Kaumatua mana motuhake in action: Developing a culture-centred peer support programme for managing transitions in later life

Abstract

New Zealand's ageing population and health inequities for Maori (Indigenous peoples) have prompted calls for innovative, culturally based approaches to improving health and wellbeing, and managing transitions in later life. This is particularly important for kaumatua (Maori elders) who, despite cultural strength and resilience, carry a significant burden in health, economic and social inequities. This paper describes the culture-centred development of a 'tuakanaâteina' (elder siblingâyounger sibling) peer support education programme designed to help kaumatua support other kaumatua experiencing transitions in later life. Taking a strengths-based approach that highlights 'kaumatua mana motuhake' (elder independence and autonomy), the study used kaupapa Maori (Maori approach, knowledge, skills, attitudes and values) and community-based participatory research methodology, to develop and pilot a culture-centred tuakanaâteina/peer education programme. Methods included establishing two advisory groups (one of kaumatua and one of sector experts); holding five focus groups with kaumatua; and running a pilot programme with 21 kaumatua. The findings demonstrate the value in a strengths-based approach that centralises Maori culture and kaumatua potential, capacity and ability, and recognises the continuing value and contribution of kaumatua to society. The study helps shift the focus from dominant stereotypes of ageing populations as a burden on society and shows the value of kaumatua supporting others during transitions in later life.