Evaluation of a Healthy Relationship Smartphone App With Indigenous Young People: Protocol for a Co-designed Stepped Wedge Randomized Trial
BackgroundWe 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 h...
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2021-12-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2021/12/e24792 |
| _version_ | 1797735439319171072 |
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| author | Jane Koziol-McLain Denise Wilson Alain C Vandal Moana Eruera Shyamala Nada-Raja Terry Dobbs Michael Roguski Te Wai Barbarich-Unasa |
| author_facet | Jane Koziol-McLain Denise Wilson Alain C Vandal Moana Eruera Shyamala Nada-Raja Terry Dobbs Michael Roguski Te Wai Barbarich-Unasa |
| author_sort | Jane Koziol-McLain |
| collection | DOAJ |
| description |
BackgroundWe 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.
ObjectiveThe 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).
MethodsWe 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.
ResultsThe 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).
ConclusionsThis 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 RegistrationAustralian 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 |
| first_indexed | 2024-03-12T12:59:04Z |
| format | Article |
| id | doaj.art-02ec5a8ca1ca4596b4cebabad2afb530 |
| institution | Directory Open Access Journal |
| issn | 1929-0748 |
| language | English |
| last_indexed | 2024-03-12T12:59:04Z |
| publishDate | 2021-12-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj.art-02ec5a8ca1ca4596b4cebabad2afb5302023-08-28T20:05:09ZengJMIR PublicationsJMIR Research Protocols1929-07482021-12-011012e2479210.2196/24792Evaluation of a Healthy Relationship Smartphone App With Indigenous Young People: Protocol for a Co-designed Stepped Wedge Randomized TrialJane Koziol-McLainhttps://orcid.org/0000-0003-3453-023XDenise Wilsonhttps://orcid.org/0000-0001-9942-3561Alain C Vandalhttps://orcid.org/0000-0002-3153-2953Moana Eruerahttps://orcid.org/0000-0002-1097-631XShyamala Nada-Rajahttps://orcid.org/0000-0001-5743-4107Terry Dobbshttps://orcid.org/0000-0002-9801-8326Michael Roguskihttps://orcid.org/0000-0003-0023-4627Te Wai Barbarich-Unasahttps://orcid.org/0000-0002-7963-3665 BackgroundWe 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. ObjectiveThe 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). MethodsWe 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. ResultsThe 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). ConclusionsThis 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 RegistrationAustralian New Zealand Clinical Trials Registry ACTRN12619001262190; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377584 International Registered Report Identifier (IRRID)RR1-10.2196/24792https://www.researchprotocols.org/2021/12/e24792 |
| spellingShingle | Jane Koziol-McLain Denise Wilson Alain C Vandal Moana Eruera Shyamala Nada-Raja Terry Dobbs Michael Roguski Te Wai Barbarich-Unasa Evaluation of a Healthy Relationship Smartphone App With Indigenous Young People: Protocol for a Co-designed Stepped Wedge Randomized Trial JMIR Research Protocols |
| title | Evaluation of a Healthy Relationship Smartphone App With Indigenous Young People: Protocol for a Co-designed Stepped Wedge Randomized Trial |
| title_full | Evaluation of a Healthy Relationship Smartphone App With Indigenous Young People: Protocol for a Co-designed Stepped Wedge Randomized Trial |
| title_fullStr | Evaluation of a Healthy Relationship Smartphone App With Indigenous Young People: Protocol for a Co-designed Stepped Wedge Randomized Trial |
| title_full_unstemmed | Evaluation of a Healthy Relationship Smartphone App With Indigenous Young People: Protocol for a Co-designed Stepped Wedge Randomized Trial |
| title_short | Evaluation of a Healthy Relationship Smartphone App With Indigenous Young People: Protocol for a Co-designed Stepped Wedge Randomized Trial |
| title_sort | evaluation of a healthy relationship smartphone app with indigenous young people protocol for a co designed stepped wedge randomized trial |
| url | https://www.researchprotocols.org/2021/12/e24792 |
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