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Te Maatai Manawa a Whaanau: Maaori and Pacific People's Experiences of Echocardiography in Rheumatic Fever Health Care in Auckland, New Zealand

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Authors

Anderson, A

Muliaumasealii, M

Phillipson-Puna, Tira

Webb, R

Wilson, N

Leilua, S

Arrowsmith, K

Brown, R

Chan-Mow, F

Dennison, A

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Wiley

Abstract

Aims: 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. Method: 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. Results: Seventeen Participants Were Included in the Study. Four Themes Were Identified in the General Inductive Analysis: (1) Communication; (2) Engagement; (3) Access; (4) Kaiaawhina. Conclusion: 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-focused models of care that have the potential to improve patient experience and echocardiography services in Aotearoa New Zealand.

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3213 Paediatrics, 32 Biomedical and Clinical Sciences, Pediatric Research Initiative, Arthritis, Autoimmune Disease, 3 Good Health and Well Being, 1103 Clinical Sciences, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services, Pediatrics, 3213 Paediatrics

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Journal of Paediatrics and Child Health, ISSN: 1034-4810 (Print); 1440-1754 (Online), Wiley. doi: 10.1111/jpc.70509

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Attribution-NonCommercial-NoDerivatives 4.0 International
© 2026 The Author(s). Journal of Paediatrics and Child Health published by John Wiley & Sons Australia, Ltd on behalf of Paediatrics and Child Health Division (TheRoyal Australasian College of Physicians)

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Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International