Restricted accessResearch articleFirst published online 2023-3
He kāinga pai rawa: Te Kete Mātauranga mō te hanga whare tino pai rawa: a knowledge basket to support building affordable and safe housing for kaumātua
Poor, unaffordable and overcrowded housing among Māori in Aotearoa New Zealand is one of the converging societal trends to impact significantly on older Māori ageing in place and in age-friendly environments. Some kaupapa Māori (Māori approach) organisations have sought to develop kaumātua (elders) villages to address these challenges. From the study of one such village, a toolkit of successful practices was developed. The purpose of this article is to describe the research design and methods for a project that will use this toolkit to develop community determined villages in three additional communities. The research approach involves process evaluation using photovoice, interviews, wānanga (consultation meetings) seminars and meeting’s notes, along with summative evaluation using surveys. The research process is grounded in a culture-centred and co-design approach with a vision underpinned by tikanga Māori (Māori custom) and te ao Māori (Māori world) that will be shared with others through a revised toolkit.
AchatH. M.ThomasP.CloseG. R.MoerkerkenL. R.HarrisM. F. (2010). General health care service utilisation: Where, when and by whom in a socioeconomically disadvantaged population. Australian Journal of Primary Health, 16(2), 132–140.
2.
ArbuckleJ. (2017). SPSS AMOS (Version 25). IBM SPSS.
3.
BakerM. G.ZhangJ.BlakelyT.CraneJ.Saville-SmithK.Howden-ChapmanP. (2016). Collaborating with a social housing provider supports a large cohort study of the health effects of housing conditions. BMC Public Health, 16, Article 159.
4.
BaltesP. B. (1987). Theoretical propositions of life-span developmental psychology: On the dynamics between growth and decline. Developmental Psychology, 23, 611–626.
5.
BijouxD. (2012). A neighbourhood sustainability framework for New Zealand: Beacon’s research and tools (Report NH2012/3 for Beacon Pathway). Beacon Pathway.
6.
BraunV.ClarkeV. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 2006, 377–101.
7.
Campbell-EnnsH. J.CampbellM.RiegerK. L.ThompsonG. N.DoupeM. B. (2020). No other safe care option: Nursing home admission as a last resort strategy. The Gerontologist, 60, 1504–1514.
CantrilH. (1965). The pattern of human concerns. Rutgers University Press.
10.
CatalaniC.MinklerM. (2010). Photovoice: A review of the literature in health and public health. Health Education & Behavior, 37(3), 424–451. https://doi.org/10.1177/1090198109342084
11.
ChyrL. C.DraboE. F.FabiusC. D. (2020). Pattern and predictors of transitions across residential care settings and nursing homes among community-dwelling older adults in the United States. The Gerontologist, 60, 1495–1502.
12.
IBM Corp. (2017). IBM SPSS statistics for Windows (Version 25).
13.
CoulthardG. (2014). Red skins, white masks: Rejecting the colonial politics of recognition. University of Minnesota Press.
14.
CramF. (2016). Older Māori: Downsizing experiences, outcomes and needs. Katoa.
15.
CramF.MunroM. (2020). Life when renting for older Māori. Alternative, 16, 64–75.
16.
CramF.PitamaS. (1998). Ko tōku whānau, ko tōku mana. In AdairV.DixonR. (Eds.), The family in Aotearoa New Zealand (pp. 130–157). Addison Wesley Longman.
17.
DassahE.AlderseyH. M.NormanK. E. (2017). Photovoice and persons with physical disabilities: A scoping review of the literature. Qualitative Health Research, 27(9), 1412–1422. https://doi.org/10.1177/1049732316687731
18.
DulinP. L.StephensC.AlpassF.HillR. D.StevensonB. (2011). The impact of socio-contextual, physical and lifestyle variables on measures of physical and psychological wellbeing among Māori and non-Māori: The New Zealand Health, Work and Retirement Study. Ageing and Society, 31(8), 1406–1404.
19.
DurieM. (2003). The health of Indigenous peoples. BMJ, 326, 510–511.
Evans-AgnewR. A.RosembergM.-A. S. (2016). Questioning photovoice research: Whose voice?Qualitative Health Research, 26(8), 1019–1030. https://doi.org/10.1177/1049732315624223
22.
FrochenS.PynoosJ. (2017). Housing for the elderly: Addressing gaps in knowledge through the lens of age-friendly communities. Journal of Housing for the Elderly, 31, 160–177.
23.
HintzeJ. (2001). NCSS and PASS. Number Cruncher Statistical Systems.
Jenkins MoralesM.RobertS. A. (2020). The effects of housing cost burden and housing tenure on moves to a nursing home among low- and moderate-income older adults. The Gerontologist, 60, 1485–1494.
26.
