PMID- 34967750
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220302
IS  - 1929-0748 (Print)
IS  - 1929-0748 (Electronic)
IS  - 1929-0748 (Linking)
VI  - 10
IP  - 12
DP  - 2021 Dec 30
TI  - Evaluation of a Healthy Relationship Smartphone App With Indigenous Young People: 
      Protocol for a Co-designed Stepped Wedge Randomized Trial.
PG  - e24792
LID - 10.2196/24792 [doi]
LID - e24792
AB  - BACKGROUND: 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 whanau (indigenous Maori 
      extended family networks), to learn how to offer better support to taitamariki. 
      OBJECTIVE: The aim of our taitamariki- and Maori-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 Maori 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 Maori-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.
CI  - (c)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.
FAU - Koziol-McLain, Jane
AU  - Koziol-McLain J
AUID- ORCID: 0000-0003-3453-023X
AD  - Centre for Interdisciplinary Trauma Research, Auckland University of Technology, 
      Auckland, New Zealand.
FAU - Wilson, Denise
AU  - Wilson D
AUID- ORCID: 0000-0001-9942-3561
AD  - Taupua Waiora Centre for Maori Health Research, Auckland University of 
      Technology, Auckland, New Zealand.
FAU - Vandal, Alain C
AU  - Vandal AC
AUID- ORCID: 0000-0002-3153-2953
AD  - Department of Statistics, University of Auckland, Auckland, New Zealand.
FAU - Eruera, Moana
AU  - Eruera M
AUID- ORCID: 0000-0002-1097-631X
AD  - Oranga Tamariki Ministry for Children, Wellington, New Zealand.
FAU - Nada-Raja, Shyamala
AU  - Nada-Raja S
AUID- ORCID: 0000-0001-5743-4107
AD  - Centre for Pacific Health, University of Otago, Dunedin, New Zealand.
FAU - Dobbs, Terry
AU  - Dobbs T
AUID- ORCID: 0000-0002-9801-8326
AD  - Centre for Interdisciplinary Trauma Research, Auckland University of Technology, 
      Auckland, New Zealand.
FAU - Roguski, Michael
AU  - Roguski M
AUID- ORCID: 0000-0003-0023-4627
AD  - Kaitiaki Research and Evaluation, Wellington, New Zealand.
FAU - Barbarich-Unasa, Te Wai
AU  - Barbarich-Unasa TW
AUID- ORCID: 0000-0002-7963-3665
AD  - Centre for Interdisciplinary Trauma Research, Auckland University of Technology, 
      Auckland, New Zealand.
LA  - eng
PT  - Journal Article
DEP - 20211230
PL  - Canada
TA  - JMIR Res Protoc
JT  - JMIR research protocols
JID - 101599504
PMC - PMC8759014
OTO - NOTNLM
OT  - Maori
OT  - indigenous
OT  - mHealth
OT  - mobile phone
OT  - relationships
OT  - school
OT  - smartphone app
OT  - young people
COIS- Conflicts of Interest: None declared.
EDAT- 2021/12/31 06:00
MHDA- 2021/12/31 06:01
PMCR- 2021/12/30
CRDT- 2021/12/30 12:43
PHST- 2020/10/05 00:00 [received]
PHST- 2021/09/03 00:00 [accepted]
PHST- 2021/07/26 00:00 [revised]
PHST- 2021/12/30 12:43 [entrez]
PHST- 2021/12/31 06:00 [pubmed]
PHST- 2021/12/31 06:01 [medline]
PHST- 2021/12/30 00:00 [pmc-release]
AID - v10i12e24792 [pii]
AID - 10.2196/24792 [doi]
PST - epublish
SO  - JMIR Res Protoc. 2021 Dec 30;10(12):e24792. doi: 10.2196/24792.