Evaluation of a Healthy Relationship Smartphone App With Indigenous Young People: Protocol for a Co-designed Stepped Wedge Randomized Trial

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aut.relation.articlenumbere24792en_NZ
aut.relation.issue12en_NZ
aut.relation.journalJMIR Research Protocolsen_NZ
aut.relation.volume10en_NZ
dark.contributor.authorKoziol-McLain, Jen_NZ
dark.contributor.authorWilson, Den_NZ
dark.contributor.authorVandal, ACen_NZ
dark.contributor.authorEruera, Men_NZ
dark.contributor.authorNada-Raja, Sen_NZ
dark.contributor.authorDobbs, Ten_NZ
dark.contributor.authorRoguski, Men_NZ
dark.contributor.authorBarbarich-Unasa, TWen_NZ
dc.date.accessioned2022-11-08T01:34:54Z
dc.date.available2022-11-08T01:34:54Z
dc.date.copyright2021en_NZ
dc.date.issued2021en_NZ
dc.description.abstractBACKGROUND: We co-designed a smartphone app, Harmonised, with taitamariki (young people aged 13-17 years) to promote healthy intimate partner relationships. The app also provides a pathway for friends and family, or whānau (indigenous Māori extended family networks), to learn how to offer better support to taitamariki. OBJECTIVE: The aim of our taitamariki- and Māori-centered study is to evaluate the implementation of the app in secondary schools. The study tests the effectiveness of the app in promoting taitamariki partner relationship self-efficacy (primary outcome). METHODS: We co-designed a pragmatic, randomized, stepped wedge trial (retrospectively registered on September 12, 2019) for 8 Aotearoa, New Zealand, secondary schools (years 9 through 13). The schools were randomly assigned to implement the app in 1 of the 2 school terms. A well-established evaluation framework (RE-AIM [Reach, Effectiveness, Adoption, Implementation, Maintenance]) guided the selection of mixed data collection methods. Our target sample size is 600 taitamariki enrolled across the 8 schools. Taitamariki will participate by completing 5 web-based surveys over a 15-month trial period. Taitamariki partner relationship self-efficacy (primary outcome) and well-being, general health, cybersafety management, and connectedness (secondary outcomes) will be assessed with each survey. The general effectiveness hypotheses will be tested by using a linear mixed model with nested participant, year-group, and school random effects. The primary analysis will also include testing effectiveness in the Māori subgroup. RESULTS: The study was funded by the New Zealand Ministry of Business, Innovation, and Employment in October 2015 and approved by the Auckland University of Technology Ethics Committee on May 3, 2017 (application number: 17/71). CONCLUSIONS: This study will generate robust evidence evaluating the impact of introducing a healthy relationship app in secondary schools on taitamariki partner relationship self-efficacy, well-being, general health, cybersafety management, and connectedness. This taitamariki- and indigenous Māori-centered research fills an important gap in developing and testing strengths-based mobile health interventions in secondary schools. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12619001262190; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377584. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/24792.en_NZ
dc.identifier.citationJMIR Research Protocols 2021;10(12):e24792 URL: https://www.researchprotocols.org/2021/12/e24792 DOI: 10.2196/24792
dc.identifier.doi10.2196/24792en_NZ
dc.identifier.issn1929-0748en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/15600
dc.languageengen_NZ
dc.publisherJMIR Publicationsen_NZ
dc.relation.urihttps://www.researchprotocols.org/2021/12/e24792
dc.rights©Jane Koziol-McLain, Denise Wilson, Alain C Vandal, Moana Eruera, Shyamala Nada-Raja, Terry Dobbs, Michael Roguski, Te Wai Barbarich-Unasa. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 30.12.2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on https://www.researchprotocols.org, as well as this copyright and license information must be included.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectIndigenousen_NZ
dc.subjectMāorien_NZ
dc.subjectmHealthen_NZ
dc.subjectMobile phoneen_NZ
dc.subjectRelationshipsen_NZ
dc.subjectSchoolen_NZ
dc.subjectSmartphone appen_NZ
dc.subjectYoung peopleen_NZ
dc.titleEvaluation of a Healthy Relationship Smartphone App With Indigenous Young People: Protocol for a Co-designed Stepped Wedge Randomized Trialen_NZ
dc.typeJournal Article
pubs.elements-id446960
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/School of Clinical Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/School of Clinical Sciences/Nursing Department
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/School of Public Health & Interdisciplinary Studies
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/School of Public Health & Interdisciplinary Studies/Public Health & Mental Health Research Institute
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/School of Public Health & Interdisciplinary Studies/Public Health & Mental Health Research Institute/Taupa Waiora Research Centre
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/School of Public Health & Interdisciplinary Studies/Te Ara Hauora
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