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Mäori and health and medical research: clarifying the roles of the researcher and the institution (part 2)

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Authors:
Summary:

Direct consultation with Mäori in order to clarify the importance of a health issue for Mäori in the light of a proposed research project can result in an additional and un-remunerated workload for Mäori researchers and organisations. Instead it is suggested that researchers use a 4 step procedure as follows. STEP 1. Literature search and review. Hauora and Our Health, Our Future are suggested as good starting points. Clinical colleagues, NZHIS and local DHB’s may be helpful in the absence of published work. STEP 2. Potential effective strategies for research can be determined by using a combination of published literature and consultation with peers or pre-existing networks with Mäori organisations. STEP 3. Identification of and relationship building with relevant end-user organisations. These organisations may be able to help with the development of research ideas, recruitment of participants, and dissemination of results, and working with them will help to ensure that the research is relevant and addresses their needs. STEP 4. Researchers must refer to any institutional codes of practice on the Treaty of Waitangi or Mäori responsiveness issues in research. If none exist, consideration should be given to developing them.

Comment:
Although published almost three years ago, the two papers from Sporle and Koea (No Taranaki) contain useful and practical information for researchers. I often refer researchers to these articles along with the ‘HRC guidelines for Research with Mäori’ when asked about health research with Mäori. Many organisations, and in particular DHB’s, have set up Mäori Research Review Committees to review research projects that are being undertaken within the organisation. Such an approach has both advantages and disadvantages. Mäori who had been inundated with research proposals have appreciated the reduced workload and researchers have applauded the committees for providing clear direction. It is certainly useful to read about how a major DHB has tackled this issue and I look forward to hearing from readers about what is working for them in their region.
Reference: JNZMA 2004; Vol 117:(1199)
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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