Severinsen Christina, Reweti Angelique
School of Public Health, Massey University, Palmerston North, Manawatu, New Zealand.
Health Promot Int. 2019 Apr 1;34(2):291-299. doi: 10.1093/heapro/dax075.
Rangatahi Tū Rangatira (R2R) is a national health promotion programme in Aotearoa New Zealand which aims to promote cultural and physical wellbeing for rangatahi (young people) and their whānau (family). Grounded in tikanga Māori, the programme focuses on total wellbeing, leadership and cultural awareness providing rangatahi opportunities to increase their participation in physical activity and cultural knowledge through ngā taonga tākaro (Māori ancestral games). This paper focuses on an evaluation of this innovative health promotion programme focussing on the delivery of R2R by a local iwi provider in a rural area. Kanohi ki te kanohi (face-to-face) interviews and focus groups were used to collect data from a range of stakeholders including rangatahi, whānau, programme developers, and collaborating community organizations. A whānau ora (holistic) framework incorporating five core outcomes and key indicators specific to the programme was developed to assess the impact of delivery. Results demonstrated that rangatahi and their whānau were living healthier lifestyles through being more physically active; had gained an increased desire to succeed in their education and extra curriculum activities; and felt more connected to their community and te ao Māori. This demonstrates the importance of incorporating cultural elements to support improved lifestyle changes for rangatahi and their whānau and the connection between enhanced cultural identity and good health.
rangatahi Tū Rangatira（R2R）是新西兰奥特亚罗瓦的一项全国性健康促进计划，旨在促进 rangatahi（年轻人）及其 whānau（家庭）的文化和身体健康。该计划以毛利传统习俗为基础，关注整体健康、领导力和文化意识，为 rangatahi 提供机会，通过 ngā taonga tākaro（毛利传统游戏）增加他们对体育活动和文化知识的参与度。本文重点评估了这一创新的健康促进计划，该计划聚焦于农村地区的一个当地毛利部落提供者实施的 R2R。通过面对面访谈和焦点小组从 rangatahi、whānau、项目开发者以及合作社区组织等一系列利益相关者那里收集数据。开发了一个包含该计划特定的五个核心成果和关键指标的 whānau ora（整体）框架，以评估实施的影响。结果表明，rangatahi 及其 whānau 通过更多的体育活动过上了更健康的生活方式；在教育和课外活动中取得成功的愿望增强；并且感觉与他们的社区和毛利世界的联系更加紧密。这证明了纳入文化元素以支持 rangatahi 及其 whānau 改善生活方式变化的重要性，以及增强文化认同感与健康之间的联系。
