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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

Images, UC QuakeStudies

A photograph of a preschool child wearing colourful necklaces and looking happy and excited. The photograph was taken at the Tiny Adventures launch at Niu Early Learning Centre in Linwood. Niu Early Learning Centre is managed by the Tongan Canterbury Community Trust. The Tiny Adventure card packs and smartphone app offer ideas, games and quick fun ways for parents to spend time with their children. They are a project of the All Right? mental health campaign.

Images, UC QuakeStudies

A photograph of Christchurch City Councillor Glenn Livingstone giving a speech. He is wearing a flower lei around his neck. The photograph was taken at the Tiny Adventures launch at Niu Early Learning Centre in Linwood. Niu Early Learning Centre is managed by the Tongan Canterbury Community Trust. The Tiny Adventure card packs and smartphone app offer ideas, games and quick fun ways for parents to spend time with their children. They are a project of the All Right? mental health campaign.

Images, UC QuakeStudies

A photograph of a preschool child tossing a paper ball into a woven flax kete. The photograph was taken at the Tiny Adventures launch at Niu Early Learning Centre in Linwood. Niu Early Learning Centre is managed by the Tongan Canterbury Community Trust. The Tiny Adventure card packs and smartphone app offer ideas, games and quick fun ways for parents to spend time with their children. They are a project of the All Right? mental health campaign.

Images, UC QuakeStudies

A photograph of preschool children and adults looking excited as the All Righties arrive at the event. The photograph was taken at the Tiny Adventures launch at Niu Early Learning Centre in Linwood. Niu Early Learning Centre is managed by the Tongan Canterbury Community Trust. The Tiny Adventure card packs and smartphone app offer ideas, games and quick fun ways for parents to spend time with their children. They are a project of the All Right? mental health campaign.

Images, UC QuakeStudies

A photograph of a presentation slide with the title "Why...Pacific women; The heartbeat of the family" . The slide shows a poster from the All Right? I am... Identity project featuring Sandy Otufangavalu with her daughter Arihadnah. The photograph was taken at the second annual Out of the Heart Pacific Women's Leadership Conference, held at Riccarton Racecourse on 21 May 2016. The conference was sponsored by All Right? and featured posters from the All Right? I am ... Identity project.

Images, UC QuakeStudies

A photograph of five participants in the walk to celebrate Chinese National Day and the Moon Festival. Staff member Vaea Hutchen of the All Right? mental health campaign of the CDHB is wearing a tee shirt promoting the campaign. Others are wearing Chinese flags. The walk was held at the Upper Riccarton Library in September 2015. It was organised by the Canterbury Migrants Centre (formerly the Christchurch Migrants Centre) and was part of the Christchurch City Council's Walking Festival.

Images, UC QuakeStudies

A photograph of Christchurch City Councillor Glenn Livingstone cutting the cake to launch the Tiny Adventures campaign. The photograph was taken at the Tiny Adventures launch at Niu Early Learning Centre in Linwood. Niu Early Learning Centre is managed by the Tongan Canterbury Community Trust. The Tiny Adventure card packs and smartphone app offer ideas, games and quick fun ways for parents to spend time with their children. They are a project of the All Right? mental health campaign.

Images, UC QuakeStudies

A photograph of preschool children watching as the All Righties dance to the song "Let it go". The photograph was taken at the Tiny Adventures launch at Niu Early Learning Centre in Linwood. Niu Early Learning Centre is managed by the Tongan Canterbury Community Trust. The Tiny Adventure card packs and smartphone app offer ideas, games and quick fun ways for parents to spend time with their children. They are a project of the All Right? mental health campaign.

Images, UC QuakeStudies

A photograph of a preschool child making a call on a pretend telephone made from paper cups and string. The photograph was taken at the Tiny Adventures launch at Niu Early Learning Centre in Linwood. Niu Early Learning Centre is managed by the Tongan Canterbury Community Trust. The Tiny Adventure card packs and smartphone app offer ideas, games and quick fun ways for parents to spend time with their children. They are a project of the All Right? mental health campaign.

Images, UC QuakeStudies

A photograph of preschool children in colourful Pasifika costumes performing a welcome song and dance. The photograph was taken at the Tiny Adventures launch at Niu Early Learning Centre in Linwood. Niu Early Learning Centre is managed by the Tongan Canterbury Community Trust. The Tiny Adventure card packs and smartphone app offer ideas, games and quick fun ways for parents to spend time with their children. They are a project of the All Right? mental health campaign.

Images, UC QuakeStudies

A photograph of a preschool child in Pasifika traditional dress holding a drum and grinning at the camera. The photograph was taken at the Tiny Adventures launch at Niu Early Learning Centre in Linwood. Niu Early Learning Centre is managed by the Tongan Canterbury Community Trust. The Tiny Adventure card packs and smartphone app offer ideas, games and quick fun ways for parents to spend time with their children. They are a project of the All Right? mental health campaign.

Images, UC QuakeStudies

A photograph of Emily Arps, Health Promoter for All Right?, taking part in #FiveYearsOn. Arps holds a sign which reads, "Five years on, I feel... Proud of our community and in awe of CHCH's natural beauty! Emily, St Albans." All Right? posted the photograph on their Facebook Timeline on 21 February at 9:12am. All Right? captioned the photograph. "Emily from St Albans s feeling proud of our community and in awe of Chch's natural beauty. #fiveyears on #5yearson #allrightnz".

Images, UC QuakeStudies

An image encouraging people to be active. The image depicts an 'All Rightie' going for a run with a dog and reads, "When did you last get your sweat on? Exercise is a proven pick-me-up - even a little bit helps a lot." The image was from phase 2 of the All Right? campaign, promoting the Five Ways to Wellbeing. The Five Ways to Wellbeing is a simple, evidence-based approach to improving wellbeing, promoted by the Mental Health Foundation.

Images, UC QuakeStudies

An image encouraging people to take notice and connect. The image depicts two 'All Righties' flying a kite and accompanied by a dog and reads, "When did you last get caught up in the moment? It's the simple things that bring us joy." The image was from phase 2 of the All Right? campaign, promoting the Five Ways to Wellbeing. The Five Ways to Wellbeing is a simple, evidence-based approach to improving wellbeing, promoted by the Mental Health oundation.

Images, UC QuakeStudies

An image encouraging people to give. The image depicts an 'All Rightie' trimming a hedge and accompanied by a dog and reads, "When did you last show a little love? It's the little things that really make a big difference to our family and friends." The image was from phase 2 of the All Right? campaign, promoting the Five Ways to Wellbeing. The Five Ways to Wellbeing is a simple, evidence-based approach to improving wellbeing, promoted by the Mental Health Foundation.

Images, UC QuakeStudies

A photograph of preschool children in colourful costumes participating in a potato-stamping craft activity. The photograph was taken at the Tiny Adventures launch at Niu Early Learning Centre in Linwood. Niu Early Learning Centre is managed by the Tongan Canterbury Community Trust. The Tiny Adventure card packs and smartphone app offer ideas, games and quick fun ways for parents to spend time with their children. They are a project of the All Right? mental health campaign.