Study | Key concepts | Aims | Research Design | Outcomes |
---|---|---|---|---|
Māori older adults P Māori community dwelling older adults (age range 55+) | Exercise, nutrition, traditional well-being practices within Te Ao Māori, meditation, stress management, sleep, oral health | Modify and extend a family (whānau-based) lifestyle management strategy (Nga Pou o Rongo) Test scalability & acceptability of Nga Pou o Rongo Examine utility and potential value to Māori of ADL LifeCurve™ App | Conforms to Mātauranga Māori principles: whānau co-design, culturally safe & relevant, local, timely, affirmative, responsive to individual need) | Well-being, physical and social activity & health First in-depth sleep recordings of older Maori and consideration of sleep in contect of whānau support. Acceptability and usability of LifeCurve™ App |
Pacific elders P Pacific elders (age range 55+) | Factors associated with ageing well | Investigate how Pacific elders are faring across various dimensions of health Examine utility and potential value of ADL LifeCurve™ App for Pacific elders | Collaborative design with Pacific community partner | Collection of data on Pacific health First representation of sleep health among Pacific elders |
At-risk cohort P 300 Community dwelling older adults at risk of functional decline av. age 60 Māori, 75 non-Māori | Innovative technology, health promotion, behavioural change, hierarchy of function, trajectory of functional decline, independent & combined effect of physical activity, sedentary behaviour, socialisation and oral health on function, health & well-being | Adapt a behavioural change tool (LifeCurve™ App) to optimise locality in 2 urban sites Examine utility of and response to the ADL LifeCurve™ App on function, well-being and quality of life in 300 older adults living in the community. Evaluate use of LifeCurve™ App to reverse the trajectory of functional decline in participants Explore the interaction of physical activity, sedentary behaviour, socialisation and oral health on function and well-being. | Mixed methods design. Co-design to modify and develop LifeCurve™AppA for national and local content. Descriptive approach examines: 1) App acceptability, utility & engagment in health promotion activitites; and 2) associations and interactions of key components: physical activity, sedentary behaviour, socialisation, oral health. Pre-post design measures outcomes prior to introduction of LifeCurve™ App and at 12 m. Qualitatively, baseline and post-intervention semi-structured interviews with a diverse group of participants to seek views on App utility. Process evaluation (realist evaluation) | Interactions between sleep, oral health, physical activity, social connectedness, function, health & well-being Successful implementation of social connector model Effect of LifeCurve™ on function, health, well-being. Effect of LifeCurve™ on sleep, oral health, physical activity, social connectedness, function, health & well-being Clinically relevant change of ≥1 point on NEADL. Change ≥2 levels on the LifeCurve hierarchy of function |
Residential care P Residents living in aged residential care | Novel interventions to improve oral health, cognition and sleep | Design and implement innovative strategies to improve oral health and cognition including introduction of a dental hygienst and cognitive stimulation theray programme. | Pre-post design with 3 month follow up | Changes in oral health, cognition, sleep and health status Estabishment of long term resources and programmes |
Multi-morbidity P Community dwelling older adults, aged care residents (Age 55+; total popluation age 65+) | Patterns of multi-morbidity associated with functional decline and high burden of care. | Discern patterns of multi-morbidity associated with trajectory of dependence and high health services utilization Develop and refine primary care management based on most harmful patterns of multi-morbidity from primary care. Inform the design strategies for Care Home resident based on the most harmful patterns of multi-morbidity | Descriptive design. Multi-morbidity clusters modelled for each setting and for Māori, Pacific, & European using 2 extant data sources: Compass Health PHO and InterRai. Associations will be examined with hospital outcomes and burden of care. | Identify patterns of comorbidities of older adults living in New Zealand. Idenfity groups more likely to enter aged care facilities and others who are at an increased risk of mortality. |