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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 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 Judi Clements (Mental Health Foundation), Elizabeth Goodwin (Strategies with Kids, Information for Parents - a project of the Ministry of Social Development) and Sue Turner (All Right?) holding the cake celebrating 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 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 four preschool children and an adult playing drums. 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 posing for a group photograph with the All Righties and Sue Turner of the All Right? campaign, Christchurch City Councillor Glenn Livingstone, and Anna Mowat of SKIP (Strategies with Kids, Information for Parents - a project of the Ministry of Social Development). 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.