{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:57:04Z","timestamp":1790571424468,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This research aimed to gain an understanding of rheumatic fever related echocardiography experiences from Indigenous Maaori and Pacific children, adolescents and their whaanau (family members) in the Counties Manukau region of Aotearoa New Zealand to improve these services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The study used qualitative Indigenous Kaupapa Maaori consistent and Kakala methodologies. The research was based in the Counties Manukau region of Auckland, New Zealand. Data was collected through interviews with Maaori and Pacific children and adolescents with rheumatic fever or rheumatic heart disease who had recently had echocardiograms and their whaanau. Data was analysed using a general inductive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventeen Participants Were Included in the Study. Four Themes Were Identified in the General Inductive Analysis: (1) Communication; (2) Engagement; (3) Access; (4) Kaiaawhina.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>By identifying barriers and facilitators of echocardiography services for rheumatic fever, this research provided knowledge and insights that can assist in developing child, adolescent and whaanau\u2010focused models of care that have the potential to improve patient experience and echocardiography services in Aotearoa New Zealand.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70509","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T09:20:03Z","timestamp":1784712003000},"page":"1676-1681","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Te Maatai Manawa a Whaanau: Maaori and Pacific People's Experiences of Echocardiography in Rheumatic Fever Health Care in Auckland, New Zealand"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0898-5070","authenticated-orcid":false,"given":"Anneka","family":"Anderson","sequence":"first","affiliation":[{"name":"The University of Auckland  Auckland New Zealand"},{"name":"The National Hauora Coalition  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monleigh","family":"Muliaumasealii","sequence":"additional","affiliation":[{"name":"The University of Auckland  Auckland New Zealand"},{"name":"The National Hauora Coalition  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7040-8339","authenticated-orcid":false,"given":"Tira","family":"Phillipson\u2010Puna","sequence":"additional","affiliation":[{"name":"The National Hauora Coalition  Auckland New Zealand"},{"name":"Auckland University of Technology  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9855-3919","authenticated-orcid":false,"given":"Rachel","family":"Webb","sequence":"additional","affiliation":[{"name":"The University of Auckland  Auckland New Zealand"},{"name":"KidzFirst Middlemore Hospital  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigel","family":"Wilson","sequence":"additional","affiliation":[{"name":"The University of Auckland  Auckland New Zealand"},{"name":"Te Toka Tumai Auckland\/Auckland City Hospital  Auckland New\u00a0Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon","family":"Leilua","sequence":"additional","affiliation":[{"name":"The National Hauora Coalition  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Arrowsmith","sequence":"additional","affiliation":[{"name":"The University of Auckland  Auckland New Zealand"},{"name":"The National Hauora Coalition  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Brown","sequence":"additional","affiliation":[{"name":"The National Hauora Coalition  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6641-9064","authenticated-orcid":false,"given":"Florina","family":"Chan\u2010Mow","sequence":"additional","affiliation":[{"name":"KidzFirst Middlemore Hospital  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Dennison","sequence":"additional","affiliation":[{"name":"KidzFirst Middlemore Hospital  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2701.191791"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-066232"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyy150"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268816001291"},{"key":"e_1_2_9_6_1","volume-title":"Rheumatic Fever Bi\u2010Annual Report July 2017 to June 2018","author":"The Institute of Environmental Science and Research (ESR)","year":"2018"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2023-002253"},{"key":"e_1_2_9_8_1","volume-title":"Aotearoa New Zealand Guidelines for the Prevention, Diagnosis, and Management of Acute Rheumatic Fever and Rheumatic Heart Disease: 2024 Update","author":"Anderson 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