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Changing response rates from Māori and non-Māori in national sleep health surveys

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Summary:

This investigation sought to determine the reasons underlying the declining response rates in New Zealand sleep health surveys, using data from four population surveys undertaken from 1999–2008. The surveys used the electoral roll as a sampling frame and sought to recruit equal numbers of Māori and non-Māori, consistent with the Kaupapa Māori principle of equal explanatory power. The survey method also included extensive follow-up. Successive surveys revealed fewer respondents in all age groups. Response rates from Māori were lower in all surveys and the percentage decline was greater than for non-Māori. By 2008, the response rates from the initial mail-out in 1999 had decreased by 50% and the proportion of the sample classified as uncontactable had increased by 50%. Explanatory factors included decreased currency of electoral roll address information, declining use of listed landline telephone numbers, and possibly declining willingness to participate from increasing respondent burden. Contributory study design features included a possible impact from a shift in leadership by a Māori health research centre to Māori researchers in a non-Māori research centre, increasing complexity of questions and saliency of the research topic to potential participants.

Comment:
Recruitment of Māori participants into research is crucial for monitoring and intervening in Māori health development. The important message here is that if your study is not achieving the numbers to have equal explanatory power, a review to identify and apply appropriate strategies is required.
Reference: N Z Med J. 2011;124(1328):52-63.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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