scholarly journals The characteristics of behaviour change interventions used among Pacific people: a systematic search and narrative synthesis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amio Matenga-Ikihele ◽  
Judith McCool ◽  
Rosie Dobson ◽  
Fuafiva Fa’alau ◽  
Robyn Whittaker
Keyword(s):  
United States ◽  
Social Support ◽  
New Zealand ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Narrative Synthesis ◽  
Pacific Region ◽  
Behaviour Change Interventions ◽  
Pacific People ◽  
The Pacific

Abstract Background Pacific people living in New Zealand, Australia, United States, and the Pacific region continue to experience a disproportionately high burden of long-term conditions, making culturally contextualised behaviour change interventions a priority. The primary aim of this study was to describe the characteristics of behaviour change interventions designed to improve health and effect health behaviour change among Pacific people. Methods Electronic searches were carried out on OVID Medline, PsycINFO, PubMed, Embase and SCOPUS databases (initial search January 2019 and updated in January 2020) for studies describing an intervention designed to change health behaviour(s) among Pacific people. Titles and abstracts of 5699 papers were screened; 201 papers were then independently assessed. A review of full text was carried out by three of the authors resulting in 208 being included in the final review. Twenty-seven studies were included, published in six countries between 1996 and 2020. Results Important characteristics in the interventions included meaningful partnerships with Pacific communities using community-based participatory research and ensuring interventions were culturally anchored and centred on collectivism using family or social support. Most interventions used social cognitive theory, followed by popular behaviour change techniques instruction on how to perform a behaviour and social support (unspecified). Negotiating the spaces between Eurocentric behaviour change constructs and Pacific worldviews was simplified using Pacific facilitators and talanoa. This relational approach provided an essential link between academia and Pacific communities. Conclusions This systematic search and narrative synthesis provides new and important insights into potential elements and components when designing behaviour change interventions for Pacific people. The paucity of literature available outside of the United States highlights further research is required to reflect Pacific communities living in New Zealand, Australia, and the Pacific region. Future research needs to invest in building research capacity within Pacific communities, centering self-determining research agendas and findings to be led and owned by Pacific communities.

Cytisine as an alternative smoking cessation product for Pacific smokers in New Zealand

2018 ◽  
Vol 21 (2) ◽  
pp. 89-95
Author(s):  
Vili Nosa ◽  
Kotalo Leau ◽  
Natalie Walker
Keyword(s):  
Smoking Cessation ◽  
New Zealand ◽  
Nicotinic Acetylcholine Receptors ◽  
Cultural Practices ◽  
Partial Agonist ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Liquid Form ◽  
Pacific People ◽  
The Pacific

ABSTRACT Introduction: Pacific people in New Zealand have one of the highest rates of smoking.  Cytisine is a plant-based alkaloid that has proven efficacy, effectiveness and safety compared to a placebo and nicotine replacement therapy (NRT) for smoking cessation.  Cytisine, like varenicline, is a partial agonist of nicotinic acetylcholine receptors, and blocks the rewarding effects of nicotine. Cytisine is naturally found in some plants in the Pacific region, and so may appeal to Pacific smokers wanting to quit. This paper investigates the acceptability of cytisine as a smoking cessation product for Pacific smokers in New Zealand, using a qualitative study design. Methods: In December 2015, advertisements and snowball sampling was used to recruit four Pacific smokers and three Pacific smoking cessation specialists in Auckland, New Zealand. Semi-structured interviews where undertaken, whereby participants were asked about motivations to quit and their views on smoking cessation products, including cytisine (which is currently unavailable in New Zealand). Interviews were recorded and transcribed verbatim, with thematic analysis conducted manually. Findings: Pacific smokers reported wanting to quit for loved ones and family, but did not find currently available smoking cessation products effective. Almost all participants had not previously heard of cytisine, but many of the Pacific smokers were keen to try it. Participants identified with cytisine on a cultural basis (given its natural status), but noted that their use would be determined by the efficacy of the medicine, its cost, side-effects, and accessibility. They were particularly interested in cytisine being made available in liquid form, which could be added to a “smoothie” or drunk as a “traditional tea”.  Participants thought cytisine should be promoted in a culturally-appropriate way, with packaging and advertising designed to appeal to Pacific smokers. Conclusions: Cytisine is more acceptable to Pacific smokers than other smoking cessation products, because of their cultural practices of traditional medicine and the natural product status of cytisine.

