Pacific health dialog最新文献

{"title":"Evaluating the feasibility and effectiveness of self-monitoring of health among Samoan women: a randomized trial","authors":"Erica L Kocher, Mayur M. Desai, Anna C. Rivara, T. Naseri, N. Hawley","doi":"10.26635/phd.2020.636","DOIUrl":"https://doi.org/10.26635/phd.2020.636","url":null,"abstract":"Introduction: Self-monitoring technologies that help individuals track their health have proven effective in high-income countries but have not been widely tested or marketed in the Pacific. We conducted a pilot randomized controlled trial in Samoa to investigate the feasibility and acceptability of step-counters and digital scales. Methods: The trial enrolled 44 Samoan women (31-40 years), without previously diagnosed chronic conditions (hypertension, diabetes, etc.), who reported motivation to become more physically active. After measuring daily step counts for one week in the absence of feedback, participants were randomly assigned to one of three groups for a four-week intervention period: 1) FitBit Zip® step-counter, 2) digital BodyTrace© scale, or 3) both devices. Outcomes of interest were device use, psychosocial indicators of health, daily step counts, and body mass index, measured at baseline and post-intervention. Findings: Participants who received scales used them a median of 5.5 times during the four-week intervention period. While FitBits were used a majority of days during the baseline period, there was significant decline in use during the intervention. In all groups, Health Locus of Control, Self-Efficacy for Exercise, and Weight Efficacy improved. However, while the Scale Only group reported improved health-related quality of life, the two groups that used FitBits either did not significantly change or significantly decreased in their assessments of this measure. No group demonstrated change in average daily step counts during the intervention; BMI increased among the two groups using the scales. Conclusions: Results suggest that self-monitoring technologies are acceptable in Samoa and generally improve psychosocial indicators of health. Further research is necessary to assess their effectiveness as an intervention tool and to determine how best to sustain device use over time. The significant increase in BMI over the relatively short intervention period highlights the importance of developing effective intervention approaches in this setting.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"309-318"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44137612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Setting sail and returning home. Research voyaging in Aotearoa","authors":"R. Richards, Justine Camp, J. Kokaua, Terina Raureti, Albany W Lucas, Darcy Karaka, Hannah Rapata, Michael Lameta","doi":"10.26635/phd.2020.637","DOIUrl":"https://doi.org/10.26635/phd.2020.637","url":null,"abstract":"We are drawn to this Talanoa in response to the call from Pacific Health Dialogue for frank and open discussion. Our contribution to the conversation is some reflections about our experience of academic health research as a collective of Māori and Pacific researchers trying to navigate within a large national research programme. Alongside this we will share the voyaging framework we developed to help locate ourselves as a collective, and articulate our needs and aspirations as early to mid-career researchers. Our collective met in the context of working with A Better Start – E tipu e rea, a National Science Challenge created by the New Zealand government.1 Better Start focuses on the health of children and young people across five key areas; healthy weight, resilient teens, successful literacy and learning, big data and Vision Mātauranga. Our team came together as collaborators within the Big Data theme, to explore the Integrated Data Infrastructure (IDI) as an area of possibility and challenge for both Māori and Pacific communities.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"341-346"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41672380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a child health survey for a Pacific Island nation. Integrating the Delphi method with Pacific methodologies","authors":"Fiona C Langridge, M. Ofanoa, T. Fakakovikaetau, T. Percival, L. Wilkinson-Meyers, C. Grant","doi":"10.26635/phd.2020.638","DOIUrl":"https://doi.org/10.26635/phd.2020.638","url":null,"abstract":"Introduction: There is minimal information available that describes the health of children of primary school age (5-12 years) living in the Pacific. Current tools that exist for measurement of health have not been developed with Pacific paradigms in mind. Our objective was to describe the development of a culturally and contextually appropriate health survey to enable measurement of the health status of 512 year olds living in a Pacific Island Nation. Methods: Integrating a Delphi method with Pacific methodologies, two rounds of online questionnaires involving 33 panel members reviewed what to include in a health survey for primary school-aged children living in Tonga. The panel consisted of paediatric clinicians