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Understanding engagement with Brown Buttabean Motivation, an Auckland grassroots, Pacific-led holistic health programme

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Authors:
Summary:

A holistic approach and responsiveness to perceived community needs may contribute to the sustained success of Brown Buttabean Motivation (BBM), a Pacific-led health programme with the primary aim of weight-loss motivation. In a qualitative study, 22 BBM members were interviewed in South Auckland, New Zealand. Study participants were 50% female, aged 24-60 years and of mixed Pacific and Māori ethnicities. They consisted of regular BBM members, attendees of the programme for those morbidly obese, and trainers. Analysis of data was guided by Pacific Fonofale and Māori Te Whare Tapa Whā health models. Participants in the study identified the interactive holistic nature of health and wellbeing. As well as physical, mental and spiritual benefits, BBM helped many reconnect with both their family and their culture. The study authors noted that while many weight programmes focus on improving physical exercise and nutrition, they seldom address sustainability and other core factors such as mental health.

Comment:
Okay I need to ‘declare’ that I was part of the evaluation team for this project! And yes, we did demonstrate important results for individuals, whānau and the community. However, another key point is the weaving together of Māori and Pacific methodologies for research undertaken with both peoples. I think we’ll see more of this given our shared whakapapa and contexts.
Reference: BMJ Open. 2022;12(4):e059854.
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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