scholarly journals The use of mechanical restraint in Pacific Rim countries: an international epidemiological study

2020 ◽  
Vol 29 ◽  
Author(s):  
G. Newton-Howes ◽  
M. K. Savage ◽  
R. Arnold ◽  
T. Hasegawa ◽  
V. Staggs ◽  
...  
Keyword(s):  
United States ◽  
New Zealand ◽  
International Comparisons ◽  
The United States ◽  
Pacific Rim ◽  
Persons With Disabilities ◽  
Mechanical Restraint ◽  
The Pacific ◽  
Bed Days ◽  
Compare And Contrast

Abstract Aims The use of mechanical restraint is a challenging area for psychiatry. Although mechanical restraint remains accepted as standard practice in some regions, there are ethical, legal and medical reasons to minimise or abolish its use. These concerns have intensified following the Convention on the Rights of Persons with Disabilities. Despite national policies to reduce use, the reporting of mechanical restraint has been poor, hampering a reasonable understanding of the epidemiology of restraint. This paper aims to develop a consistent measure of mechanical restraint and compare the measure within and across countries in the Pacific Rim. Methods We used the publicly available data from four Pacific Rim countries (Australia, New Zealand, Japan and the United States) to compare and contrast the reported rates of mechanical restraint. Summary measures were computed so as to enable international comparisons. Variation within each jurisdiction was also analysed. Results International rates of mechanical restraint in 2017 varied from 0.03 (New Zealand) to 98.9 (Japan) restraint events per million population per day, a variation greater than 3000-fold. Restraint in Australia (0.17 events per million) and the United States (0.37 events per million) fell between these two extremes. Variation as measured by restraint events per 1000 bed-days was less extreme but still substantial. Within all four countries there was also significant variation in restraint across districts. Variation across time did not show a steady reduction in restraint in any country during the period for which data were available (starting from 2003 at the earliest). Conclusions Policies to reduce or abolish mechanical restraint do not appear to be effecting change. It is improbable that the variation in restraint within the four examined Pacific Rim countries is accountable for by psychopathology. Greater efforts at reporting, monitoring and carrying out interventions to achieve the stated aim of reducing restraint are urgently needed.

Transatlantic and Transpacific Connections in Early American History

2012 ◽  
Vol 83 (2) ◽  
pp. 204-219 ◽  
Author(s):  
Kariann Akemi Yokota
Keyword(s):  
United States ◽  
Eighteenth Century ◽  
American History ◽  
Political Development ◽  
Geographical Proximity ◽  
Pacific Region ◽  
Early American History ◽  
Economic Opportunities ◽  
Early American ◽  
The Pacific

This article explores America’s earliest engagement with the transpacific world and in particular with China. From the mid-eighteenth century, Americans seeking new economic opportunities considered Asia and the Pacific region important to their development. Taking advantage of their geographical proximity to both the Atlantic and Pacific oceans, Americans developed ways to connect the two regions. These transoceanic networks of trade proved crucial to the economic and political development of the young United States and set the stage for its future influence in the region.

scholarly journals Toungāue cooperative pedagogy for Tongan tertiary students’ success

2020 ◽  
Vol 25 ◽  
pp. 18-29
Author(s):  
Telesia Kalavite
Keyword(s):  
Academic Success ◽  
New Zealand ◽  
Tertiary Education ◽  
Pacific Region ◽  
Sociocultural Context ◽  
Culturally Specific ◽  
Indigenous Cultures ◽  
Educational Environments ◽  
The Pacific ◽  
Students Success

