John Oetzel

The University of Waikato · Waikato Management School

Background Addressing health inequities that Māori (Indigenous peoples) communities face in New Zealand is a key aim of researchers and practitioners. However, there is limited understanding of the implementation processes and outcomes of health programmes for addressing these inequities. The aim of this study was twofold: (a) to identify correlate...

Background Health inequities experienced by kaumātua (older Māori) in Aotearoa, New Zealand, are well documented. Examples of translating and adapting research into practice that identifies ways to help address such inequities are less evident. The study used the He Pikinga Waiora (HPW) implementation framework and the Consolidated Framework for Im...

Background Despite incremental gains in the Aotearoa New Zealand health sector, Māori and Pacific peoples still experience poorer health outcomes than non-Māori and non-Pacific. Access to the latest research and innovation is critical to improving and addressing health outcomes and health inequities in particular. However, there are numerous challe...

Public health has endorsed the use of community‐based participatory research (CBPR) to address health inequities involving diverse and marginalized communities. However, few studies have examined how group diversity among members of CBPR partnerships influenced how well the partnerships achieve their goals of addressing health inequities through equ...

Tuhinga whakarāpopoto (Abstract) Poor, unaffordable and overcrowded housing among Māori in Aotearoa New Zealand is one of the converging societal trends to impact significantly on older Māori ageing in place and in age-friendly environments. Some kaupapa Māori (Māori approach) organisations have sought to develop kaumātua (elders) villages to addre...

Community engagement and community engagement in research are increasingly popular approaches to working with Indigenous communities, vulnerable communities, and communities of color to address health equity. The most popular approach to community engagement is community‐based participatory research (CBPR). CBPR is a collaborative and equitable pro...

Background There is growing interest in palliative care within Indigenous communities, and within Aotearoa New Zealand, of the significant role that Māori (Indigenous people) families play in caring for older relatives. This study explored the centrality of culture in how Māori extended families ( whānau) in Aotearoa New Zealand interpret and enact...

Objectives This study examined a Māori (Indigenous people of Aotearoa New Zealand) age-friendly housing development. Two Māori community groups worked with multiple stakeholders to co-design a culture-centered, kaumātua (older adults) urban housing community. The purpose was to identify co-design and culture-centered principles in the development....

The majority of Indigenous health models do not directly acknowledge that health is a contested political space. Providing a Foucauldian analysis, this article suggests a function of biopower is to naturalise discourses such as the poor Māori health statistic to appear based on factual evidence and thus are apolitical. Employing Foucault’s triad of...

Community based participatory research (CBPR) emphasizes democratic knowledge production and joint action between academics and communities to promote health equity through multilevel interventions. While much scholarship has expressed a commitment to collaboration between researchers and communities, effective methods of structural governance betw...

Objective: To identify factors that New Zealand health professionals rate as important for implementation effectiveness for health interventions with Māori communities. Methods: Health professionals (N=200) participated in an online cross‐sectional survey. The survey was organised in three sections: a) participants’ general perceptions of key featu...

Advances in cancer treatment are impeded by low accrual rates of patients to cancer clinical trials (CCTs). The national rates of recruitment of underserved groups, including racial/ethnic minorities, are limiting the generalizability of research findings and are likely to enhance inequities in cancer outcomes. The goal of this study was to examine...

Background: Māori men have stark health inequities around non-communicable diseases. This study describes the case of a partnership attempting to develop and implement a culturally centred intervention through a collaborative partnership to potentially address the inequities. In particular, the partnership followed a participatory, co-design appro...

Objective: The purpose is to examine ways that older Māori (New Zealand's Indigenous peoples) enhanced their ability to be peer educators and how this role impacted on their sense of purpose and wellbeing in later life. Methods: Kaupapa Māori and community-based participatory research principles guided the peer intervention involving 26 Māori ka...

In recent decades, there has been remarkable growth in scholarship examining the usefulness of community-engaged research (CEnR) and community-based participatory research (CBPR) for eliminating health inequities. This article seeks to synthesize the extant literature of systematic reviews, scoping reviews, and other related reviews regarding the c...

The Patient Protection and Affordable Care Act (ACA) was expected to reduce health disparities, including among people living with HIV. The aim of this study was to explore experiences of Ryan White HIV/AIDS Program social service providers in a Medicaid-expansion southwestern state. Thematic analysis of semi-structured focus groups revealed that p...

Background: As federal research funding focuses more on academic/community collaborations to address health inequities; it is important to understand characteristics of these partnerships and how they work to achieve health equity outcomes. Objectives: This study built on previous National Institutes of Health-funded research to: (a) describe pa...

