This study investigated the efficacy of culturally adapted bibliotherapy in promoting resilience among American Samoan children aged 5-13 years in response to high adolescent suicide rates in the Pacific Islands and the need for culturally adapted and supportive interventions grounded in mental health wellness. Bibliotherapy, particularly the identification with story characters, has been recognized for bolstering mental wellness, resilience, and emotional regulation in children. In this research, the children's response to bibliotherapy was measured through card sorting and forced-choice exercises, assessing their engagement with literature mirroring their experiences. The materials were developed in collaboration with Samoan cultural brokers on island to ensure cultural relevance, focusing on emotions commonly faced by children, such as sadness, anger, and fear, within the context of school bullying and the grief of losing a loved one. Findings suggest that the adapted stories significantly aided the children in relating to the characters and their challenges, demonstrating that culturally sensitive bibliotherapy may be a promising approach for reinforcing resilience in Pacific Islander communities. The study concludes with a discussion on the practical applications of these findings.

This thesis concerns the relationship between ideology, values, beliefs, politics, language, discourses, public policy and health outcomes. By examining the origins of federal health policy concerning Aboriginal and Torres Strait Islander Peoples 1972-2001 I have explored the idea that the way a problem is constructed through language determines solutions enacted to solve that problem, and subsequent outcomes. Despite three decades of federal policy activity Aboriginal and Torres Strait Islander children born at the start of the 21st Century could expect to live almost 20 years less than non-Indigenous Australians. Explanations for the gap include that the colonial legacy of dispossession and disease continues to wreak social havoc and that both health policy and structures for health services have been fundamentally flawed. The research described in this thesis focuses on the role of senior Federal politicians in the health policy process. The research is grounded in theory which suggests that the values and beliefs of decision makers are perpetuated through language. Using critical discourse analysis the following hypotheses were tested: 1. That an examination of the language of Federal politicians responsible for the health of Aboriginal and Torres Strait Islander Peoples over three decades would reveal their beliefs, values and discourses concerning Aboriginal and Torres Strait Islander Peoples and their health 2. That the discourses of the Federal politicians contributed to policy discourses and frames in the Aboriginal and Torres Strait Islander health policy environment, and 3. That there is a relationship between the policy discourses of the Aboriginal and Torres Strait Islander health policy environment and health outcomes for Aboriginal and Torres Strait Islander Peoples. The hypotheses were proven. I concluded that there was a relationship between the publicly-expressed values and beliefs of politicians responsible for health, subsequent health policy and resulting health outcomes. However, a model in which theories of discourse, social constructions of people and problems, policy development and organisational decision-making were integrated did not adequately explain the findings. I developed the concept of &quotpolicy imagination&quot to explain the discrete mechanism by which ideology, politics, policy and health were related. My research suggests that the ideology and values which drove decision-making by Federal politicians responsible for the health of all Australians contributed to the lack of population-wide improvement in health outcomes for Aboriginal and Torres Strait Islander Peoples in the late 20th Century.

Thesis (Ph.D.) -- University of Western Sydney, Hawkesbury, 1999. / Bibliography : leaves 322-339.

Thesis (Ph. D.)--University of Washington, 2007. / Includes bibliographical references (leaves 162-176).

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The type 2 diabetes (T2DM) epidemic is a global health issue that is especially severe among Pacific Islanders in the United States (U.S.) and U.S. Associated Pacific Islands (USAPI) including Chuukese living in their homeland of Chuuk and the state of Hawaii. Although there are diabetes prevention and management programs in Hawai'i and the Pacific, success is limited due in part to the lack of tailoring for the Pacific audience. In spite of numerous recommendations to incorporate Pacific cultural constructs into health interventions, there are no studies in Chuuk or the Pacific that examine the integration of cultural constructs into diabetes prevention and management. To address this research need, the four studies in this dissertation used Grounded Theory and Community Based Participatory Research (CBPR) processes to explore the relationships between constructs such as culture, religion, family, and diabetes prevention and control. The aims were to obtain perspectives on diabetes prevention, screening and management (Study1) and identify socio-cultural influences that hinder or facilitate adherence to diabetes prevention and management behaviors specifically adherence to nutrition therapy (Study 2), physical activity (Study 3) and prescription medication (Study 4). Data where gathered through key informant interviews (faith leaders and health care providers) and focus group discussions (individual with diabetes and care takers). Results from Study 1 showed that participants perceived T2DM as a major problem and the discussion followed four significant narratives: (1) the need for specific information on "how to" operationalize diabetes treatment recommendations; (2) the practice of seeking medical help only when in pain; (3) the role spirituality plays in etiology disease beliefs and its influence on help-seeking behaviors; and (4) the role emotions play in treatment compliance. Study 2 revealed barriers to nutrition therapy adherence that were similar to other minority populations in the U.S. such as cost of healthy foods, taste preference, low availability of healthy food choices, lack of ideas for healthy meals/cooking, and lack of culturally appropriate nutrition modification options. It also elucidated: (1) food consumption and preparation practices; (2) the need for culturally tailored interventions; and (3) contextually appropriate approaches to address nutrition issues, including a plan for future research and interventions. Study 3 revealed a variety of behaviors, personal factors and environmental influences related to adherence to physical activity recommendations. Although the study was focused on physical activity, participants spent the majority of their time discussing sedentary behaviors and contextually appropriate interventions. Study 4 exposed vital factors that inclined patients' to comply with prescribed medication. Factors associated with the healer (messenger), medicine/remedy, and focus of healing. Furthermore, this study revealed that many patients not only seek multiple healing types (western, traditional, local and new), they also rotate among the types. These findings were communicated through two narratives: healer characteristics and medication-specific features. Overall, the most salient topics in all the focus group and interview discussions were on diabetes as a major problem and the pervasiveness of hopelessness. Woven into these conversations were narratives on how to address these two issues with stewardships of the spirit, mind and body. This became the foundation of a framework to address the diabetes epidemic in Pacific.