Cooperative Pedagogy specific to Tongans can enhance students’ academic success in New Zealand’s tertiary education. Tongan students’ success depends on teachers’ recognition and understanding of Tongan students’ sociocultural context which involves their pule‘anga (bureaucracy), famili/kāinga (family), siasi (church) and fonua (country) relationships. Tongan students should not be treated within the Pacific groupings because ‘Pacific’ is a term of convenience for peoples who originate from different countries in the Pacific region whose cultures are uniquely different from one another. The term ‘Pacific’ tends to make these students live in the shadow of being treated as if they have the same needs in the classroom. The culturally specific needs of Pacific students are obscured by the assumption that they are homogenous. Academics and educational authorities in New Zealand need to recognise the importance of Pacific students’ culturally specific needs in their educational environments to move towards solving the problems of underachievement. This article explores the use of a culturally specific Tongan Toungāue Cooperative Pedagogy for teaching Tongan students in New Zealand tertiary education. Toungāue Cooperative Pedagogy is rooted in Tongan students’ sociocultural context which is at the heart of the Tongan society. More importantly, this proposed Toungāue Cooperative Pedagogy is transferable and could also be beneficial to other Pacific and Indigenous cultures.

Burden-sharing: the US, Australia and New Zealand alliances in the Pacific islands

2021 ◽  
Author(s):  
Joanne Wallis ◽  
Anna Powles
Keyword(s):  
United States ◽  
New Zealand ◽  
Pacific Islands ◽  
Critical Role ◽  
The United States ◽  
Burden Sharing ◽  
Military Capability ◽  
The Pacific ◽  
Security Challenges ◽  
The Us

Abstract One of President Joseph Biden's foreign policy priorities is to ‘renew’ and ‘strengthen’ the United States' alliances, as they were perceived to have been ‘undermined’ during the Trump administration, which regularly expressed concern that allies were free-riding on the United States' military capability. Yet the broad range of threats states face in the contemporary context suggests that security assistance from allies no longer only—or even primarily—comes in the form of military capability. We consider whether there is a need to rethink understandings of how alliance relationships are managed, particularly how the goals—or strategic burdens—of alliances are understood, how allies contribute to those burdens, and how influence is exercised within alliances. We do this by analysing how the United States–Australia and Australia–New Zealand alliances operate in the Pacific islands. Our focus on the Pacific islands reflects the United States' perception that the region plays a ‘critical’ role in helping to ‘preserve a free and open Indo-Pacific region’. We conclude that these understandings need to be rethought, particularly in the Pacific islands, where meeting non-traditional security challenges such as economic, social and environmental issues, is important to advancing the United States, Australia and New Zealand's shared strategic goal of remaining the region's primary security partners and ensuring that no power hostile to their interests establishes a strategic foothold.

The Pacific Ocean as Highway to Gold Mountain

2017 ◽  
Author(s):  
Elizabeth Sinn
Keyword(s):  
United States ◽  
New Zealand ◽  
Pacific Ocean ◽  
Capital Flows ◽  
The United States ◽  
The West ◽  
New Era ◽  
The Pacific ◽  
History Of ◽  
The Pacific Ocean

This chapter takes a broad look at the Pacific Ocean in relation to Chinese migration. As trade, consumption and capital flows followed migrants, powerful networks were woven and sustained; in time, the networks fanned across the Pacific from British Columbia along the West Coast of the United States to New Zealand and Australia. The overlapping personal, family, financial and commercial interests of Chinese in California and those in Hong Kong, which provide the focus of this study, energized the connections and kept the Pacific busy and dynamic while shaping the development of regions far beyond its shores. The ocean turned into a highway for Chinese seeking Gold Mountain, marking a new era in the history of South China, California, and the Pacific Ocean itself.

Transatlantic and Transpacific Connections in Early American History

2017 ◽  
Author(s):  
Kariann Akemi Yokota
Keyword(s):  
United States ◽  
Eighteenth Century ◽  
American History ◽  
Political Development ◽  
Geographical Proximity ◽  
Pacific Region ◽  
Early American History ◽  
Economic Opportunities ◽  
Early American ◽  
The Pacific

This chapter explores America’s earliest engagement with the transpacific world and in particular with China. From the mid-eighteenth century, Americans seeking new economic opportunities considered Asia and the Pacific region important to their development. Taking advantage of their geographical proximity to both the Atlantic and Pacific oceans, Americans developed ways to connect the two regions. These transoceanic networks of trade proved crucial to the economic and political development of the young United States and set the stage for its future influence in the region.

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