The World Alzheimer Report 2019: Attitudes to dementia analyses findings of the world’s largest survey on attitudes to dementia, as well as expert essays and case studies from across the world. The report reveals the results of the largest attitudes to dementia survey ever undertaken, with almost 70,000 people across 155 countries and territories...

Critically reflecting on researcher-community partnerships is a key component in implementing chronic condition interventions in Indigenous communities. This paper draws on the results and learnings from a process evaluation that measures how well two research-community partnerships have followed the He Pikinga Waiora (HPW) Implementation Framework...

The Ryan White HIV/AIDS Program (RWHAP) has been effective in serving people living with HIV (PLWH). Our goal was to examine the impact of the implementation of the Affordable Care Act (ACA) on the program's role in HIV care and its clients. We utilized critical review to synthesize the literature on the anticipated effects of the ACA, and assess t...

Introduction: In 2016 the He Pikinga Waiora implementation framework was developed to guide the successful development of chronic condition interventions specific to Indigenous communities. The framework has Indigenous self-determination at its core, and four key elements essential to implementation: cultural centredness, community engagement, syst...

Background: Translating research into practice is an important issue for implementing health interventions effectively for Indigenous communities. He Pikinga Waiora (HPW) is a recent implementation framework that provides a strong foundation for designing and implementing health interventions in Indigenous communities for non-communicable diseases...

New Zealand's ageing population and health inequities for Māori (Indigenous peoples) have prompted calls for innovative, culturally based approaches to improving health and wellbeing, and managing transitions in later life. This is particularly important for kaumātua (Māori elders) who, despite cultural strength and resilience, carry a significant...

Social undermining as a strong predictor of adverse health outcomes in people living with HIV (PLWH), yet little is known about the experiences that constitute social undermining in this population. We led community-engaged research to identify and understand experiences of social undermining of PLWH in largely rural, minority-majority Southwestern...

Aims To examine the incidence of type 2 diabetes in people with newly diagnosed prediabetes and the factors that protect against this progression. Methods The study population was 14,043 adults with pre-diabetes enrolled in a primary health organization in the upper North Island of New Zealand. Glycated hemoglobin (HbA1c) and body mass index (BMI)...

Objectives: In the first nationwide study of community- academic research partnerships, we identified contextual and partnership practices that were significantly correlated with successful partnership outcomes guided by a community-based participatory research (CBPR) conceptual model. Methods: Data collection included three stages: 294 communit...

Background About 40% of all health burden in New Zealand is due to cancer, cardiovascular disease, and type 2 diabetes/obesity. Outcomes for Māori (indigenous people) are significantly worse than non-Maori; these inequities mirror those found in indigenous communities elsewhere. Evidence-based interventions with established efficacy may not be effe...

Communication networks contribute to health-related quality of life (HRQOL) for men living with prostate cancer. However, the mechanisms for understanding how communication networks shape HRQOL are not well understood. The purpose of this study was to test three models explaining the communication networks and related communication variables for HR...

Aims and objectives: This study seeks to identify the factors that shape the communication networks of men who face a potential diagnosis of prostate cancer, and how these factors relate to their disclosure about their changing health status. Background: Men facing a potential diagnosis of prostate cancer are in a challenging situation; the supp...

Despite devastating effects on health outcomes and disease progression, many people living with HIV (PLWH) are non-adherent to their medications. Medication self-efficacy is a pivotal factor in medication adherence, yet its formation and relationship with other factors are understudied. This study examines a model that considers the role of three c...

This article describes a mixed methods study of community-based participatory research (CBPR) partnership practices and the links between these practices and changes in health status and disparities outcomes. Directed by a CBPR conceptual model and grounded in indigenous-transformative theory, our nationwide , cross-site study showcases the value o...

The purpose of this study was to integrate the central constructs in the face-negotiation theory in the examination of the antecedents and behavioral consequences of forgiveness in relational transgressions in U.S. and Chinese cultures. Results indicated that in both cultures, transgression victims’ independent self-construal and self-face concern...

This study examined the dynamic interplays between emotions (i.e., anger and compassion), face threat, forgiveness, and reconciliation in relational transgressions in U.S. and Chinese cultures. Results indicated that Chinese participants reported more relationship-oriented forgiveness than U.S. participants, but no distinction was uncovered in self...

