailty is a multidimensional geriatric syndrome involving several inter-related physiological systems. It is a precursor to functional loss and results in considerably increased risk for health care needs.
600 pre-frail older people to participate have been invited, including Māori aged 60+ and non-Māori aged 75+, living in Whangarei, Howick, Tauranga, and Invercargill.
Participants will enroll in weekly group sessions, over 10 weeks.
The groups are:
- Strength and balancing exercise (Steady As You Go—SAYGO)
- Nutrition and cooking class (Senior Chef)
- A combination of SAYGO and Senior Chef (Combo)
- Social activities (Social—groups gather for company and crafts, games, music or reading).
The SUPER project aligns with the Ageing Well National Science Challenge mission by forestalling the development of frailty. This enables maintenance of independence. Preventing falls reduces disability and the related adverse impacts of poor health outcomes for older people.
Anticipated End Date: June 2019
Teh, R., Kerse, N., Waters, D. L., Hale, L., Pillai, A., Leilua, E., . . . Connolly, M. J. (2019). Study protocol of a randomised controlled trial to examine the impact of a complex intervention in pre-frail older adults. Aging Clinical and Experimental Research, 31(10), 1407-1417. doi:10.1007/s40520-018-1106-7
From around the web