HE AHA TĀ MĀTOU I TŪHURA AI
What we investigated
Take | Issue
There are significant ethnic and social disparities in the prevalence and outcomes of type 2 diabetes in Aotearoa New Zealand, resulting from a range of complex factors such as wider social determinants of health, levels of engagement with the health system and management of the condition and its complications.
Whāinga | Aim
Mana Tū is a co-designed programme which deploys skilled and supported Kaimanaaki-whānau to help people with poorly controlled diabetes manage their own health. The Kaimanaaki work with General Practice (GP) teams while being supported by a central hub, which co-ordinates a range of support systems.
This project is investigating whether Mana Tū can improve the impact of clinical and lifestyle interventions for people with poorly controlled diabetes and whānau living with pre-diabetes.
Huarahi I Whāia | Approach
The Mana Tū programme is being evaluated using a cluster randomised controlled trial of 400 participants across ten GP clinics, with a primary measure of reducing HbA1c. The project is also undertaking qualitative research that explores the implementation process from an Indigenous perspective, including acceptability, adoption, fidelity, penetration and sustainability. Finally, it will explore the efficiency and cost effectiveness of Mana Tū.
This project was funded by:
The Ministry of Health, Health Research Council of New Zealand, and Healthier Lives National Science Challenge, as part of the Long-Term Conditions Partnership.
Puka Rangahau | Academic Publications
- Mana Tū: a whānau ora approach to type 2 diabetes. The New Zealand Medical Journal (2018), 131:1485.
- Indigenous health worker support for patients with poorly controlled type 2 diabetes: study protocol for a cluster randomised controlled trial of the Mana Tū programme. BMJ Open (2018), 8(12), e019572.
- Māori and Pacific peoples’ experiences of a Māori-led diabetes programme New Zealand Medical Journal (2021), 134:1543.
- Understanding the workforce that supports Māori and Pacific peoples with type 2 diabetes to achieve better health outcomes. BMC Health Serv Res 22,672 (2022).
Pāpāho | Media
- Maori approach to diabetes treatment studied Waatea News (2017)
- Mana Tū Diabetes NZ (2019)
- More Māori and Pacific health workers should be doctors, nurses and managers – Dr Matire Harwood Stuff.co.nz (2019)
- Research shows navigators effective for Maori health Waatea News (2020)