POIS-10 Māori: Outcomes and Experiences in the Decade Following Injury

Abstract

Injury-related disability burden extends well beyond two years post-injury, especially for Māori (Indigenous) New Zealanders. Māori also experience greater difficulty accessing health services. This prospective cohort study extension uses mixed-methods and aims to understand and identify factors contributing to long-term experiences and outcomes (positive and negative) at 12 years post-injury for injured Māori and their whānau (families), and explore the barriers and facilitators to whānau flourishing, and access to health and rehabilitation services. Five hundred and sixty-six Māori, who were injured between 2007–2009, participated in the Prospective Outcomes of Injury Study (POIS). Of these, 544 consented to long-term follow up, and will be invited to participate in a POIS-10 Māori interview at 12 years post-injury. We anticipate a 65% follow-up rate (~n = 350). Aligned with the Meihana Model, interviews will collect information about multiple inter-related dimensions. Administrative injury and hospitalisation data up to 12 years post-injury will also be collected. Regression models will be developed to examine predictors of long-term health and disability outcomes, after adjusting for a range of confounders. POIS-10 Māori will identify key points in the injury and rehabilitation pathway to inform future interventions to improve post-injury outcomes for Māori and whānau, and will highlight the support required for Māori flourishing post-injury.

A qualitative study of living through the first New Zealand COVID-19 lockdown: Affordances, positive outcomes, and reflections

“…This paper presents findings from qualitative analyses of “free-text responses” collected during telephone interviews occurring as part of paired studies being undertaken as the COVID-19 pandemic unfolded in 2020. The Health Research Council of NZ funded the paired studies -the ‘Prospective Outcomes of Injury Study: 10 years on’ (POIS-10; HRC19/344) and ‘POIS-10 Māori: Outcomes and experiences in the decade following injury’ (HRC19/325) following cohorts of New Zealanders recruited between 2007 and 2009 following an injury ( Derrett et al, 2021 , Wyeth et al, 2021 ). These studies aim to understand longer-term health and well-being outcomes for cohorts of NZ adults, including specifically for Māori (NZ’s Indigenous population).…”

Predictors of EQ-5D-3L outcomes amongst injured Māori: 1-year post-injury findings from a New Zealand cohort study

“…Qualitative interviews with Māori POIS participants revealed that access to health services went beyond the issue of cost and included a lack of suitable times outside of work hours for treatment and rehabilitation appointments and issues with transport availability and/or difficulties in arranging childcare to attend these (Wyeth et al, in preparation). POIS-10 Māori [ 22 ] is investigating further reasons people have difficulty accessing healthcare for their injury.…”

“…Importantly, our findings are currently being used to inform the development of an intervention to help identify injured Māori who would benefit early on from greater care and support in order to optimise recovery and reduce the chance of adverse outcomes at 12-months post-injury. They will also inform future Māori EQ-5D-3L analyses and comparisons with 12-year post-injury outcomes for injured Māori as part of the POIS-10 Māori study [ 22 ] for which data collection has recently been completed (July 2021) and is now being prepared for analyses. Current and future findings will provide useful information for ACC and health providers as to how they can optimise care and improve outcomes for injured Māori.…”

Indigenous Māori perspectives of smokefree parks

“…While the Meihana Model was first proposed as a guide for clinical practice, 26 it has subsequently supported a wider range of health research. [27][28][29][30] Framing the research within the Meihana Model enabled explicit consideration of the model's component parts -Whakapapa (ancestral links), Hinengaro (mental health), Tinana (physical health), Iwi-Katoa (society-organisations), Taiao (environment), and Whānau (family). Central to this approach was the composition of the research team.…”

“…This approach implements the early stages of the behavioural change framework presented by Michie et al, 25 with an exploration of the issue and context, and allows for the Meihana Model to guide analysis. While the Meihana Model was first proposed as a guide for clinical practice, 26 it has subsequently supported a wider range of health research 27-30 . Framing the research within the Meihana Model enabled explicit consideration of the model's component parts – Whakapapa (ancestral links), Hinengaro (mental health), Tinana (physical health), Iwi‐Katoa (society‐organisations), Taiao (environment), and Whānau (family).…”