We aim to reduce the national burden of non-communicable diseases (NCDs) and improve equity of health outcomes across New Zealand.
Our 2019-2024 strategy focuses on three research themes:
- Healthy food and physical activity environments
- Culturally engaged health interventions for Māori and Pacific peoples
- Precision medicine and personalised prevention.
The Challenge addresses four of New Zealand’s main non-communicable diseases (NCDs):
- Cardiovascular disease (CVD)
New Zealand’s NCD statistics are disturbing:
- $500m to $1,000m Vote Health dollars are spent each year on diagnosis and treatment of cancer-related events
- New Zealand’s incidence of colorectal cancer is among the highest in the world
- CVD kills more than one in three New Zealanders, and is responsible for more than 30,000 hospital admissions each year
- We have the third highest prevalence of obesity within OECD countries
- 8% of the adult population have type 2 diabetes (rising 7% per annum), and 25% have prediabetes
The key to changing this is delivering the right prevention to the right population and the right treatment to the right patient.
- We aim to reduce the health burden of these diseases by 25% by 2025
- We aim to reduce inequalities between populations by 25% by 2025
We plan to do this in partnership with stakeholders and communities by generating world class research, and translating our research findings into innovative health policy, practice, and technology, designed for New Zealand’s unique communities.
Five high-level research programmes have been identified as priorities:
- Personalised prevention through new technologies
- Minimally invasive markers for effective cancer diagnosis and treatment
- Enhanced CVD and diabetes risk reduction
- Delivering culturally centred health initiatives
- Slowing progression of prediabetes to diabetes
Five projects have been selected for initial funding from the Challenge. Four of these projects align directly to the first four research programmes, while the fifth is focused on data integration and will deliver across all the research programmes.
A further five projects have been funded through the Long Term Conditions partnership with the Ministry of Health and the Health Research Council, three of which align directly to the Slowing progression of prediabetes to diabetes programme.
The initial projects address issues identified by stakeholders as requiring urgent attention. They build from existing research and capability, use the nature of the Challenge to stretch current approaches, and will deliver impact within the ten year time-frame:
- OL@-OR@, A Māori and Pasifika mHealth approach
- Circulating tumour DNA for better cancer management in New Zealand
- Equitable CVD and diabetes risk prediction
- He Pikinga Waiora: Making health interventions work for Māori communities
- Capitalising on New Zealand’s health data
- Mana Tū: A whānau ora approach to long term conditions
- Food 4 Health – prevent diabetes He Oranga Kai
- Innovative management of diabetes with a comprehensive digital health programme
- Empowering Pacific Island communities to lead healthier lifestyles
- Community rehabilitation for multiple conditions
- Carbohydrate quality and human health: a series of systematic reviews and meta-analyses The Lancet (2019) 393:10170 434-445
- He Pikinga Waiora: supporting Māori health organisations to respond to pre-diabetes International Journal for Equity in Health (2019) 18:3
- What protects against pre-diabetes progressing to diabetes? Observational study of integrated health and social data Diabetes Research and Clinical Practice (2019) 148 119-129
- Addressing health inequities in cardiovascular health in indigenous communities: Implementation process matters as much as the intervention itself International Journal of Cardiology (2018)
- An integrated approach to prevent chronic lifestyle diseases in Māori men International Journal of Integrated Care (2018)
- BetaMe: impact of a comprehensive digital health programme on HbA1c and weight at 12 months for people with diabetes and pre-diabetes: study protocol for a randomised controlled trial Trials (2018)
- Cardiovascular disease risk prediction equations in 400 000 primary care patients in New Zealand: a derivation and validation study The Lancet (2018)
- Co-designing an mHealth tool in the New Zealand Māori community with a “Kaupapa Māori” approach AlterNative: An International Journal of Indigenous Peoples (2018)
- He Pikinga Waiora Implementation framework: A tool for chronic disease intervention effectiveness in Māori and other Indigenous communities International Journal of Integrated Care (2018)
- 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:e019572
- Mana Tū: a whānau ora approach to type 2 diabetes The New Zealand Medical Journal (2018)
- The effectiveness of a co-designed, culturally-tailored mHealth tool to support healthy lifestyles in Māori and Pasifika communities in New Zealand: Study protocol of a cluster-randomised controlled trial JMIR Research Protocols (2018)
- Using codesign to develop a culturally tailored, behavior change mHealth intervention for indigenous and other priority communities: A case study in New Zealand Translational Behavioral Medicine (2018)
- The Equitable cardiovascular and diabetes risk prediction research project has refined risk equations for CVD which have been incorporated into the Cardiovascular Disease Risk Assessment and Management for Primary Care guidelines, issued by the Ministry of Health in February 2018.
- Identifying strategic opportunities for Māori community organisations to respond to pre-diabetes: Building a platform for integrated care to deliver change that matters to communities. International Journal of Integrated Care (2017) 17(5):A166.
- Implementation framework for chronic disease intervention effectiveness in Māori and other indigenous communities Globalization and Health (2017) 13:69
- Living in areas with different levels of earthquake damage and risk of cardiovascular disease: a cohort-linkage study The Lancet Planetary Health (2017) 1:6 e242–e253
- Co-design of MHealth Delivered Interventions: A Systematic Review to Assess Key Methods and Processes Current Nutrition Report (2016) 5:160-167