Are we just dishing out pills constantly to mask their pain? Kaiāwhina Māori health workers' perspectives on pain management for Māori.


Journal

The New Zealand medical journal
ISSN: 1175-8716
Titre abrégé: N Z Med J
Pays: New Zealand
ID NLM: 0401067

Informations de publication

Date de publication:
08 10 2021
Historique:
entrez: 25 10 2021
pubmed: 26 10 2021
medline: 26 11 2021
Statut: epublish

Résumé

To explore kaiāwhina (Māori community health workers) perspectives on supporting whānau Māori with chronic pain, and to understand their views on the use of online resources for pain management. A Māori-centred, qualitative design using focus groups as the primary data collection method. Analysis using the general inductive approach. Thirteen kaiāwhina working in the Greater Wellington region took part in the focus groups. Four key themes were identified: (1) treatment of chronic pain in primary health relies exclusively on medication, (2) health literacy approaches to pain management are urgently required, (3) Māori have significant unmet need for culturally responsive pain management, and (4) the availability of, and referral practices to, specialist pain services are inadequate for Māori communities. Current chronic pain management was predominantly biomedical, and educational strategies lack health literacy approaches. Primary health services exclude traditional Māori methods of treating chronic pain and do not focus on whānau wellbeing. The lack of referral for Māori to specialist services highlights the existing health inequities for Māori. Developing new initiatives (both in-person and online) to address chronic pain management for Māori must be Māori-led and co-designed with whānau to result in holistic solutions for Māori.

Identifiants

pubmed: 34695073

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

19-29

Déclaration de conflit d'intérêts

Nil.

Auteurs

Hemakumar Devan (H)

Centre for Health, Activity, and Rehabilitation Research (CHARR), School of Physiotherapy, University of Otago, Wellington, New Zealand.

Bernadette Jones (B)

Department of Medicine, University of Otago, Wellington, New Zealand.

Cheryl Davies (C)

Tu Kotahi Māori Asthma and Research Trust, Wellington, New Zealand.

Meredith Perry (M)

Centre for Health, Activity, and Rehabilitation Research (CHARR), School of Physiotherapy, University of Otago, Wellington, New Zealand.

Leigh Hale (L)

Centre for Health, Activity, and Rehabilitation Research (CHARR), School of Physiotherapy, University of Otago, Dunedin, New Zealand.

Rebecca Grainger (R)

Department of Medicine, University of Otago, Wellington, New Zealand.

Tristram Ingham (T)

Department of Medicine, University of Otago, Wellington, New Zealand.

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