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Research papers, The University of Auckland Library

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

Research papers, The University of Auckland Library

Reinforced concrete (RC) frame buildings designed according to modern design standards achieved life-safety objectives during the Canterbury earthquakes in 2010-11 and the Kaikōura earthquake in 2016. These buildings formed ductile plastic hinges as intended and partial or total building collapse was prevented. However, despite the fact that the damage level of these buildings was relatively low to moderate, over 60% of multi-storey RC buildings in the Christchurch central business district were demolished due to insufficient insurance coverage and significant uncertainty in the residual capacity and repairability of those buildings. This observation emphasized an imperative need to improve understanding in evaluating the post-earthquake performance of earthquake-damaged buildings and to develop relevant post-earthquake assessment guidelines. This thesis focuses on improving the understanding of the residual capacity and repairability of RC frame buildings. A large-scale five-storey RC moment-resisting frame building was tested to investigate the behaviour of earthquake-damaged and repaired buildings. The original test building was tested with four ground motions, including two repeated design-level ground motions. Subsequently, the test building was repaired using epoxy injection and mortar patching and re-tested with three ground motions. The test building was assessed using key concepts of the ATC-145 post-earthquake assessment guideline to validate its assessment procedures and highlight potential limitations. Numerical models were developed to simulate the peak storey drift demand and identify damage locations. Additionally, fatigue assessment of steel reinforcement was conducted using methodologies as per ATC-145. The residual capacity of earthquake-strained steel reinforcement was experimentally investigated in terms of the residual fatigue capacity and the residual ultimate strain capacity. In addition to studying the fatigue capacity of steel reinforcement, the fatigue damage demand was estimated using 972 ground motion records. The deformation limit of RC beams and columns for damage control was explored to achieve a low likelihood of requiring performance-critical repair. A frame component test database was developed, and the deformation capacity at the initiation of lateral strength loss was examined in terms of the chord rotation, plastic rotation and curvature ductility capacity. Furthermore, the proposed curvature ductility capacity was discussed with the current design curvature ductility limits as per NZS 3101:2006.