POIS-10 Māori: Outcomes and Experiences in the Decade Following Injury

Abstract

Injury-related disability burden extends well beyond two years post-injury, especially for Māori (Indigenous) New Zealanders. Māori also experience greater difficulty accessing health services. This prospective cohort study extension uses mixed-methods and aims to understand and identify factors contributing to long-term experiences and outcomes (positive and negative) at 12 years post-injury for injured Māori and their whānau (families), and explore the barriers and facilitators to whānau flourishing, and access to health and rehabilitation services. Five hundred and sixty-six Māori, who were injured between 2007-2009, participated in the Prospective Outcomes of Injury Study (POIS). Of these, 544 consented to long-term follow up, and will be invited to participate in a POIS-10 Māori interview at 12 years post-injury. We anticipate a 65% follow-up rate (~n = 350). Aligned with the Meihana Model, interviews will collect information about multiple inter-related dimensions. Administrative injury and hospitalisation data up to 12 years post-injury will also be collected. Regression models will be developed to examine predictors of long-term health and disability outcomes, after adjusting for a range of confounders. POIS-10 Māori will identify key points in the injury and rehabilitation pathway to inform future interventions to improve post-injury outcomes for Māori and whānau, and will highlight the support required for Māori flourishing post-injury.

Keywords: Māori health; disability; flourishing; indigenous health; injury; injury outcomes; longitudinal cohort study; person-reported outcomes; well-being.

Figure 1

POIS-10 Māori Overview.

Figure 2

New POIS-10 Māori data collection. Adapted with permission from ref. [38]. 2014 NZMA.

Figure 3

Qualitative component underpinned by Meihana and Te Puawaitanga o Ngā Whānau models [33,38].