The Framework has indigenous self-determination at its
core. All four elements have conceptual fit with Kaupapa
Māori aspirations and all have demonstrated evidence
of positive implementation outcomes.
A coding scheme derived from the Framework was
applied to 13 studies of diabetes prevention in indigenous communities in Australia, Canada, New Zealand, and the United States. Cross-tabulations demonstrated
that cultural centeredness (p=.008) and community
engagement (p=.009) explained differences in diabetes
outcomes and community engagement (p=.098)
explained difference in blood pressure outcomes.
The Framework is intended as a planning tool to guide
the successful development and implementation of
interventions. Funders can use the Framework to assess
the likely effectiveness of proposed interventions.
Community organizations can use the Framework to
work with researchers or policy makers to strengthen
each of the four elements.