Browsing by Author "Tiatia-Seath J"
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- ItemAssessing youth empowerment and co-design to advance Pasifika health: a qualitative research study in New Zealand.(Elsevier B.V., 2021-11-25) Prapaveissis D; Henry A; Okiama E; Funaki T; Faeamani G; Masaga J; Brown B; Kaholokula K; Ing C; Matheson A; Tiatia-Seath J; Schlesser M; Borman B; Ellison-Loschmann L; Tupai-Firestone ROBJECTIVES: The Pasifika Prediabetes Youth Empowerment Programme (PPYEP) was a community-based research project that aimed to investigate empowerment and co-design modules to build the capacity of Pasifika youth to develop community interventions for preventing prediabetes. METHODS: This paper reports findings from a formative evaluation process of the programme using thematic analysis. It emphasises the adoption, perceptions and application of empowerment and co-design based on the youth and community providers' experiences. RESULTS: We found that the programme fostered a safe space, increased youth's knowledge about health and healthy lifestyles, developed their leadership and social change capacities, and provided a tool to develop and refine culturally centred prediabetes-prevention programmes. These themes emerged non-linearly and synergistically throughout the programme. CONCLUSIONS: Our research emphasises that empowerment and co-design are complementary in building youth capacity in community-based partnerships in health promotion. Implications for public health: Empowerment and co-design are effective tools to develop and implement culturally tailored health promotion programmes for Pasifika peoples. Future research is needed to explore the programme within different Pasifika contexts, health issues and Indigenous groups.
- ItemInvestigating principles that underlie frameworks for Pacific health research using a co-design approach: learnings from a Tongan community based project(Pasifika Medical Association, 22/06/2021) Pulu V; Tiatia-Seath J; Borman B; Firestone RThe New Zealand Tongan peoples’ worldview leans more towards a traditional and indigenous paradigm that encompasses the importance of family, spirituality or Christian beliefs and connection with their environment. These priorities align with core principles and values of co-design, and therefore, co-designed interventions will be better used and accepted in addressing health issues prevalent in the Tongan community. Co-design methods adapt to the cultural setting they are applied to, prioritizes the Tongan peoples’ cultural values and world views and captures the needs of the Tongan community to inform the development of the intervention. It supports family members to stand with authority, as well as place the Tongan participants at the centre of the research by including families, employing culturally safe practices, addressing the broader determinants of health, and focusing on system issues rather than on individuals.The generation of discussion in co-design further aligns with the Pacific knowledge of systems, creation stories and oral stories which provide a culturally empowering way to generate discussion and insights from the Tongan community
- ItemPasifika prediabetes youth empowerment programme: evaluating a co-designed community-based intervention from a participants’ perspective(Taylor and Francis Group on behalf of the Royal Society of New Zealand, 4/02/2021) Firestone R; Faeamani G; Okiakama E; Funaki T; Henry A; Prapaveissis D; Filikitonga J; Firestone J; Tiatia-Seath J; Matheson A; Brown B; Schleser M; Kaholokula JKA; Ing C; Borman B; Ellison-Loschmann LThis paper provides insights from a community-centre intervention study that was co-designed by youth, health providers and researchers. The aims of the paper were to highlight the effectiveness of a co-designed community centred diabetes prevention intervention, and to determine whether a culturally tailored approach was successful. The study participants (n = 26) were at risk of developing prediabetes and represented the working age group of Pasifika peoples in NZ (25–44-year olds). The community-centre intervention consisted of 8 weeks of community physical activity organised and led by the local youth, a community facilitator, and the community provider. Semi-structured interviews with each of the intervention participants using a Pasifika narrative approach (talanoa) was carried out. Each interview was transcribed, coded and analysed and compared using thematic analyses. The study highlights four major themes illuminating positive successes of the community-centre intervention programme, and conclude that co-designing interventions for Pasifika peoples, should be culturally tailored to meet the realities of the communities and require strong support from associated community providers.