{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:11:48Z","timestamp":1766362308239,"version":"3.48.0"},"reference-count":38,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,22]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Chronic cough is burdensome for individuals and healthcare providers and is a symptom common to a number of health conditions, including bronchiectasis. The prevalence of respiratory conditions, particularly bronchiectasis, is disproportionately high among Pacific people residing in Counties Manukau. Barriers to healthcare access and engagement, both practical and cultural, contribute to delayed presentation and advanced illness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aims to explore attitudes to cough and healthcare access by S\u0101moan adults living in Counties Manukau.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi-structured interviews guided by Talanoa, a Pacific-specific method, were conducted focusing on cough duration and characteristics, treatment-seeking behaviours, and healthcare experiences. Data were analysed thematically and framed using the Fonofale Model of Health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two overarching themes were constructed from seven Talanoa: \u2018Understanding my cough\u2019 and \u2018healing, curing and coping with cough\u2019. Chronic kale\/cough was found to impact on all pou (posts) of the Fonofale health model. Kale\/cough management strategies were drawn from S\u0101moan and Western health paradigms, perceived as complementary. Access to specialist services was valued and extended participants\u2019 coping repertoire further. Respect and trust shaped relationships with healthcare providers and influenced engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Models such as the Fonofale health model provide a framework for healthcare providers to better understand the multi-dimensional impact of cough. Recognising the cultural perspectives of populations underrepresented in the health workforce provides valuable insights to re-frame healthcare practice and service to optimise engagement with on-going symptoms such as cough and to support chronic conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc25114","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T04:48:02Z","timestamp":1764132482000},"page":"330-337","source":"Crossref","is-referenced-by-count":1,"title":["\u2018It\u2019s more than just kale (cough)\u2019. New Zealand S\u0101moan attitudes to living with chronic cough and healthcare access"],"prefix":"10.1071","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8080-935X","authenticated-orcid":true,"given":"Sarah","family":"Mooney","sequence":"first","affiliation":[{"name":"ADepartment of Respiratory Medicine, Health New Zealand Te Whatu Ora Counties Manukau, Auckland, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8891-5534","authenticated-orcid":true,"given":"Jessee Tanu","family":"Fia\u2019Ali\u2019i","sequence":"additional","affiliation":[{"name":"BDepartment of Anaesthesia, Health New Zealand Te Whatu Ora Counties Manukau, Auckland, New Zealand. Email: jessee.fia\u2019ali\u2019i@auckland.ac.nz, angela.upsdell@middlemore.co.nz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eti","family":"Televave","sequence":"additional","affiliation":[{"name":"CPeople and Professional Development, Health New Zealand, Te Whatu Ora Counties Manukau, Auckland, New Zealand. Email: eti.televave@middlemore.co.nz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Upsdell","sequence":"additional","affiliation":[{"name":"BDepartment of Anaesthesia, Health New Zealand Te Whatu Ora Counties Manukau, Auckland, New Zealand. 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