{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:19:13Z","timestamp":1787797153662,"version":"build-2784847793"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004629","name":"Ministry for Business Innovation and Employment","doi-asserted-by":"publisher","award":["3725142\/AA7N"],"award-info":[{"award-number":["3725142\/AA7N"]}],"id":[{"id":"10.13039\/501100004629","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic Obstructive Pulmonary Disease (COPD) disproportionately affects Pacific peoples in Aotearoa New Zealand, with higher incidence, prevalence, and hospitalisation rates than non\u2010M\u0101ori, non\u2010Pacific populations. Despite this inequity, little qualitative research has explored how Pacific peoples and their families experience living with COPD, or their perspectives on emerging digital health technologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study adopted a qualitative design informed by\n                      <jats:italic>talanoa<\/jats:italic>\n                      methodology to explore the experiences of Pacific peoples living with COPD and their family caregivers. Participants were purposively recruited through Pacific community and professional networks. Talanoa sessions were audio\u2010recorded, transcribed verbatim, and analysed using a general inductive approach to identify key themes and subthemes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three interconnected themes were identified: (1) living with COPD, characterised by delayed diagnosis, constant vigilance, and repeated hospitalisation; (2) the central role of family in COPD management, with family members acting as caregivers and clinical partners within culturally grounded, collective systems of care; and (3) attitudes toward digital health tools. Participants expressed openness to digital health technologies to support COPD management, provided these tools were simple, reliable, culturally accessible, and designed to complement, not replace existing self\u2010management and family\u2010based care practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Living with COPD for Pacific peoples is experienced as a collective and relational journey shaped by family, cultural values, and caregiving obligations, extending beyond individualised models of COPD self\u2010management. Family members play essential roles in managing COPD, yet this labour often remains unrecognised within formal health systems. Digital health tools offer potential to support COPD care if they are co\u2010designed with Pacific communities, align with Pacific values, and integrate within existing clinical and community care pathways. These findings highlight the need for culturally grounded, family\u2010inclusive approaches to COPD services and digital health innovation to advance health equity for Pacific peoples.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Patients living with COPD and family caregivers were central to this study as participants, contributing their lived experiences and perspectives. The study was guided by a Pacific relational approach that centred participant voices and the role of family in COPD care. Patients and the public were not involved in drafting the manuscript.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70768","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T12:36:40Z","timestamp":1784032600000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Living With COPD and Views on Digital Health Tools Among Pacific Peoples and Family Carers in Aotearoa New Zealand: A Qualitative Study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0017-5137","authenticated-orcid":false,"given":"Amio","family":"Matenga\u2010Ikihele","sequence":"first","affiliation":[{"name":"Moana Connect Auckland New Zealand"},{"name":"Pacific Health Section School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Ali'ifa'alogo","sequence":"additional","affiliation":[{"name":"Moana Connect Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaela","family":"Roberts","sequence":"additional","affiliation":[{"name":"Moana Connect Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Chan","sequence":"additional","affiliation":[{"name":"School of Pharmacy, Faculty of Medical and Health Sciences, University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Geoffrey","family":"Chase","sequence":"additional","affiliation":[{"name":"Faculty of Engineering Mechanical Engineering, University of Canterbury Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ella F. S.","family":"Guy","sequence":"additional","affiliation":[{"name":"Faculty of Engineering Mechanical Engineering, University of Canterbury Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.101936"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(24)00109-3"},{"key":"e_1_2_10_4_1","unstructured":"L.Telfar\u2010BarnardandJ.Zhang The Impact of Respiratory Disease in New Zealand: 2023 update. University of Otago: Asthma and Respiratory Foundation New Zealand 2024 https:\/\/www.asthmafoundation.org.nz\/assets\/documents\/Respiratory-Impact-Report-2023.pdf."},{"key":"e_1_2_10_5_1","unstructured":"Stats NZ Pacific Housing: People Place and Wellbeing in Aotearoa New Zealand 2023 https:\/\/www.stats.govt.nz\/reports\/pacific-housing-people-place-and-wellbeing-in-aotearoa-new-zealand\/."},{"key":"e_1_2_10_6_1","volume-title":"Yavu \u2013 Foundations of Pacific Engagement","author":"Ministry for Pacific Peoples","year":"2022"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2025.08.019"},{"key":"e_1_2_10_8_1","volume-title":"Global Strategy on Digital Health 2020\u20102027","author":"World Health Organization","year":"2025"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.2196\/42719"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/26410397.2024.2445934"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.15663\/wje.v12i1.296"},{"key":"e_1_2_10_12_1","volume-title":"Pacific Health Research Guidelines","author":"Health Research Council of New Zealand","year":"2014"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1098214005283748"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/10497323241259891"},{"issue":"3","key":"e_1_2_10_15_1","first-page":"201","article-title":"Responsibility for Copd Self\u2010Management in Ethno\u2010Cultural Communities: The Role of Patient, Family Member, Care Provider and the System","volume":"11","author":"Shum J.","year":"2014","journal-title":"Diversity and Equality in Health and Care"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/10649867.2023.2225955"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/15528030.2023.2221872"},{"key":"e_1_2_10_18_1","unstructured":"S.Thomsen H.Shafiee andA.Russell(2023). Pacific peoples' wellbeing: Background paper to Te Tai Waiora: Wellbeing in Aotearoa New Zealand 2022 (Analytical Paper No. 23\/01). New Zealand Treasury https:\/\/www.treasury.govt.nz\/publications\/ap\/ap-23-01."},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-75955-4"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/1177083X.2023.2292268"},{"key":"e_1_2_10_21_1","article-title":"Caring for Our Wisdom Bearers: Pacific M\u0101tua (Elder) Care Report","author":"Alefaio\u2010Tugia S.","year":"2023","journal-title":"Massey University"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/kot2.70005"},{"key":"e_1_2_10_23_1","unstructured":"Infometrics. (2022). The economic value of caregiving in New Zealand. 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