Lewis, GwynStephens, HendonTuck, NatalieMorunga, EvaTerry, GarethHaar, JarrodShaikh, NusratnaazHodge, Anna-LeighBean, Debbie2025-04-172025-04-172024-10-06AlterNative: An International Journal of Indigenous Peoples, ISSN: 1177-1801 (Print); 1174-1740 (Online), SAGE Publications, 20(4), 637-648. doi: 10.1177/117718012412855341177-18011174-1740http://hdl.handle.net/10292/19105Chronic pain is one of the most common long-term conditions in Aotearoa (New Zealand), and there is a higher prevalence and greater impact of pain for Māori (Indigenous People of New Zealand). Māori tend to have a more holistic interpretation of pain compared with western views; therefore, current assessments may not capture the full meaning and impact of pain for Māori. This study developed a holistic assessment tool for chronic pain in collaboration with Māori clinicians and Māori with chronic pain. The Pictorial Representation of Illness and Self Measure–Aotearoa (PRISM-A) is a verbal and visual assessment tool that is based on Te Ao Māori (Māori world), imbeds whakawhanaungatanga (relationship formation) between the patient and clinician, and incorporates Te Whare Tapa Whā, a Māori model of health. The tool is likely to provide a more meaningful assessment of pain and facilitate better outcomes for Māori with chronic pain.© The Author(s) 2024. CC-BY. https://creativecommons.org/licenses/by/4.0/ Article reuse guidelines: sagepub.com/journals-permissionshttps://creativecommons.org/licenses/by/4.0/47 Language, Communication and Culture4702 Cultural StudiesBehavioral and Social ScienceNeurosciencesChronic PainPain ResearchMusculoskeletal2002 Cultural Studies4702 Cultural studiesJournal ArticleOpenAccess10.1177/11771801241285534