LawtonM. P.SimonB. (1968). The ecology of social relationships in housing for the elderly. The Gerontologist, 8, 108–115.
MarsdenM. (1992). God, man and universe: A Māori view. In KingM. (Ed.), Te Ao Hurihuri (pp. 117–137). Reed Books.
30.
Ministry of Business, Innovation and Employment. (2014). He Whare Āhuru He Ōranga Tāngata: The Māori Housing Strategy—Directions 2014 to 2015.
31.
OetzelJ.HokowhituB.SimpsonM.ReddyR.CameronM.MehaP.JohnstonK.NockS.GreensillH.HardingT.ShelfordP.SmithL. T. (2019a). Kaumātua Mana Motuhake: A study protocol for a peer education intervention to help Māori elders work through later-stage life transitions. BMC Geriatrics, 19, Article 36.
32.
OetzelJ.HokowhituB.SimpsonM.ReddyR.NockS.GreensillH.CameronM.MehaP.JohnstonK.HardingT.ShelfordP.SmithL. T. (2019b). Correlates of health-related quality of life for Māori elders involved in a peer education intervention. Journal of Health Communication, 24, 559–569.
33.
OetzelJ.ScottN.HudsonM.Masters-AwatereB.RarereM.FooteJ.BeatonA.EhauT. (2017). Implementation framework for chronic disease intervention effectiveness in Māori and other Indigenous communities. Global Health, 2017, Article 1369.
34.
OetzelJ.SimpsonM.BerrymanK.ItiT.ReddyR. (2015b). Managing communication tensions and challenges during the end-of-life journey: Perspectives of Māori kaumātua and their whānau. Health Communication, 2015, 30350–30360.
35.
OetzelJ.SimpsonM.BerrymanK.ReddyR. (2015a). Differences in ideal communication behaviours during end-of-life care for Māori carers/patients and palliative care workers. Palliative Medicine, 29, 764–766.
36.
PledgerM.McDonaldJ.DunnP.CummingJ.Saville-SmithK. (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, 182–189.
SimpsonM.GreensillH.NockS.MehaP.HardingT.ShelfordP.HokowhituB.OetzelJ.ReddyR. (2019). Kaumātua mana motuhake in action: Developing a culture-centred peer support programme for managing transitions in later life. Ageing & Society, 40, 1822–1845.
42.
SimpsonM. L.OetzelJ.WilsonY.NockS.JohnstonK.ReddyR. (2022). Co-designing a culture-centered age-friendly community for Māori kaumātua: Cultural principles and practices. The Journals of Gerontology: Series B, 2022, Article gbac092. https://doi.org/10.1093/geronb/gbac092
43.
SmithG. H. (1997). The development of kaupapa Māori: Theory and praxis. University of Auckland.
44.
SmithL. T. (2012). Decolonising methodologies: Research and Indigenous people. University of Otago Press.
45.
Statistics New Zealand. (2013). Te Kupenga 2013: A survey of Māori well-being.
46.
Statistics New Zealand. (2016a). Changes in home-ownership patterns 1986–2013: Focus on Māori and Pacific people.
47.
Statistics New Zealand. (2016b). Ethnicity and crowding: A detailed examination of crowding among ethnic groups in New Zealand 1986-2006.
48.
Statistics New Zealand. (2018). General social survey.
49.
Taskforce on Whānau-Centred Initiatives. (2010). Whānau Ora: Report of the taskforce on Whānau-centred initiatives.
50.
Te Pūmanawa Hauora. (1997). Oranga kaumātua: The health and wellbeing of older Māori people—A report prepared for the Ministry of Health and Te Puni Kōkiri. Te Puni Kōkiri.
51.
WahlH.-W.GerstorfD. (2020). Person–environment resources for aging well: Environmental docility and life space as conceptual pillars for future contextual gerontology. The Gerontologist, 60, 368–375.
52.
WallersteinN.DuranB.OetzelJ.MinklerM., (Eds.). (2018). Community-based participatory research for health: Advancing social and health equity (3rd ed.). Jossey-Bass.
53.
WareJ.KosinskiM.DeweyJ. E.GandekB. (2001). How to score and interpret single-item health status measures: A manual for users of the SF-8 health survey. QualityMetric.
54.
WongF.StevensD.O’Connor-DuffanyK.SiegelK.GaoY. (2011). Community health environment scan survey (CHESS): A novel tool that captures the impact of the built environment on lifestyle factors. Global Health Action, 4, Article 5276.
WuA.RubinH.MatthewsW.WareJ.BryskL.HardyW.BozzetteS.SpectorS.RichmanD. (1991). A health status questionnaire using 30 items from the medical outcomes study. Medical Care, 29:, 786–798.
Supplementary Material
Please find the following supplemental material available below.
For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.
For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.
