An overview of culturally adapted health education programmes for Pacific People: A narrative review
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Abstract
Introduction: Aotearoa New Zealand’s (NZ) Pacific communities face health inequities, poorer health outcomes and a higher prevalence of chronic conditions. Pacific peoples’ (PP) lived experiences must be captured and collaboratively used to make informed quality improvement changes within the healthcare sector. The need for intentional and targeted culturally appropriate education programs and interventions that are patient-centred, holistic, and focussed on enhancing and empowering PP and their health journeys is vital to reducing inequities they face.
Methods: A narrative literature review was conducted using specified search terms via Scopus, CINAHL via EBSCO, Medline via EBSCO and Google Scholar between October 2021 and March 2023. Evidence from 27 articles, reports and other documents were analysed and synthesised.
Findings: The evidence concludes that health education programmes (HEP) can be a tool for improving self-management skills and health outcomes. Culturally responsive HEP tailored to serve Pacific peoples better, are essential. They should be done in collaboration with and led by PP, who know and understand the broader social and economic impacts that can be barriers to PPs’ health.
Conclusion: This review highlights a need for PP perspectives and lived experiences to be included in the design of HEP. Evidence suggests this can lead to improved health outcomes. This review highlights the need for further research to understand PPs’ lived experiences to assist in developing culturally appropriate programmes in collaboration with Pacific communities.
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