A pharmacist-led medicines review intervention in community-dwelling Māori older adults– a feasibility study protocol

Hikaka, Joanna; Hughes, Carmel; Jones, Rhys; Connolly, Martin J.; Martini, Nataly

doi:10.1016/j.sapharm.2019.12.004

Cited by 7 publications

(11 citation statements)

References 30 publications

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“…The results reported in this study present one set of perspectives relevant to future service development. In addition to the findings from this study, our group has undertaken a systematic review (Hikaka et al., 2019a) and qualitative study with Māori older adults (Hikaka et al., 2020) to develop an intervention which is currently being tested in a feasibility study (Hikaka, Hughes, Jones, Connolly, & Martini, 2019b) further highlighting the transformative potential of this work.…”

Section: Discussionmentioning

confidence: 96%

Developing pharmacist‐facilitated medicines review services for community‐dwelling Māori older adults in New Zealand – A qualitative study exploring stakeholder views

Hikaka

Jones

Hughes

et al. 2020

Health Soc Care Community

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Māori (Indigenous people of New Zealand [NZ]) experience inequitable health outcomes compared to non‐Māori, across the spectrum of clinical care, including those relating to medicines. Internationally, pharmacist‐facilitated medicines review services have been shown to benefit older adults. Despite national policies calling for the increased implementation of these services, NZ data relating to them remain limited, and these services may increase disparities between Māori and non‐Māori. There are currently no medicines review services developed specifically for Māori older adults. The current study aims to elicit stakeholder views of current and potential pharmacist services to help inform the development of a pharmacist‐facilitated medicines review service for community‐dwelling Māori older adults. Kaupapa Māori theory was applied within this qualitative research. Purposive sampling was used to recruit participants who were involved in providing, planning, funding developing or culturally supporting health services in Waitematā District Health Board, Auckland, NZ. Data were collected in semi‐structured interviews and in a focus group and analysed using reflexive thematic analysis. The study was reported in accordance with the Consolidated Criteria for Reporting Qualitative research. Eleven participants took part in the research in one focus group (n = 4) and seven semi‐structured interviews, conducted between November 2018 and March 2019. Three main themes were generated: (a) moving out of the shadows – claiming pharmacists’ unique role within a healthcare whānau (family); (b) ‘give them the power to be able to ask’ – upholding the mana (self‐esteem, pride, standing) and autonomy of kaumātua (Māori older adults) and (c) rights versus realities – reimagining pro‐equity Māori health services within the constraints of the colonial health system. The right of Māori to experience equitable health outcomes needs to be included in policy and also operationalised in relation to medicines review services through improved utilisation of pharmacist skills and improving Māori older adults’ autonomy and control.

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Section: Discussionmentioning

confidence: 96%

Developing pharmacist‐facilitated medicines review services for community‐dwelling Māori older adults in New Zealand – A qualitative study exploring stakeholder views

Hikaka

Jones

Hughes

et al. 2020

Health Soc Care Community

Self Cite

View full text Add to dashboard Cite

show abstract

“…It used previous work from this research group that included both peer-reviewed literature and engagement with key stakeholders, is underpinned by kaupapa Māori theory and is structured according to the principles from te Tiriti o Waitangi. It gives direction for the development of an intervention that will be tested in a feasibility study 23 and allows a structure for ongoing reflection and re-development.…”

Section: Discussionmentioning

confidence: 99%

“…11 Our approach to intervention development is presented at one point in time, before the feasibility study is undertaken. 23 Our approach to the intervention may therefore need to be adapted as the study progresses or in further iterations of the intervention development. This approach aligns with kaupapa Māori theory, which allows for fluidity and adaption over time, or in different contexts.…”

Section: Discussionmentioning

confidence: 99%

“…Relevant outcome measures were then identified with justification for tools that are used to perform these measures; this is reported in a separate publication. 23 ORIGINAL RESEARCH PAPER…”

Section: Methodsmentioning

confidence: 99%

“…All primary and secondary outcomes of the feasibility study, as well as further rationale for feasibility testing, have been described in detail elsewhere. 23 The aim of the current paper is to describe how the te Tiriti o Waitangi was used to structure the development of a culturally safe 24 health intervention, using pharmacist-facilitated medicines reviews for Māori older adults as an exemplar.…”

Section: What Gap This Fillsmentioning

confidence: 99%

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Utilising te Tiriti o Waitangi to approach health intervention development and research: pharmacist-facilitated medicines review interventions for Māori older adults

Hikaka

Jones

Hughes

et al. 2021

J. Prim. Health Care

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INTRODUCTIONte Tiriti o Waitangi guarantees Māori the right to: self-determination, equitable health outcomes, be well informed, health care options, including kaupapa Māori and culturally safe mainstream services, and partnership in the health care journey. Despite integration of these principles into policy, there remains a lack of application in health service development, and health inequities remain. AIMWe aimed to use te Tiriti o Waitangi to structure the development of a culturally safe health intervention, using as an exemplar pharmacist-facilitated medicines review for Māori older adults. METHODSPrevious research undertaken by our group (a systematic review, and interviews with stakeholders including Māori older adults) was used to inform the aspects to include in the intervention. Kaupapa Māori theory was used to underpin the approach. Intended outcomes, requirements for change, and outcome measures to assess change were mapped to te Tiriti o Waitangi principles as a way to structure the pharmacist-facilitated medicines review intervention and research processes. RESULTSFindings from our previous research identified 12 intended intervention outcomes, including that the intervention be flexible to adapt to diverse needs in a way that is acceptable and culturally safe for Māori and that it supports Māori older adults to control and have confidence in their medicine treatment and wellbeing. DISCUSSIONWe present an approach to the development of a pharmacist-facilitated medicines review intervention for Māori older adults, structured around the principles of te Tiriti o Waitangi, to support the implementation of a culturally safe, pro-equity intervention.

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Public Health Research Ethics

Drame¹,

Nonyel²,

Harris³

2022

Encyclopedia of Evidence in Pharmaceutical Public Health and Health Services Research in Pharmacy

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A pharmacist-led medicines review intervention in community-dwelling Māori older adults– a feasibility study protocol

Abstract: A pharmacist-led medicines review intervention in community-dwelling Māori older adults-a feasibility study protocol. Research in Social and Administrative Pharmacy.

Cited by 7 publications

References 30 publications

Developing pharmacist‐facilitated medicines review services for community‐dwelling Māori older adults in New Zealand – A qualitative study exploring stakeholder views

Developing pharmacist‐facilitated medicines review services for community‐dwelling Māori older adults in New Zealand – A qualitative study exploring stakeholder views

Utilising te Tiriti o Waitangi to approach health intervention development and research: pharmacist-facilitated medicines review interventions for Māori older adults

Public Health Research Ethics

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