Māori experiences of neuroimaging practice in Aotearoa: illuminating cultural needs and opportunities to support whānau Māori (Māori families).

IF 1.5 4区医学 Q4 CLINICAL NEUROLOGY

Brain Impairment Pub Date : 2026-09-24 DOI:10.1071/IB25071

Ebony Komene, Monica Koia, Hinemoa Elder, Hone Morris, Corinne Bareham

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引用次数: 0

Abstract

Background: Culturally safe health care relies on partnering with Indigenous communities to determine and meet their care needs. For Māori, the head - and particularly the roro (brain) - is regarded as the most tapu (sacred) part of the body, yet there are currently no national-level guidelines for conducting neuroimaging in Aotearoa. Describing Māori experiences and their cultural considerations for neuroimaging practices offers opportunities to support culturally safe neuroimaging practice.

Methods: A Māori-centred approach guided this study. Semi-structured uiuinga (interviews) with three Māori men (aged 20, 21 and 46 years), who had previously participated in an electroencephalography session, were co-led by Māori and non-Māori researchers.

Results: Reflexive thematic analysis identified key themes across the neuroimaging journey, highlighting the importance of relational engagement, culturally grounded communication to support shared decision-making, and the integration of Māori values to enhance whānau confidence, agency and wellbeing. A second stage of collective data analysis, known as mahi ā-rōpū, involved participants, Māori language and tikanga (cultural) experts, and researchers informing the co-design of neuroimaging guidelines to enhance culturally safe practice in Aotearoa.

Conclusion: The research offers insight into Māori experiences of neuroimaging, and shows how Indigenous perspectives can be meaningfully integrated to ensure healthcare practices align with Māori values. The guideline proposed is an iterative starting point to inform care design, supporting both whānau and professionals when undertaking neuroimaging in Aotearoa.

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Māori奥特罗阿的神经影像学实践经验：阐明文化需求和支持whānau Māori （Māori家庭）的机会。

背景：文化上安全的卫生保健依赖于与土著社区合作，以确定和满足他们的保健需求。对于Māori来说，头部——尤其是大脑——被认为是身体最神圣的部分，然而目前在澳大利亚还没有国家级的神经成像指导方针。描述Māori经验及其对神经成像实践的文化考虑为支持文化安全的神经成像实践提供了机会。方法：Māori-centred方法指导本研究。与三位Māori男性（年龄分别为20岁、21岁和46岁）进行的半结构化访谈（访谈）由Māori和non-Māori研究人员共同领导，他们之前曾参加过脑电图检查。结果：反思性主题分析确定了整个神经成像过程中的关键主题，强调了关系参与的重要性，基于文化的沟通以支持共同决策，以及Māori价值观的整合以增强whānau的信心，代理和福祉。集体数据分析的第二阶段称为mahi ā-rōpū，参与者、Māori语言和tikanga（文化）专家以及研究人员共同参与了神经成像指南的设计，以加强在Aotearoa的文化安全实践。结论：该研究提供了对Māori神经影像学经验的见解，并展示了如何将土著观点有意义地整合起来，以确保医疗保健实践与Māori价值观保持一致。提出的指南是一个迭代的起点，为护理设计提供信息，支持whānau和专业人员在Aotearoa进行神经成像。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain Impairment CLINICAL NEUROLOGY-NEUROSCIENCES

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The journal addresses topics related to the aetiology, epidemiology, treatment and outcomes of brain impairment with a particular focus on the implications for functional status, participation, rehabilitation and quality of life. Disciplines reflect a broad multidisciplinary scope and include neuroscience, neurology, neuropsychology, psychiatry, clinical psychology, occupational therapy, physiotherapy, speech pathology, social work, and nursing. Submissions are welcome across the full range of conditions that affect brain function (stroke, tumour, progressive neurological illnesses, dementia, traumatic brain injury, epilepsy, etc.) throughout the lifespan.