Low utilization of palliative care services by Māori remains despite increases in services designed to meet Māori needs. The purpose of this study is to explore palliative care information brochures in the context of Māori principles of well-being and communication protocols, and health literacy. We examined 99 brochures from palliative care servic...

This study used relational dialectics theory to explore the communication tensions experienced by men who were on a prostate biopsy waiting list and how they managed these tensions using their communication networks. The study utilised dialectical analysis of 36 semi-structured interviews conducted from July to September 2012 in a city in the North...

Background: Although there is strong scientific, policy, and community support for community-engaged research (CEnR)—including community-based participatory research (CBPR)—the science of CEnR is still developing. Objective: To describe structural differences in federally funded CEnR projects by type of research (i.e., descriptive, intervention, o...

We explored the relationship of community-engaged research final approval type (tribal government, health board, or public health office (TG/HB); agency staff or advisory board; or individual or no community approval) with governance processes, productivity, and perceived outcomes. We identified 294 federally funded community-engaged research proje...

In the era of highly active antiretroviral therapy era, medication adherence and health-related quality of life (HRQOL) have become critical issues for people living with HIV/AIDS (PLWH). The purpose of this study was to test explanatory models of how patient-provider interaction and patient satisfaction are related to medication adherence and HRQO...

Background: Although there is strong scientific, policy, and community support for community-engaged research (CEnR)-including community-based participatory research (CBPR)-the science of CEnR is still developing. Objective: To describe structural differences in federally funded CEnR projects by type of research (i.e., descriptive, intervention, or...

One of the major challenges facing those working with people living with HIV (PLWH) is the increased potential for burnout, which results in increased turnover and reduces quality of care provided for PLWH. The goal of this study was to examine the relationship among HIV health-care providers' burnout (emotional exhaustion and depersonalization) an...

Effective communication has been linked to better health outcomes, higher patient satisfaction, and treatment adherence. Communication in ambulatory care contexts is even more crucial, as providers typically do not know patients' medical histories or have established relationships, conversations are time constrained, interruptions are frequent, and...

To extend face-negotiation theory (FNT) to romantic relationship contexts, we examined the patterns of responses to six survey instruments among five countries. We intend this initial paper to serve as a tutorial of testing measurement invariance—specifically by elaborating on: (a) how to establish measurement equivalence and (b) how to test measur...

The purpose of this study is to explore the cultural practices and communication tensions perceived among Māori kaumātua (elders) and their whānaunga (extended family) during the end-of-life journey. Further, the study aims to explore the manner in which the tensions are managed. The study was framed by relational dialectics theory and included int...

Purpose: The purpose of this study is to establish the psychometric properties of 22 measures from a community-based participatory research (CBPR) conceptual model. Design: The design of this study was an online, cross-sectional survey of academic and community partners involved in a CPBR project. Setting: CPBR projects (294) in the United Sta...

This study linked emotion to the theoretical assumptions of the face-negotiation theory and probed the critical role of anger, compassion, and guilt in understanding the complex pathways of their relationships with self-construal, face concerns, and conflict styles in U.S. and Chinese cultures. Results showed that anger was associated positively wi...

As the finale, the participating scholars connect their discussion of key intercultural urgencies, issues, and challenges to our role as intercultural scholars and the pathways for engagement. We all inhabit different and multiple roles for addressing and confronting such urgencies—as researchers, practitioners, activists, teachers, and community m...

Over a month-long period, the Journal of International and Intercultural Communication hosted an online discussion among 11 intercultural scholars across and outside of the discipline in response to four key questions. Editor-in-Chief, Dr. Rona Halualani, facilitated the discussion and introduced the question prompts. The goal was to create a vibra...

In order to engage in our larger discussion, we needed to share our definitions, framings, and theorizings of what “intercultural” and “intercultural communication” mean to us and how we inflect these based on our own experiences, identities, and perspectives. Discussants break down how they understand the notion of “intercultural” behind commonly...

In the next section of the discussion, the participating scholars elaborate on their views of the most pressing intercultural urgencies, issues, and challenges that we face in today's world. The discussants identify both historically persistent and newly emerging challenges and crises that greatly impact our world's communities, their health and we...

This study aimed to examine the influence of social support (from personal networks and health care providers) and social undermining (from personal networks) on health-related quality of life (HRQOL; general health perceptions, physical functioning, and depression). Specifically, the authors aimed to identify the nature of the effects (direct, med...

The construct of individualism–collectivism (IND-COL) has become the definitive standard in cross-cultural psychology, management, and related fields. It is also among the most controversial, in particular, with regard to the ambiguity of its dimensionality: Some view IND and COL as the opposites of a single continuum, whereas others argue that the...

