Rangahau Aranga: AUT Graduate Review
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Finding Balance with Vestibular Stimulation
Get PDFWeakening of the vestibular system through disease or aging leads to imbalance, restricted mobility, and falls (Hain et al., 2018). Vestibular weakness affects one-third of people over the age of 40, and 85% of those over 80 years (Agrawal et al., 2009). The delicate cells of the vestibular system do not regenerate and thus it becomes an incurable chronic condition. A promising treatment is noisy galvanic vestibular stimulation (nGVS), a non-invasive electrical stimulation, delivered to the vestibular system, aiming to restore absent vestibular information and improve balance (McLaren et al., 2022). This presentation reports the results of a scoping review investigating the stimulation parameters that can be manipulated to improve the efficacy of nGVS. A comprehensive systematic search of five databases up to December 2022 identified studies applying nGVS to people with the aim of improving their postural control. Two independent reviewers screened and identified eligible studies and extracted parameter data. Thirty-one studies met the eligibility criteria. The review identified that a broad array of settings have been employed across studies. The nGVS parameters of waveform, amplitude, frequency band, duration of stimulation, method of amplitude optimization, size and composition of electrodes and the electrode skin interface are all likely to influence the efficacy of nGVS. However, the ability to draw robust conclusions about the selection of optimal nGVS parameters is hindered by a lack of studies that directly compare parameter settings. I propose a guideline for the accurate reporting of nGVS parameters. This will help establish standardized stimulation protocols bringing us one step closer to becoming a readily available clinical treatment
Validation of the Future Self Continuity Questionnaire (FSCQ)
Get PDFThis oral presentation aims to illustrates a local validation of a recently developed measure of future-self-continuity, the Future Self Continuity Questionnaire (FSCQ). Self-continuity is the sense of psychological connection between the past self, the present self and the future self, in the dimension of time (Chandler, 1994). Rutchick et al. (2018) propose that when people feel a greater sense of continuity between their present and future selves, their decision making may be more influenced by thoughts of their future self. The study will recruit at least 200 participants to fill out a series of questionnaires related to future self-continuity, including the Future Self-Continuity Scale (FSCS), Consideration of Future Consequences-14 Scale (CFC-14), Multidimensional Temporal Self-Continuity Scale (MTSCS), and Beck Hopelessness Scale (BHS). The higher degree people's future self-continuity (according to the FSCQ), the more likely they are to associate their future self with their past/present self (as measured by FSCS and MTSCS). This inclination also tends to result in a greater consideration for the future consequences of their actions (as measured by the CFC), and potentially corresponds with a lower degree of hopelessness (as measured by BHS). Analyses will include item analyses, exploratory and confirmatory factor analyses to examine the factorial structure of the questionnaire, alongside assessments of internal consistency and test-retest reliability
Decolonising and democratising Malawian public health: A photovoice collaboration with families exploring daily meals associated with a rise in diabetes
No full textIntroduction. Transformative public health must move from its historically overly Eurocentric and professionally driven orientation towards local-contextualised, community-based health, empowerment and codesign of health research. Like many Pacific nations, Malawi is experiencing changes in its food systems which has health implications for Malawi people. This study sought to democratise and ‘open up’ the exploration of family eating through a photovoice collaboration with Malawian families with a view to understanding the links to a newly emerging and serious public health problem—that of diabetes.
Methods. Four families located in a semi-rural district of Blantyre, Malawi were recruited and images were collected using phones by younger family members to create a photo food diary of breakfast, lunch, and dinner eaten in the home. Using the photos as a prompt, focus group discussions were undertaken with each family exploring past and current eating patterns, and eating concerns for health.
Results. Thematic analysis of the photos and focus group transcripts revealed that staples, such as maize and sorghum, are still important in family eating. However, there is a worrying increase in consumption of obesogenic, processed foods such as sweetened beverages and snacks.
Conclusion. Malawi is currently experiencing a ‘nutritional transition’ brought about by commercialisation of food and the growing threat to a sustainable and healthy food system from climate change. Drawing on indigenous wisdom, this study argues that co-designed research methodologies, such as photovoice, are necessary to empower communities’ collaboration in shaping issues of their own health
A short form summary of Takatāpui Beyond Marginalisation: Exploring Māori Gender, Identity and Performance.
