Enhancing health outcomes for Māori elders through an intergenerational cultural exchange and physical activity programme: a cross-sectional baseline study

作者：Oetzel, John G.; Zhang, Yingsha^*; Nock, Sophie; Meha, Pare; Huriwaka, Huia; Vercoe, Maramena; Tahu, Tania; Urlich, Joanne; Warbrick, Rachel; Brown, George; Keown, Shirley; Rewi, Poia; Erueti, Bevan; Warbrick, Isaac; Jackson, Anne-Marie; Perry, Tracy; Reddy, Rangimahora; Simpson, Mary Louisa; Cameron, Michael P.; Hokowhitu, Brendan

来源：Frontiers in Public Health, 2023, 11: 1307685.

DOI：10.3389/fpubh.2023.1307685

• older Maori health
• indigenous aging
• physical activity
• health equity
• health-related quality of life

BackgroundThe study offers baseline data for a strengths-based approach emphasizing intergenerational cultural knowledge exchange and physical activity developed through a partnership with kaumatua (Maori elders) and kaumatua service providers. The study aims to identify the baseline characteristics, along with correlates of five key outcomes.MethodsThe study design is a cross-sectional survey. A total of 75 kaumatua from six providers completed two physical functioning tests and a survey that included dependent variables based in a holistic model of health: health-related quality of life (HRQOL), self-rated health, spirituality, life satisfaction, and loneliness.ResultsThe findings indicate that there was good reliability and moderate scores on most variables. Specific correlates included the following: (a) HRQOL: emotional support (beta = 0.31), and frequent interaction with a co-participant (beta = 0.25); (b) self-rated health: frequency of moderate exercise (beta = 0.32) and sense of purpose (beta = 0.27); (c) spirituality: sense of purpose (beta = 0.46), not needing additional help with daily tasks (beta = 0.28), and level of confidence with cultural practices (beta = 0.20); (d) life satisfaction: sense of purpose (beta = 0.57), frequency of interaction with a co-participant (beta = -0.30), emotional support (beta = 0.25), and quality of relationship with a co-participant (beta = 0.16); and (e) lower loneliness: emotional support (beta = 0.27), enjoyment interacting with a co-participant (beta = 0.25), sense of purpose (beta = 0.24), not needing additional help with daily tasks (beta = 0.28), and frequency of moderate exercise (beta = 0.18).ConclusionThis study provides the baseline scores and correlates of important social and health outcomes for the He Huarahi Tautoko (Avenue of Support) programme, a strengths-based approach for enhancing cultural connection and physical activity.

• 单位
  中山大学