Hā Ora: Reflecting on a Kaupapa Māori Community Engaged Co-design Approach to Lung Cancer Research

Date
2021
Authors
Supervisor
Item type
Journal Article
Degree name
Journal Title
Journal ISSN
Volume Title
Publisher
Waakebiness-Bryce Institute for Indigenous Health, Dalla Lana School of Public Health, University of Toronto
Abstract

Co-designed research is gaining prominence within the health care space. Community engagement is a key premise of co-design and is also particularly vital when carrying out kaupapa Māori research. Kaupapa Māori describes a “by Māori, for Māori” approach to research in Aotearoa/New Zealand. This article discusses the research process of Hā Ora: a co-design project underpinned by a kaupapa Māori approach. The objective was to explore the barriers to early presentation and diagnosis of lung cancer, barriers identified by Māori. The team worked with four rural Māori communities, with whom we aimed to co-design local interventions that would promote earlier diagnosis of lung cancer. This article highlights and unpacks the complexities of carrying out community- engaged co-design with Māori who live in rural communities. In particular, we draw attention to the importance of flexibility and adaptability in the research process. We highlight issues pertaining to timelines and budgets, and also the intricacies of involving co-governance and advisory groups. Overall, through this article, we argue that health researchers need to prioritise working with and for participants, rather than on them, especially when working with Māori communities.

Description
Keywords
Community engagement; Indigenous; Rural communities; Health inequities; Māori; Kaupapa Māori; Lung cancer; Early diagnosis
Source
Rights statement
Copyright (c) 2021 Jacquie Kidd, Shemana Cassim, Anna Rolleston, Rawiri Keenan, Ross Lawrenson, Nicolette Sheridan, Isaac Warbrick, Janette Ngaheu, Brenda Hokowhitu. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.