and academics, teachers and parents from Tonga, New Zealand, USA, and the UK. Results: Panel consensus was met on a range of domains to be included in the survey including: general demographics (80%), environment (80%), resilience and risk (88%), household economics (80%), psychological functioning (92%), social functioning (92%), physical functioning (88%), cognitive functioning (92%) and individual health conditions (84%). Particular importance was placed on including questions that described exposure of children to violence and abuse (93%). Conclusions: Based upon the consensus of a diverse expert panel, the domains that are necessary for the measurement of health in primary school-aged children living in Tonga were identified. The Delphi method proved a valid and useful technique to assist with the development of such a health survey and enabled the incorporation of a Pacific lens – a Tongan understanding of measuring children’s health.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"319-334"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48305761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Application of a Tivaivai Research framework to a quantitative Pacific health research project using New Zealand’s Integrated Data Infrastructure","authors":"J. Kokaua, Seini Jensen, T. Ruhe, Justine Camp, Wilmason Jensen, Debbie Sorensen, Albany W Lucas, R. Richards","doi":"10.26635/phd.2020.621","DOIUrl":"https://doi.org/10.26635/phd.2020.621","url":null,"abstract":"Using the Integrated Data Infrastructure (IDI) to investigate or research various social, cultural, health, or other related outcomes is appealing and has a lot of potential. The IDI offers sufficient numbers for researchers to investigate outcomes in Pacific communities to a level of detail not available in many studies. The overall aim of this paper is discuss the appropriate values for research projects involving Pacific communities using IDI data; issues around ownership of data from Pacific communities; consent; identification; and other ethical considerations. Although the IDI has a great deal of potential for Pacific health research, many findings based on research using IDI data have been recognised as deficit-framed and polarising for the communities they describe. Some would argue that such findings highlight discrepancies in health or social equity and point to deficiencies that should be the responsibility of governmental organisations. Most analyses stop short of investigating practical pathways for communities to find solutions that are sympathetic to the values or established infrastructure of those communities. This paper proposes an extension to the Tivaivai/Tivaevae research framework and shows how it incorporates values that should be reflected in Pacific research using IDI data. With applications in a range of disciplines, the Tivaivai framework, like many Pacific research models, has been applied to qualitative or small mixed-methods projects, and restricted to Cook Islands research. The paper describes an outline of values that will underpin a specific Pacific health research project and presents a framework for how to incorporate those principles into that study. It is hoped, that this paper may provide a starting point for other quantitative Pacific research projects involving administrative or other big data. Further, it also provides a blueprint for any study, Pacific or otherwise, to be explicit about the values principles and connection they wish to uphold for the communities that are the focus of their research","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"206-215"},"PeriodicalIF":0.0,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49413000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aedes Mosquito Control and Surveillance in the Pacific","authors":"L. Anderson, F. Sopoaga, Susan Jack","doi":"10.26635/phd.2020.623","DOIUrl":"https://doi.org/10.26635/phd.2020.623","url":null,"abstract":"Introduction: Mosquitoes of the genus Aedes transmit dengue, Zika and chikungunya viruses, and the incidence of these diseases is increasing in the Pacific. This can be attributed to increased movement of people and goods, unplanned urbanisation, and global warming, among other factors. As vaccines are unavailable, we rely on vector control programs to prevent disease transmission. This study aimed to evaluate current practice in vector control and surveillance in 10 Pacific Island countries and identify evidence-based vector control interventions and surveillance methods for use in these countries. Methods: This study was conducted in preparation for TechCamp New Zealand, 24-26 January 2018, which aimed to work with stakeholders from 10 Pacific nations to reduce the spread of vector-borne diseases in the region. We conducted a literature review of published reviews and meta-analyses evaluating Aedes control and surveillance to find methods appropriate for use in Pacific Island countries. We collected information regarding current Aedes mosquito control and surveillance practice in 10 Pacific countries from TechCamp participants, through a survey, presentation and interview. Findings: Combinations of vector control interventions, applied appropriately, can prevent disease transmission. Although such programs exist in the Pacific, some interventions do not currently follow best practice. Key barriers to implementing evidence-based practice include lack of targeted education, internet and network coverage, personnel and expertise. Conclusions: Future goals for the region include the adaptation of current practice to evidence-based practice, and the development of vector and risk factor surveillance for targeted mosquito control. New developments should be sustainable and not reliant on internet or network real-time coverage. Education should be targeted to local communities to maximise community participation.