Improving Outcomes from Pain Management Programmes in Aotearoa (New Zealand): Listening to the Voices of Māori

Abstract

There are inequities for Māori (Indigenous peoples of New Zealand) in relation to chronic pain, including a disproportionate prevalence of chronic pain, a greater impact of pain, and reduced long-term benefit from chronic pain services. This likely arises from impacts of colonisation and racism within health services. The study aimed to determine the experience of Māori who had attended a 3-week pain management programme in Aotearoa New Zealand. Six participants were interviewed regarding their experiences of attending the programme, and the data analysed using thematic analysis. Five themes were developed: Lost and alienated, Manaakitanga (kindness, respect, care) created a supportive environment; Education enables mana āhua ake (personal autonomy); Whanaungatanga (relationship) is valued; and Where is the tikanga (Māori protocols)? The programme provided respectful care that facilitated participants to make their own health care choices. However, the lack of tikanga and Māori health views meant the programme was experienced as medical and Western-oriented.