Improving outcomes from pain management programmes in Aotearoa New Zealand: listening to the voices of Māori

David K. Jones; Rebecca M. Mowat; Gwyn N. Lewis; Catherine M. Cook

doi:10.1177/11771801251334566

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Improving outcomes from pain management programmes in Aotearoa New Zealand: listening to the voices of Māori

Journal article

Open access

Peer reviewed

Improving outcomes from pain management programmes in Aotearoa New Zealand: listening to the voices of Māori

David K. Jones, Rebecca M. Mowat, Gwyn N. Lewis and Catherine M. Cook

AlterNative, Vol.21(2), pp.364-374

2025

DOI: https://doi.org/10.1177/11771801251334566

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Abstract

chronic pain

cultural competency

equity

holistic care

pain management

Māori

There are inequities for Māori (Indigenous peoples of New Zealand) in relation to chronic pain, including a disproportionate prevalence of chronic pain, a greater impact of pain, and reduced long-term benefit from chronic pain services. This likely arises from impacts of colonisation and racism within health services. The study aimed to determine the experience of Māori who had attended a 3-week pain management programme in Aotearoa New Zealand. Six participants were interviewed regarding their experiences of attending the programme, and the data analysed using thematic analysis. Five themes were developed: Lost and alienated, Manaakitanga (kindness, respect, care) created a supportive environment; Education enables mana āhua ake (personal autonomy); Whanaungatanga (relationship) is valued; and Where is the tikanga (Māori protocols)? The programme provided respectful care that facilitated participants to make their own health care choices. However, the lack of tikanga and Māori health views meant the programme was experienced as medical and Western-oriented.

Details

Title: Improving outcomes from pain management programmes in Aotearoa New Zealand: listening to the voices of Māori
Authors: David K. Jones - Auckland University of Technology
Rebecca M. Mowat - Auckland University of Technology
Gwyn N. Lewis (Corresponding Author) - Auckland University of Technology
Catherine M. Cook - Auckland University of Technology
Publication details: AlterNative, Vol.21(2), pp.364-374
Publisher: Sage Publications Ltd.
Date published: 2025
DOI: 10.1177/11771801251334566
ISSN: 1174-1740
Copyright note: © The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Organisation Unit: School of Health - Nursing
Language: English
Record Identifier: 991205277802621
Output Type: Journal article

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