Paul Robertson's research while affiliated with University of Otago and other places

Publications (26)

Article
Full-text available
The impact of alcohol and other drug problems for Māori is well documented. Substance use has been implicated in a range of physical and mental health problems, and a variety of negative social statistics such as high rates of imprisonment. To date there has been little systematic documentation of treatment practices, and limited operationalisation...
Article
Full-text available
To understand health disparities in cardiovascular disease (CVD) in the indigenous Māori of New Zealand, diagnosed and undiagnosed CVD risk factors were compared in rural Māori in an area remote from health services with urban Māori and non-Māori in a city well served with health services. Prospective cohort study. Hauora Manawa is a cohort study o...
Article
To document levels of cardiovascular disease (CVD), diagnosed and undiagnosed risk factors and clinical management of CVD risk in rural Māori. Participants (aged 20-64 years), of Māori descent and self-report, were randomly sampled to be representative of age and gender profiles of the community. Screening clinics included health questionnaires, fa...
Article
Full-text available
The influence of indigeneity is widely recognised as a health determinant; however the impact of the utilisation of the indigenous language on health care has not been closely examined. To explore the Maori language (te reo) as a determinant of health from a Maori patient's perspective. Maori patients were recruited through Maori health networks an...
Article
To report the processes and protocols that were developed in the design and implementation of the Hauora Manawa Project, a cohort study of heart disease in New Zealand and to report the participation at baseline. This study utilised application of a Kaupapa Māori Methodology in gaining tribal and health community engagement, design of the project a...
Article
Full-text available
To examine characteristics of patients with social phobia (SP) in alcohol and drug treatment settings and to identify features distinguishing this group from patients with and without other psychiatric conditions. A random sample of 105 patients completing an initial assessment at two outpatient alcohol and drug treatment services were assessed and...
Article
Full-text available
In 1984 Mason Durie documented a framework for understanding Māori health, Te Whare Tapa Wha, which has subsequently become embedded in Māori health policy. In addition, the adoption of this framework is now widespread among Māori and Iwi health and disability service providers and clinicians. Within psychological practice Te Whare Tapa Wha forms t...
Article
Issues of psychological control feature prominently in the area of alcohol dependence (AD) and its treatment, yet the reliance on 'locus of control' (LOG) as the most common depiction of control in such research is problematic. Using a multidimensional measure to overcome such problems, this study investigates the relationship between sense of cont...
Article
Māori, like Indigenous Australians and other indigenous people world-wide, are simultaneously over-represented among those presenting with addiction-related problems and under-represented within various health professions. Providing the opportunity for individuals and whanau (family/extended family) to work with ethnically matched health workers is...
Article
Full-text available
To describe the profile of clients attending dedicated alcohol and other drug (AOD) treatment services in New Zealand, and to compare this profile with data from a 1998 survey. 288 randomly selected AOD treatment workers in New Zealand were interviewed by telephone regarding their most recent assessment and follow-up clients, yielding a randomly se...
Article
Full-text available
Although Maori, like other indigenous populations, have been identified as being disproportionately at risk of gambling related problems, there has been limited progress with strategies to address issues in this area. The purpose of the current study 1 was to contribute to the advancement of problem gambling services 2 for Maori living in te rohe o...
Article
This paper describes qualitative research that was carried out as part of a project aimed at drawing up a series of guidelines for the assessment and management for people with coexisting substance use and mental health disorders, or dual diagnosis. A core consultation team of 14 experts with experience in the areas of both substance use and mental...
Article
There is a growing interest in the comorbidity of "substance use disorder" and "problem gambling." although there has been little study specifically on people with "alcohol dependence" who are being treated in general alcohol- and drug-user outpatient settings. This study aimed to determine the nature and extent of gambling in a sample of 124 mild-...
Article
Full-text available
Culturally responsive treatments are often cited as essential for successfully addressing substance use-associated problems in indigenous and other ethnic groups. However, there has been little investigation of the support for this assertion among alcohol and drug-user treatment workers, or how it might translate into clinical practice. The current...
Article
Măori, the indigenous people of New Zealand have advocated that culturally-based care requires goals and processes specifically defined within their ethnocultural context. Positive cultural identity and pride have been posited as integral to achieving wellbeing for Măori. A sample of Măori in treatment for alcohol- and drug-use associated problems...
Article
Guidance counsellors have an important role in identifying students with substance use problems and in early intervention. This study describes a census of the practices of 42 guidance counsellors in the greater Christchurch area in assisting students with substance-use related problems and provides a brief description of that student population. R...
Article
To describe the profile of clients seen across the broad spectrum of dedicated alcohol and drug treatment services in New Zealand. 217 randomly selected alcohol and drug treatment workers in New Zealand were interviewed by telephone, yielding a randomly selected sample of 291 clients. Workers were asked to identify the age, gender, ethnicity, main...
Article
To document aspects of the history of alcohol use among Maori, with a particular focus on the period from 1840 to 1872 and to identify potential use of this knowledge in the development of strategies for the prevention and treatment of alcohol-related harm among Maori in contemporary New Zealand. A survey of the surviving documentation about alcoho...

