What does it mean to “be in a mood” at school? This question guides this thesis, which analyses the relationship between young people’s experiences of moods and the discourses and pedagogies of moods they encounter at school. The emotions and moods of young people in Christchurch, New Zealand, have, in recent years, come under considerable scrutiny. A national decline in rates of youth mental health and concern over the lasting psychological effects of the 2010-2011 Christchurch Earthquakes have justified increased attention to and funding for youth mental health promotion and school-based mental health education programs. Drawing on a year-long school ethnography at a public girl’s high school in Christchurch with 22 Year 10 students (age 14-15), this thesis examines how young people interact with state and psychiatric discourses of youth and mental health. It explores how young people integrate and transform these discourses in their experiences and knowledges of moods as they relate to mental health, education, friendships, and the (in)stability of the self in time. Additionally, this thesis proposes an anthropological reconsideration of moods. Developing insights from phenomenological and medical anthropology and bringing them into conversation with ethnographic analysis, the approach to moods in this thesis sees two necessarily interconnected ways in which moods become significant for understanding subjectivity and contemporary society. On the one hand, moods are an integral dimension of phenomenological experience in which it is possible to dwell in affective ambiguities, producing open-ended horizons of experience. On the other hand, young people’s experience of moods is refracted through moods’ medicalised formulation as experience that can be bounded, taxonomized, transformed into kinds of knowledge about the self, and thus acted on in distinct and morally situated ways. Attending to the experience of “being in a mood” at school reveals how medical and psychiatric knowledges are woven into moral experience in the everyday. This moral experience of moods has critical implications for how young people in New Zealand today situate the self in relationships, in the world, and in time, and therefore is particularly revealing for developing anthropological understandings of teenage subjectivity
The Evaluating Maternity Units (EMU) study is a mixed method project involving a prospective cohort study, surveys (two postnatal questionnaires) and focus groups. It is an Australasian project funded by the Australian Health and Medical Research Council. Its primary aim was to compare the birth outcomes of two groups of well women – one group who planned to give birth at a primary maternity unit, and a second group who planned to give birth at a tertiary hospital. The secondary aim was to learn about women’s views and experiences regarding their birthplace decision-making, transfer, maternity care and experiences, and any other issues they raised. The New Zealand arm of the study was carried out in Christchurch, and was seriously affected by the earthquakes, halting recruitment at 702 participants. Comprehensive details were collected from both midwives and women regarding antenatal and early labour changes of birthplace plans and perinatal transfers from the primary units to the tertiary hospital. Women were asked about how they felt about plan changes and transfers in the first survey, and they were discussed in some focus groups. The transfer findings are still being analysed and will be presented. This study is set within the local maternity context, is recent, relevant and robust. It provides midwives with contemporary information about transfers from New Zealand primary maternity units and women’s views and experiences. It may help inform the conversations midwives have with each other, and with women and their families/whānau, regarding the choices of birthplace for well childbearing women
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
