Background: Up to 6 years after the 2011 Christchurch earthquakes, approximately one-third of parents in the Christchurch region reported difficulties managing the continuously high levels of distress their children were experiencing. In response, an app named Kākano was co-designed with parents to help them better support their children’s mental health. Objective: The objective of this study was to evaluate the acceptability, feasibility, and effectiveness of Kākano, a mobile parenting app to increase parental confidence in supporting children struggling with their mental health. Methods: A cluster-randomized delayed access controlled trial was carried out in the Christchurch region between July 2019 and January 2020. Parents were recruited through schools and block randomized to receive immediate or delayed access to Kākano. Participants were given access to the Kākano app for 4 weeks and encouraged to use it weekly. Web-based pre- and postintervention measurements were undertaken. Results: A total of 231 participants enrolled in the Kākano trial, with 205 (88.7%) participants completing baseline measures and being randomized (101 in the intervention group and 104 in the delayed access control group). Of these, 41 (20%) provided full outcome data, of which 19 (18.2%) were for delayed access and 21 (20.8%) were for the immediate Kākano intervention. Among those retained in the trial, there was a significant difference in the mean change between groups favoring Kākano in the brief parenting assessment (F1,39=7, P=.012) but not in the Short Warwick-Edinburgh Mental Well-being Scale (F1,39=2.9, P=.099), parenting self-efficacy (F1,39=0.1, P=.805), family cohesion (F1,39=0.4, P=.538), or parenting sense of confidence (F1,40=0.6, P=.457). Waitlisted participants who completed the app after the waitlist period showed similar trends for the outcome measures with significant changes in the brief assessment of parenting and the Short Warwick-Edinburgh Mental Well-being Scale. No relationship between the level of app usage and outcome was found. Although the app was designed with parents, the low rate of completion of the trial was disappointing. Conclusions: Kākano is an app co-designed with parents to help manage their children’s mental health. There was a high rate of attrition, as is often seen in digital health interventions. However, for those who did complete the intervention, there was some indication of improved parental well-being and self-assessed parenting. Preliminary indications from this trial show that Kākano has promising acceptability, feasibility, and effectiveness, but further investigation is warranted. Trial Registration: Australia New Zealand Clinical Trials Registry ACTRN12619001040156; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377824&isReview=true
A review of the literature showed the lack of a truly effective damage avoidance solution for timber or hybrid timber moment resisting frames (MRFs). Full system damage avoidance selfcentring behaviour is difficult to achieve with existing systems due to damage to the floor slab caused by beam-elongation. A novel gravity rocking, self-centring beam-column joint with inherent and supplemental friction energy dissipation is proposed for low-medium rise buildings in all seismic zones where earthquake actions are greater than wind. Steel columns and timber beams are used in the hybrid MRF such that both the beam and column are continuous thus avoiding beam-elongation altogether. Corbels on the columns support the beams and generate resistance and self-centring through rocking under the influence of gravity. Supplemental friction sliders at the top of the beams resist sliding of the floor whilst dissipating energy as the floor lifts on the corbels and returns. 1:20 scale tests of 3-storey one-by-two bay building based on an earlier iteration of the proposed concept served as proof-of-concept and highlighted areas for improvement. A 1:5 scale 3-storey one-by-one bay building was subsequently designed. Sub-assembly tests of the beam-top asymmetric friction sliders demonstrated repeatable hysteresis. Quasi-static tests of the full building demonstrated a ‘flat bottomed’ flag-shaped hysteresis. Shake table tests to a suite of seven earthquakes scaled for Wellington with site soil type D to the serviceability limit state (SLS), ultimate limit state (ULS) and maximum credible event (MCE) intensity corresponding to an average return period of 25, 500 and 2500 years respectively were conducted. Additional earthquake records from the 22 February 2011 Christchurch earthquakes we included. A peak drift of 0.6%, 2.5% and 3.8% was reached for the worst SLS, ULS and MCE earthquake respectively whereas a peak drift of 4.5% was reached for the worst Christchurch record for tests in the plane of the MRF. Bi-directional tests were also conducted with the building oriented at 45 degrees on the shake table and the excitation factored by 1.41 to maintain the component in the direction of the MRF. Shear walls with friction slider hold-downs which reached similar drifts to the MRF were provided in the orthogonal direction. Similar peak drifts were reached by the MRF in the bi-directional tests, when the excitation was amplified as intended. The building self-centred with a maximum residual drift of 0.06% in the dynamic tests and demonstrated no significant damage. The member actions were magnified by up to 100% due to impact upon return of the floor after uplift when the peak drift reached 4.5%. Nonetheless, all of the members and connections remained essentially linearelastic. The shake table was able to produce a limited peak velocity of 0.275 m/s and this limited the severity of several of the ULS, MCE and Christchurch earthquakes, especially the near-field records with a large velocity pulse. The full earthquakes with uncapped velocity were simulated in a numerical model developed in SAP2000. The corbel supports were modelled with the friction isolator link element and the top sliders were modelled with a multi-linear plastic link element in parallel with a friction spring damper. The friction spring damper simulated the increase in resistance with increasing joint rotation and a near zero return stiffness, as exhibited by the 1:5 scale test building. A good match was achieved between the test quasi-static global force-displacement response and the numerical model, except a less flat unloading curve in the numerical model. The peak drift from the shake table tests also matched well. Simulations were also run for the full velocity earthquakes, including vertical ground acceleration and different floor imposed load scenarios. Excessive drift was predicted by the numerical model for the full velocity near-field earthquakes at the MCE intensity and a rubber stiffener for increasing the post joint-opening stiffness was found to limit the drift to 4.8%. Vertical ground acceleration had little effect on the global response. The system generates most of its lateral resistance from the floor weight, therefore increasing the floor imposed load increased the peak drift, but less than it would if the resistance of the system did not increase due to the additional floor load. A seismic design procedure was discussed under the framework of the existing direct displacement-based design method. An expression for calculating the area-based equivalent viscous damping (EVD) was derived and a conservative correction factor of 0.8 was suggested. A high EVD of up to about 15% can be achieved with the proposed system at high displacement ductility levels if the resistance of the top friction sliders is maximised without compromising reliable return of the floor after uplift. Uniform strength joints with an equal corbel length up the height of the building and similar inter-storey drifts result in minimal relative inter-floor uplift, except between the first floor and ground. Guidelines for detailing the joint for damage avoidance including bi-directional movement were also developed.