This presentation will present the theory, practice, and methods for understanding trust development as a product of ethical communication within community academic research partnerships. Mistrust in research, which impacts Community Based Participatory Research (CBPR), stems from historic events and institutional histories of collaboration or mis-...

In this paper, a team of scholars presents analysis focused on exploring the nature of governance and how it impacts outcomes in a range of community-partnered research initiatives, with a goal of developing insights about how governance matters in community-based participatory research (CBPR). Here, governance can include research regulation, rese...

A comprehensive charting of CBPR has been conducted through an NIH-funded study (2009-2013) to identify variation nationally across CBPR characteristics of research contexts and partnership processes that impact research decisions and health and social justice outcomes. Our research team, from the National Congress of American Indians Policy Resear...

The purpose of this study was to explore emergency department (ED) physicians' perspectives of guidelines for effective communication. More specifically, the ways in which physicians manage the tensions among effective communication dimensions framed by relational dialectics theory are examined. This study used in-depth interviews with 17 ED physic...

This second edition of the award-winning The SAGE Handbook of Conflict Communication emphasizes constructive conflict management from a communication perspective, identifying the message as the focus of conflict research and practice. Editors John G. Oetzel and Stella Ting-Toomey, along with expert researchers in the discipline, have assembled in o...

A comprehensive charting of CBPR practice is necessary to understand variation across contextual and partnering characteristics that may impact research decisions and health and social justice outcomes. Our partnered research team, from the National Congress of American Indians Policy Research Center and the Universities of New Mexico and Washingto...

Since 2007, the National Congress of American Indians (NCAI) Policy Research Center (PRC) has partnered with the Universities of New Mexico and Washington to study the science of community-based participatory research (CBPR). Our goal is to identify facilitators and barriers to effective community-academic partnerships in American Indian and other...

This study examined individual- and group-level effects of culture and cultural diversity on group interaction climate and satisfaction. Employees from 41 workgroups completed self-construal, face concern, interaction climate, and satisfaction questionnaires. Though analysis of ethnic diversity indicated that group diversity was positively related...

The National Congress of American Indians Policy Research Center and the Universities of New Mexico and Washington have partnered through a NIH Native American Research Centers for Health grant (2009-2013) to better understand community-based participatory research (CBPR) projects in American Indian/Alaska Native and other communities facing health...

Community-based participatory research (CBPR) has been widely used in public health research in the last decade as an approach to develop culturally centered interventions and collaborative research processes in which communities are directly involved in the construction and implementation of these interventions and in other application of findings...

The purpose of this study was to develop a measure of community capacity for American Indian communities. The study included development and testing phases to ensure face, content, construct, and predictive validity. There were 500 participants in two southwest tribes who completed a detailed community profile, which contained 21 common items in fi...

Despite international efforts, national and ethnic disparities in utilization of breast cancer (BC) screenings prevail. In the United States, Hispanic women have one of the lowest BC screening rates. The purpose of our study was to examine how Hispanic women in New Mexico described their breast care behavior (BCB; BC screening practices, motivation...

The purpose of our study was to understand how self-construals affect the intensity of perceived face threats and the subsequent deployment of coping strategies within compliance-seeking situations involving three different influence goals (giving advice, asking favors, or enforcing unfulfilled obligations). Five-hundred and seventy-six students fr...

The relationship of intimate partner violence (IPV) with mental disorders was investigated among 234 American Indian/Alaska Native female primary care patients. Results indicated that unadjusted prevalence ratios for severe physical or sexual abuse (relative to no IPV) were significant for anxiety, PTSD, mood, and any mental disorder. Adjusted prev...

Purpose Prior research demonstrates the importance of face in conflict situations. However, the direct relationship of face concerns to facework behaviors has limited empirical support. Therefore, the purpose of this study is to investigate the relationships among self‐, other‐, and mutual‐face concern and 11 facework strategies within Chinese, Jap...

Purpose: Utilizing a community based participatory research approach, the University of New Mexico Masters in Public Health Program is working with Tribal research teams in the Pueblo of Jemez and Ramah Navajo to adapt and implement an existing evidence-based Native American Family Intervention Project (from the Ojibwe people) to reduce risky behav...

The purpose of this essay is to review and synthesize trends in research on intercultural conflict in four contexts: interpersonal, organizational, community, and international. The key trends in each context are identified and then an integrative approach for the contexts, the social ecological framework, is introduced. The social ecological frame...