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"226-232"},"PeriodicalIF":0.0,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49294799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pasifika Medical Association 23rd Conference Niue 24–26 September 2019","authors":"K. Okesene-Gafa","doi":"10.26635/phd.2020.632","DOIUrl":"https://doi.org/10.26635/phd.2020.632","url":null,"abstract":"Pasifika Medical Association Conference 2019: The Rising Tide Statement, 26 September 2019","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"288-301"},"PeriodicalIF":0.0,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41750395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ReReflections on a Pacific regional event held in New Zealand: exploring best practice for serving Pacific communities","authors":"Sarah Jutel, Bradley Watson, F. Sopoaga","doi":"10.26635/phd.2020.631","DOIUrl":"https://doi.org/10.26635/phd.2020.631","url":null,"abstract":"The aim of this paper is to explore best practice, practical, collaborative and culturally-informed solutions for organising events to serve identified areas of importance for Pacific regional countries. This paper describes the design and implementation of a two-day hands-on workshop designed to support organizational capacity and strengthen innovation, solutions, and communication around mosquito-borne diseases in the Pacific region. The workshop (TechCamp New Zealand) was organised by the University of Otago in collaboration with the U.S. Consulate General New Zealand and with support from the Pacific Community. We share our experiences with the objective of supporting partnership approaches by governments, research institutions and other non-profit organisations when engaging with Pacific countries.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"281-287"},"PeriodicalIF":0.0,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49362915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pacific people’s health: migrant populations, in-country populations, and appropriating the research to study them","authors":"Donald Wilson","doi":"10.26635/phd.2020.620","DOIUrl":"https://doi.org/10.26635/phd.2020.620","url":null,"abstract":"","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"204-205"},"PeriodicalIF":0.0,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46555847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Celebration of a Samoan Odyssey - Papali'i Dr Semisi Maiai","authors":"C. Tukuitonga","doi":"10.26635/phd.2020.633","DOIUrl":"https://doi.org/10.26635/phd.2020.633","url":null,"abstract":"","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"302-303"},"PeriodicalIF":0.0,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42068243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of health messaging in a televised soap opera on diabetes risk knowledge: a longitudinal study conducted in Fiji","authors":"Jyotishna Mudaliar, J. McCool, M. Gerbasi, Anne Becker","doi":"10.26635/phd.2020.625","DOIUrl":"https://doi.org/10.26635/phd.2020.625","url":null,"abstract":"Purpose: We hypothesized that exposure to locally relevant health content in Shortland Street (a New Zealand based hospital television drama) would be associated with increased knowledge and awareness of diabetes and associated risk factors. Methods: Prospective explorative study design to compare knowledge of health and diabetes-related risk, and healthy behaviours, self-efficacy, behavioural intentions, and perceived social norms among a convenience sample of Fijian television viewers before after exposure to health messaging in three episodes of Shortland Street. Results: Exposure to health messages in the Shortland Street episodes was associated with change in perceived health and diabetes norms. Perception that family members were engaged with healthy behaviors increased significantly following exposure (p = .033). Perceived prevalence of diabetes among acquaintances significantly increased following exposure to the episodes (p = .008). Conclusions: Entertainment Education may be helpful in shifting health norms in the context of Fiji, alongside other health promotion measures.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"253-264"},"PeriodicalIF":0.0,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42652503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}