Get PDFExploring Best Practices of the I4.0 Technology Application in the Design Phase of CE Implementation: A Dynamic Capabilities Approach
Get PDFOver the past decade, the manufacturing industry has been propelled by the Fourth Industrial Revolution (I4.0). This new paradigm has driven companies to convert their factories into intelligent ones by seamlessly integrating digital and physical spaces. To achieve this transformation, various I4.0 technologies, such as the Internet of Things (IoT), Big Data Analytics (BDA), Artificial Intelligence (AI), Additive Manufacturing (AM), and Cloud Computing (CC), have been employed. Simultaneously, global interest in sustainability has surged, leading to the advancement of the Circular Economy (CE) as a means to achieve carbon neutrality and resource optimisation at the corporate level. Previous studies have acknowledged the crucial role of I4.0 technologies in realising CE but predominantly focused on some of its specific strategic areas. Notably, extensive attention has been given to "reducing" resource consumption and "recycling" resources, while the area of "rethinking" encompassing product and service design has been understudied despite its profound impacts on the management of resources and processes throughout the subsequent operations. To address this research gap, this study explores how manufacturing companies from New Zealand (NZ) and Japan leverage I4.0 technologies to enhance their dynamic capability in the design phase of CE practices. Drawing on the perspective that product and service design represents a dynamic capability, a qualitative case study approach is designed. By conducting cross-country comparisons between NZ and Japan, this research identifies best practices in leveraging I4.0 technologies during the design phase of CE implementation. The best practices are expected to include supplier involvement in the design phase through IoT, data-driven design through BDA, and precise design specifications through AM. By focusing on the critical aspect, this study will contribute to a more comprehensive understanding of the application of I4.0 technologies in CE implementation. The findings will also offer valuable insights for companies seeking to effectively embrace CE
Auckland University of Technology, Child and Youth Health Research Centre Research Roadshow Presentation (2023)
Get PDFIntroduction: Every year Auckland University of Technology (AUT) Faculty of Health and Environmental Sciences host a research roadshow to provide staff and postgraduate research students an opportunity to showcase their work, network, exchange/share ideas and collaborate to generate new opportunities for research.
Methods: Members of the AUT Child and Youth Health Research Centre presented a combined power-point presentation where each project was allocated one slide.
Findings: Ten research projects were presented that spanned across 4 schools. The types of research included 7 empirical designs 1. Using participatory video to explore the perceptions and understandings of health and wellbeing among refugee background youth in Aotearoa New Zealand, 2. Creating a community engaged research agenda for Tamariki with Asthma, 3. The role of serious games and youth as co-designers in future healthy and sustainable city world-building, 4. Decolonising and democratising Malawian public health: A photovoice collaboration with families exploring daily meals associated with a rise in diabetes, 5. Strengthening Pacific voices through Talanoa participatory action research, 6. The creating space project, 7. Children and young people’s participation in activities that inform the planning, implementation, and evaluation of service delivery in Children’s Hospitals in New Zealand; two integrative reviews 8. Children and young people’s self-reported experiences of asthma self-management nursing strategies across various settings; 9. Factors that Influenced the experiences of paediatric nurses during the COVID-19 Pandemic and one meta-analysis 10. Risk and protective factors of adolescent suicidality.
