Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
Te Arawa Whānau Ora Collective, Rotorua, New Zealand.
Inj Prev. 2022 Dec;28(6):570-579. doi: 10.1136/ip-2022-044641. Epub 2022 Sep 2.
Māori (the Indigenous population of Aotearoa New Zealand) experience increased burden of unintentional injury and reduced access to publicly funded injury prevention and rehabilitation services, compared with non-Māori. Māori-led models of care have been shown to improve outcomes for Māori. Paeārahi navigate across sectors (including health, education, housing and employment) to advocate for the best possible outcomes for individuals and families. This study aims to (1) test the acceptability and feasibility and (2) undertake exploratory efficacy analysis of a paeārahi injury intervention for Māori older adults.
A prospective non-randomised, non-comparator study with preintervention and postintervention measurements of predefined outcomes. Eligible participants who consented to participate (Māori, 55+ years, community-dwelling and enrolled in one of three study general practices) will undergo a multivisit paeārahi intervention. The intervention includes home-hazard assessment, basic health screening, teaching of strength and balance exercises, education relating to injury prevention and access to injury-related, referral and connection to other health and social services) and participants can choose to have whānau (family) involved in the intervention.
The primary outcome of interest is participant, whānau and paeārahi acceptability of the intervention. Secondary outcomes include intervention feasibility, cost-effectiveness and exploratory efficacy (including preintervention and postintervention unintentional injury-related hospitalisation, primary care access and public injury-related claims).
The findings of this intervention research will be used to inform injury care models for older Māori and process for Māori-led health intervention development more generally.
ACTRN12621001691831p.
与非毛利人相比，毛利人（新西兰的土著人口）遭受意外伤害的负担加重，获得公共资助的预防和康复服务的机会减少。已经证明，毛利人领导的护理模式可以改善毛利人的治疗效果。Paeārahi 穿梭于各个领域（包括卫生、教育、住房和就业），为个人和家庭争取最好的结果。本研究旨在：（1）检验可接受性和可行性，（2）对毛利老年人的 Paeārahi 伤害干预措施进行探索性疗效分析。
这是一项前瞻性、非随机、非对照研究，对预先设定的结果进行了干预前和干预后的测量。符合条件并同意参与的参与者（毛利人，55 岁以上，居住在社区，并且参加了三个研究常规实践中的一个）将接受多次 Paeārahi 干预。该干预措施包括家庭危险评估、基本健康筛查、力量和平衡练习教学、与伤害预防相关的教育以及获得与伤害相关的、转介和与其他健康和社会服务的联系），参与者可以选择让家庭（家属）参与干预。
主要的研究结果是参与者、家庭和 Paeārahi 对干预的接受程度。次要结果包括干预的可行性、成本效益和探索性疗效（包括干预前后与意外伤害相关的住院治疗、初级保健服务的利用情况以及公共伤害相关的索赔）。
这项干预研究的结果将用于为老年毛利人提供伤害护理模型，并为更广泛的毛利人领导的健康干预措施的发展提供流程信息。
ACTRN12621001691831p。