The aim of my study is to comprehend why there is a significant gap in the economic development of Torres Strait. It questions why it is that Torres Strait Islanders as a whole remain largely economically unproductive in their present situation in contrast to the political beliefs of Islanders and their struggles for self-determination. It questions why Island leaders continue to accept policies of external control even though the guidelines for self development maintain the situation, rather than transforming it. Thus this thesis examines contemporary and traditional history of the Torres Strait in order to analyse and evaluate the development of the political structures of the Islands and how colonialism has influenced the politics of Torres Strait Islanders. I shift through the recorded layers of myths and legends for my interpretation and analyse the ethnographic accounts about Torres Strait from past archival reports, academic literature and the oral accounts from interviews. From the local media, I have examined the recent views of both the contented and discontented Islanders and other people reported in the local Torres News. From these records, I bring into perspective the historical processes of a capitalist economic system which has so deeply penetrated Islander culture. / Commencing in the 1860s, at the onset of the Torres Strait beche-de-mer and pearl shell industry, the system has so failed Torres Strait Islanders' social development that it moved Islander leaders in the 1980s to push for cessation from Australia and, in the mid 1900s to seek "autonomy and self government" to remain within the Australian political system. In this thesis, I use this evidence to bring into perspective the concept of development with awareness to the colonial history of Torres Strait in comparison with oral history interpreted as the culture of my people. The theme my thesis implicates the contestation between Torres Strait Islanders and governments who impose administrative policies through the Islander system of political representation (regarding Islander culture and resources).

The Church College of New Zealand is a private co-educational secondary school located near Hamilton, New Zealand and is sponsored by the Church of Jesus Christ of Latter-day Saints. Since its opening in 1958, it has hosted a large population of Polynesian students, in particular Māori. The questions that this thesis addresses centre on the nature, history and reasons for what seems to be a disproportionately higher level of achievement amongst Māori and Pacific Island students at Church College than in New Zealand more broadly. Through a life-history approach to research, this thesis provides an overview of the rich history behind the building of the Church College, and highlights the experiences of successful graduates over three particular timeframes - 1951-1969, 1970-1989 and the 1990s. A major contributing factor to the success of the students at Church College is an environment where both religious and cultural values of students are reaffirmed and considered normal. For some students, Church College provided an environment that validated what students were being taught in their own homes. For others, it provided a refuge from a conflicted home. With the growing pressures of social problems within the wider community for many Māori and Pacific Island families, the school environment of the Church College was a key factor in providing stability and security for some students at the College. On June 29 2006, an announcement was made by leaders of the Church of Jesus Christ of Latter-day Saints of the phased out closure of Church College beginning in the year 2007 and eventually closing at the end of the year 2009. With Māori and Pacific Island students so under-represented in achievement and participation in education settings in New Zealand, the announcement of the closure provided an opportunity to highlight some of the successes experienced at the Church College of New Zealand.

During 1996 and 1997 an Australian parliamentary committee conducted an inquiry into greater autonomy for Torres Strait Islanders, but by 2000 the future of the issue seemed unclear. This thesis explores what the notion of autonomy has meant for Torres Strait and for Torres Strait Islanders in the past, and what it might mean in the future. The thesis uses material from the period before European contact to just after the end of the parliamentary inquiry. ¶ Several analytical tools were utilised to explore the concept of autonomy. Major among these to propose and then analyse the relationship between autonomy’s economic and political components. The thesis also introduces the paired concepts of negative and positive autonomy to provide a counterpoint to ideas of welfare colonialism. Cross cutting these economic and political elements is a consideration of both regional and corporate forms of autonomy. The thesis argues that it is necessary to consider the factors which people can use to legitimise a case for autonomy and these are identified and discussed. ¶ Although previous research and historical material are utilised, unique parts of the thesis include an analysis of: the formal submissions and hearings associated with the parliamentary inquiry; the Torres Strait’s location between Australia and Papua New Guinea; and the Strait’s small-island make-up. In this latter regard, comparisons are made with models and examples of autonomy found in small island states and territories in the Pacific. ¶ The findings include that we must consider two groups of Torres Strait Islanders, those in Torres Strait and those on mainland Australia. Whereas those in the Strait have been able to legitimise a case for a form of autonomy those on the mainland have not. Islanders in the Strait have achieved a degree of regional autonomy; those on the mainland are unable to make a case to be part of this regional autonomy, or to achieve a form of corporate autonomy. The status of Islanders in the Strait is influenced by several factors including the Strait’s location on the border with Papua New Guinea, the associated Treaty with that country, and the nature and the accessibility of the in-shore fishery. A major finding however is that although Islanders have achieved a degree of regional political autonomy, which may be progressed yet further, they have been unable to embrace non-Indigenous people within this. Their present aspiration for regional political autonomy therefore is limited to one that would apply only to Indigenous-specific affairs. This stands in some conflict with their aspiration for regional economic autonomy which would include their control over the entire regional fishery which they presently share with non-Islanders. ¶ Though Islanders have achieved some degree of political autonomy, they depend on substantial government financial transfers to the region. Despite this they have also achieved some economic autonomy, particularly through being involved in the region’s fishery. Juxtaposing negative and positive autonomy with political and economic autonomy shows that a dependence on government economic transfers does not preclude gains in political autonomy. This can be contrasted with the notion of welfare colonialism.