Conclusion: All together there were 30 exhibition presentations including 26 individual sessions over the day (VIMEO recording)
Applying Atua Māori Scientific and Technological Innovation in the Design and Construction of a Pātaka Mātauranga Story-house
Get PDFThe research seeks to understand the impacts of colonisation on wahine whakairo through mana wahine theory. “Orooro te toki na Hine-tua-hoanga” It is through the lens of a toki (adze), originally shaped and sharpened by atua wahine Hine-Tua-Haonga that we may reclaim, reimagine, and reshape our past, present, and future. The research inquiry adopts a pūrākau methodology that functions simultaneously with practice-led research and kaupapa Māori theory. The key research findings are carved and painted components that are part of a wider collective and hononga (connect) to construct a pātaka mātauranga story-house for communities to gather and wānanga. The design and construction of a contemporary carved story-house, that encompasses and connects mātauranga Māori past, present, and future, aims to provide an archive of indigenous knowledge that is relevant to our time and space. Contemporary lived experiences and information is embodied on the inside and outside of the structure through the application of customary and contemporary methods and materials. Because the creative process involves using repurposed or rescued ancient native timber, I realised there was a need to innovate a rongoā to support the wood for construction and to withstand natural deterioration. During the research, a rongoā embodied with ethical Māori values was created to function as a satin finish for carved taonga and to help restore repurposed or damaged rākau within Māori architecture and whakairo. This unique rongoā is a sustainable and natural remedy that can be applied within the marae restoration and creative industries. Contemporary whakairo practitioners could seal, heal, and restore the rākau used for building construction or carving. The ingredients within this rongoā are derived from the atua, making it a supreme sealant, and protectant that reduces decay. The rongoā rākau will be presented through a creative exhibition that showcases a small component of the pātaka mātauranga story-house
Transcendence : An exploration of collage as a voice for non-binary gender identity - [Short form summary]
Get PDFWho Me? An Inclusive Future for Health Systems Leadership
Get PDFOur future health and disability systems require leaders prepared to lead integrated, consumer focussed services. These leaders need to engage with current paradigm shifts occurring in global health care and focus on delivering interprofessional services (Marinelli-Poole et al., 2011; Markham, 2015). There is a legacy of medical and nursing professions dominating system leadership roles over Allied Health Professions (Gauld & Horsburgh, 2015). To foster an effective and equitable leadership culture, we need to equip our workforce to lead a health system fit for contemporary society. In this presentation I will report on a study which explored the experiences of Allied Health clinicians who have already stepped into health systems leadership roles. This study sought to understand what factors and experiences enabled them to progress into these leadership roles. By analysing the shared experiences, we hope to learn what change is required to support more Allied Health clinicians into health systems leadership. Three themes have emerged from the qualitative analysis of data shared during semi structured interviews. Reflexive thematic analysis, visual doodling, and the software, XMind and NVivo, were all used to organise and help with data analysis. The three emergent themes are, 1.) Where do I fit? 2.) Where do we fit? 3.) Where is there space at the table? I will discuss these themes within the context of our national health system and what their implications might be for the future of health leadership development. 
Creating Change for Rural Allied Health via a DHSc Pathway
Get PDFThe recruitment and retention of health professionals in rural and remote locations is a world-wide challenge. Investment to improve the pipeline for medicine and nursing, as well as to attract overseas qualified personnel, has been significant in Aotearoa New Zealand. Those professions, collectively known as Allied Health, Scientific & Technical (AHPs), of which there are over 40 separate professions, have not had the same attention or investment, leaving rural communities without access to many of the assessments, treatments and diagnostics that enable people to grow up well, live well and age well. The objective of this research was to discover what AHPs identify as the attractive aspects of living and working rurally. The purpose of exploring AHP perspectives was so that their insights and experiences could underpin practical advice and guidance for rural and remote health systems to improve their recruitment and retention experiences and support AHPs to flourish in these settings. This research drew on Interpretive Descriptive methodology. Data was collected in semi-structured interviews using an Appreciative Inquiry lens, and analysed using Braun and Clarke’s Reflexive Thematic Analysis (Braun & Clarke, 2022). Eighteen AHPs from seven professional groups, who lived and/or worked rurally, were interviewed across Aotearoa using video conferencing. Three key themes were constructed including: ‘Sense of Connection & Belonging’, ‘Safe & Supported Practice’ and ‘Creating Roles People Want to Come For’. These were woven with an integrative theme: ‘Fit’. The findings contain rich suggestions of how AHPs can be attracted to and retained in rural and remote communities. The research also highlights several key areas, specific to line managers, recruiters, employing organisations, tertiary providers, professional associations and registering bodies, where action can be taken to improve the experiences of AHPs in rural areas