Citations

... Similar, domain-specific constructs involving self-efficacy for alcohol use also are associated with reduced severity of alcohol use disorders (Williams et al., 1998;Witkiewitz et al., 2012). In many studies, though, samples are small and limited to treatment-seekers (Surgenor et al., 2006). ...
... The focus on public health approaches informed by an understanding of systemic oppression is particularly strong in research on gambling harm in Aboriginal communities, (Dyall and Hand, 2003, Robertson et al., 2005, Maltzahn et al., 2018; this is particularly so in Aotearoa New Zealand, where gambling was identified by the government as a public health issue in 2003 (Morrison and Boulton, 2013). ...
... Wilson and colleagues [23] systematically reviewed the literature pertaining to Māori health and wellbeing models to inform the development of a Māoricentred relational model of care. In their review, the authors detailed and described the Hui Process [24], the Kapakapa Manawa Framework [25], The Meihana Model [26], Te Hā o Whānau [27], Te Kapunga Putohe [28], Te Punga Oranga [29], Te Whare Tapa Whā, Te Wheke, and Te Whetū [30]. The narrative overview of the article's first theme, 'dimensions of health and wellbeing', is relevant to the present research as it provides valuable insights as to how Māori wellbeing is conceptualised and understood across these various models [23]. ...
... Recent interest in routine outcome monitoring in the New Zealand alcohol and other drug (AOD) treatment sector, gave rise to a number of initiatives aimed at developing a feasible way of measuring outcomes for clients accessing treatment for their drug and / or alcohol problems (Christie et al., 2007;Deering et al., 2004;Deering, Sellman, Adamson, Horn, & Frampton, 2008). The New Zealand Ministry of Health commissioned the development and testing of an outcome monitoring instrument, the Alcohol and Drug Outcome Measure (ADOM); a generic outcome monitoring instrument designed for use in the New Zealand AOD treatment sector (Deering et al., 2009). ...
... In the current study, NZ/European patients had a higher prevalence of HTN than Māori and Pacific, but lower than Asians which represented 9.5% of the study population. In NZ, the overall cardiovascular risk is more likely to be higher in Māori, Pacific and Asians than in NZ/Europeans (Bullen et al., 1996;Cameron et al., 2012;Selak et al., 2020). ...
... Overall, RYO use was most frequent among less educated subjects, in broad agreement with surveys from Canada (Leatherdale and Burkhalter, 2012;Leatherdale et al., 2009), Malaysia and Thailand (Young et al., 2008), New Zealand (Li et al., 2010;Sheerin et al., 2012;Young et al., 2010;Young et al., 2012), with the International Tobacco Control (ITC) Four Country Survey, conducted in Australia, Canada, the UK and the USA (Young et al., 2006) and with other data from the UK (Tavakoly et al., 2013). This further confirms the strict relationship between economic aspects and RYO tobacco use, since individuals with lower socioeconomic levels are more responsive to tobacco price changes IARC, 2011). ...
... Three papers did mention the use of blood samples in the study, however, the storage of these samples and the process of removal from traditional lands were not speci ed in the papers. (23,30,31) Researchers should ensure that any samples taken away from traditional lands (if done) needs to be discussed frankly as part of the research agreement. Further, whilst most papers in this review were using quantitative research methods, most of the data were de-identi ed and from hospital records or survey data and therefore, item 12 was not applicable to most studies given that the data had been collected prior to the study and not as part of the study. ...
... The conduct of good research requires both methodology and method. Kaupapa Māori (KM) research methodology is employed here as a decolonising research approach that contributes to Māori knowledge advancement and positions research within wider advocacy efforts and social accountability to Māori communities (Haitana et al., 2020;Pihama et al., 2002;Pitama et al., 2011;Wilson et al., 2022). Qualitative Document Analysis (QDA), a widely used method in case study research (Dalglish et al., 2020;Mackieson et al., 2019;Wood et al., 2020), is used to analyse the Māori submissions to TAP (Ministry of Business, Innovation, and Employment, 2021). ...
... As part of the mihimihi or introduction, paramedics need to confirm details are correct, and Parry et al. (2014) and Pitama et al. (2011) encourage the use of basic te reo Māori at this stage. The use of te reo Māori has been recognised as a contributing factor in building trusting relationships between clinicians, the patient and their whānau. ...
... Until the early 1990s, AOD practitioners in New Zealand consisted of a diverse mix of people from different backgrounds, including a sizeable number engaged in their own recovery (Adamson et al., 2000), some who had migrated over from general training in mental health and some qualified with an undergraduate certificate in AOD (Adamson et al., 2009). However, three aspects of this mix constrained improvements in the quality of services. ...