Tapinga ‘a Maama’
Pacific older adults currently have high levels of unmet need and poor access to palliative care while dying.
This study draws on Pacific health models to provide urgently-needed information on Pacific people’s experiences in palliative care, and the experiences and challenges faced by their aiga who carry out the bulk of their care. The research will improve end-of-life care for older Pacific People.
I’ll Care For You
The I’ll Care For You music video was created as part of a research project carried out by Dr Ofa Dewes in the School of Nursing at the University of Auckland. Pacific family carers that we interviewed told us they wanted a music video to convey their messages about the importance of supporting people in the community who care for their older relatives, including at the end of life. You’ll also find the song, I’ll Care For You written and performed by the Valiant Boys (check them out on YouTube) as well as the lyrics and a commentary (below under video) about the music video.
Malia Hamani and Lata Fale of Treasuring Older Adults Inc. were instrumental in the creation of this video, as were our two caregivers, Suitupe Sorensen and Ana Johansson, and members of their families, who appeared in the video.
For more information about the I’ll Care For You music video project, email Ofa Dewes, firstname.lastname@example.org
These 5 digital stories were created as part of the “Tāpinga ‘a Maama*: Pacific life and death in advanced age” research project carried out by Dr Ofa Dewes in the School of Nursing at the University of Auckland. Following the interviews, family carers were invited to participate in the digital storytelling workshop. Each participant developed their own story about their experience of end of life care and these stories will be included in the study educational resources to give meaning and context to the combined key informant interviews.
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
This research project will investigate the needs and levels of healthcare use by retirement village (RV) residents.
This project aims to:
- Identify the age, gender and ethnic make-up of the RV residents and thereby assess the medical problems, and functional abilities of the residents.
- Assess RV residents medically and functionally over three and a half years
A sub-group of particularly vulnerable RV residents will be studied by conducting a randomised controlled trial of complex clinical intervention. Our aim is to reduce preventable hospital admissions thereby avoiding or postponing entry into rest homes and private hospitals.
Anticipated End Date: June 2019
Connolly, M.J., Hikaka, J., Bloomfield, K., Broad, J., Wu, Z., Boyd, M., . . . Bramley, D. (2021). Research in the retirement village community -The problems of recruiting a representative cohort of residents in Auckland, New Zealand. Australasian Journal on Ageing. doi:10.1111/ajag.12898
Bloomfield, K., Wu, Z., Tatton, A., Calvert, C., Peel, N., Hubbard, R., Jamieson, H., Hikaka, J., Boyd, M., Bramley, D., Connolly, M. J. (2021). An interRAI-derived frailty index is associated with prior hospitalisations in older adults residing in retirement villages. Australasian Journal on Ageing, 40 (1), 66-71. doi:10.1111/ajag.12863.
Boyd, M., Calvert, C., Tatton, A., Wu, Z., Bloomfield, K., Broad, J. B., . . . Connolly, M. J. (2020). Lonely in a crowd: Loneliness in New Zealand retirement village residents. International Psychogeriatrics, 1-13. doi:10.1017/s1041610220000393
Broad, J. B., Wu, Z., Bloomfield, K., Hikaka, J., Bramley, D., Boyd, M., . . . Connolly, M. J. (2020). Health profile of residents of retirement villages in Auckland, New Zealand: Findings from a cross-sectional survey with health assessment. BMJ Open, 10(9), e035876. doi:10.1136/bmjopen-2019-035876
Peri, K., Broad, J. B., Hikaka, J., Boyd, M., Bloomfield, K., Wu, Z., . . . Connolly, M. J. (2020). Study protocol: Older people in retirement villages. A survey and randomized trial of a multi-disciplinary intervention designed to avoid adverse outcomes. BMC Geriatrics, 20(1), 247. doi:10.1186/s12877-020-01640-6