What affects programme engagement for Māori families? A qualitative study of a family‐based, multidisciplinary healthy lifestyle programme for children and adolescents

It is important that intervention programmes are accessible and acceptable for groups most affected by excess weight. This study aimed to understand the barriers to and facilitators of engagement for Māori in a community‐based, assessment‐and‐intervention healthy lifestyle programme (Whānau Pakari).

[1]  P. Hofman,et al.  Challenges of making healthy lifestyle changes for families in Aotearoa/New Zealand , 2020, Public Health Nutrition.

[2]  Rebekah Graham,et al.  Experiences of Māori of Aotearoa New Zealand's public health system: a systematic review of two decades of published qualitative research , 2020, Australian and New Zealand journal of public health.

[3]  Arier C. Lee,et al.  Survey of Barriers and Facilitators to Engagement in a Multidisciplinary Healthy Lifestyles Program for Children. , 2019, Journal of nutrition education and behavior.

[4]  P. Reid,et al.  Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition , 2019, International Journal for Equity in Health.

[5]  J. Stanley,et al.  Multiple forms of discrimination and relationships with health and wellbeing: findings from national cross-sectional surveys in Aotearoa/New Zealand , 2018, International Journal for Equity in Health.

[6]  M. Harwood,et al.  Achieving health equity in Aotearoa: strengthening responsiveness to Māori in health research. , 2017, The New Zealand medical journal.

[7]  C. Grant,et al.  A Novel Home‐Based Intervention for Child and Adolescent Obesity: The Results of the Whānau Pakari Randomized Controlled Trial , 2017, Obesity.

[8]  L. Hale,et al.  Understanding obesity in the context of an Indigenous population-A qualitative study. , 2017, Obesity research & clinical practice.

[9]  B. Koes,et al.  The association between ethnicity, socioeconomic status and compliance to pediatric weight-management interventions - A systematic review. , 2017, Obesity research & clinical practice.

[10]  I. Perry,et al.  Barriers and facilitators to initial and continued attendance at community‐based lifestyle programmes among families of overweight and obese children: a systematic review , 2016, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[11]  E. Curtis.  Indigenous Positioning in Health Research: The importance of Kaupapa Māori theory-informed practice , 2016 .

[12]  J. Chu,et al.  Indigenous and tribal peoples' health (The Lancet–Lowitja Institute Global Collaboration): a population study , 2016, The Lancet.

[13]  Jennifer Wright,et al.  Impact of colonialism on Māori and Aboriginal healthcare access: a discussion paper† , 2016, Contemporary nurse.

[14]  C. Grant,et al.  The effect of a multi-disciplinary obesity intervention compared to usual practice in those ready to make lifestyle changes: design and rationale of Whanau Pakari , 2015, BMC Obesity.

[15]  G. Gee,et al.  Racism as a Determinant of Health: A Systematic Review and Meta-Analysis , 2015, PloS one.

[16]  T. Percival,et al.  Acceptability and non-compliance in a family-led weight-management programme for obese Pacific children , 2015, Public Health Nutrition.

[17]  James D. Wright,et al.  Sociology of Racism , 2015 .

[18]  M. Tobias,et al.  The pervasive effects of racism: experiences of racial discrimination in New Zealand over time and associations with multiple health domains. , 2012, Social science & medicine.

[19]  F. Baum,et al.  Racism, social resources and mental health for Aboriginal people living in Adelaide , 2011, Australian and New Zealand journal of public health.

[20]  C. Veitch,et al.  Cultural barriers to health care for Aboriginal and Torres Strait Islanders in Mount Isa. , 2011, The Australian journal of rural health.

[21]  A. Cass,et al.  Addressing inequities in access to quality health care for indigenous people , 2008, Canadian Medical Association Journal.

[22]  N. Pearce,et al.  Improving access to health care among New Zealand's Maori population. , 2006, American journal of public health.

[23]  T. Tripp-Reimer,et al.  Cultural Barriers to Care: Inverting the Problem , 2001 .

[24]  C P Jones,et al.  Levels of racism: a theoretic framework and a gardener's tale. , 2000, American journal of public health.