{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T19:45:44Z","timestamp":1776455144855,"version":"3.51.2"},"reference-count":53,"publisher":"BMJ","issue":"6","funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["HRC:20\/1379"],"award-info":[{"award-number":["HRC:20\/1379"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007598","name":"Accident Compensation Corporation","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100007598","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Science Challenge - Ageing Well","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Inj Prev"],"accepted":{"date-parts":[[2022,8,6]]},"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>M\u0101ori (the Indigenous population of Aotearoa New Zealand) experience increased burden of unintentional injury and reduced access to publicly funded injury prevention and rehabilitation services, compared with non-M\u0101ori. M\u0101ori-led models of care have been shown to improve outcomes for M\u0101ori. Pae\u0101rahi navigate across sectors (including health, education, housing and employment) to advocate for the best possible outcomes for individuals and families. This study aims to (1) test the acceptability and feasibility and (2) undertake exploratory efficacy analysis of a pae\u0101rahi injury intervention for M\u0101ori older adults.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A prospective non-randomised, non-comparator study with preintervention and postintervention measurements of predefined outcomes. Eligible participants who consented to participate (M\u0101ori, 55+ years, community-dwelling and enrolled in one of three study general practices) will undergo a multivisit pae\u0101rahi intervention. The intervention includes home-hazard assessment, basic health screening, teaching of strength and balance exercises, education relating to injury prevention and access to injury-related, referral and connection to other health and social services) and participants can choose to have wh\u0101nau (family) involved in the intervention.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>The primary outcome of interest is participant, wh\u0101nau and pae\u0101rahi acceptability of the intervention. Secondary outcomes include intervention feasibility, cost-effectiveness and exploratory efficacy (including preintervention and postintervention unintentional injury-related hospitalisation, primary care access and public injury-related claims).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The findings of this intervention research will be used to inform injury care models for older M\u0101ori and process for M\u0101ori-led health intervention development more generally.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Trial registration number<\/jats:title>\n                  <jats:p>ACTRN12621001691831p.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/ip-2022-044641","type":"journal-article","created":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T13:22:02Z","timestamp":1662124922000},"page":"570-579","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Feasibility and acceptability of a pae\u0101rahi (Indigenous Wh\u0101nau Ora navigator) intervention for unintentional injury prevention for older M\u0101ori: non-randomised, non-comparator trial study protocol"],"prefix":"10.1136","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6792-6607","authenticated-orcid":false,"given":"Joanna","family":"Hikaka","sequence":"first","affiliation":[{"name":"Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Ihimaera","sequence":"additional","affiliation":[{"name":"Te Arawa Wh\u0101nau Ora Collective, Rotorua, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2537-4688","authenticated-orcid":false,"given":"Bridget","family":"Kool","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ngaire","family":"Kerse","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Parsons","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsty","family":"Maxwell-Crawford","sequence":"additional","affiliation":[{"name":"Te Arawa Wh\u0101nau Ora Collective, Rotorua, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hariata","family":"Vercoe","sequence":"additional","affiliation":[{"name":"Te Arawa Wh\u0101nau Ora Collective, Rotorua, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parehuia","family":"Merito","sequence":"additional","affiliation":[{"name":"Te Arawa Wh\u0101nau Ora Collective, Rotorua, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alana","family":"Cavadino","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Braden","family":"Te Ao","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brooke","family":"Aramoana-Arlidge","sequence":"additional","affiliation":[{"name":"Te Arawa Wh\u0101nau Ora Collective, Rotorua, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,9,2]]},"reference":[{"key":"2025092503510422000_28.6.570.1","unstructured":"Sharpe H , Corporation AC , Zealand N . 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