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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 the earthquake damage to the Provincial Hotel on the corner of Barbadoes and Cashel Streets. The second storey walls have crumbled, and the bricks have fallen onto the ground below. Scaffolding erected in front of the building is now on a lean. Wire fencing has been placed around the building as a cordon.

Articles, UC QuakeStudies

A press release from the Office of the Press Secretary in the US White House announcing the deployment of a US Agency for International Development (USAID) Disaster Assistance Response Team (DART) to Christchurch after the 22 February 2011 earthquake. The response team included the Los Angeles County Fire Department Urban Search and Rescue Team who assisted with the search and rescue efforts.

Videos, UC QuakeStudies

The city centre and Tuahiwi Marae, the home of Ngāi Tūāhuriri, are now linked by names. The Anglican cathedral and Tuahiwi’s church, both called St Stephens, sit on land called Whitireia. Whitireia was the house of Paekia, the ancestor who landed on the North Island on the back of a whale at Tūranga, which is now the name of Christchurch’s city library.

Images, UC QuakeStudies

An aerial photograph of the Christchurch central city. The photograph has been captioned by BeckerFraserPhotos, "The central city, with the Majestic Theatre in the centre of the photograph. Lichfield Street runs from bottom left diagonally up the photograph to the top right. The City Council building is prominent in the bottom left corner and Latimer Square in the top left corner".

Images, UC QuakeStudies

A community briefing sign for Burwood Park, between Cresswell Avenue and New Brighton Road. These signs were put up in Christchurch for each community briefing. The first series (6 March to 12 March) were held in 12 locations, second series (21 March to 26 March) in 10 locations and the third series (16 April to 18 April) in 8 locations.

Images, UC QuakeStudies

A photograph of the earthquake-damaged to a house in Christchurch. The far wall has collapsed and many of the concrete blocks have spilled into the garden in front. Emergency tape has been draped in front of the wall as a cordon. A red sticker has also been stuck on the furthest window, indicating that the house is unsafe to enter.

Images, UC QuakeStudies

Furniture spray-painted with drawings and words by members of the public as part of the Words of Hope project. Messages can be seen, such as, "Oneness, lovingness, synchronised hearts", "Take it easy! Yay...words of hope!", "Think differently", "Happy, happy, happy", "Christchurch FTW", "Life is for loving", "Life is beautiful", "Plant and grow", "Rise up", and "Keep going Chch".

Images, UC QuakeStudies

A photograph of an office on the side of a Christchurch road. "Danger keep out" has been spray-painted on the front wall. The road in front has been dug up in places and piles of gravel have been placed on the footpath. Road cones and cordon tape have been used to cordon off a large hole in the road.

Images, UC QuakeStudies

Pallet Golf', a Gap Golf course on a the site of a demolished building. It has been built by Gap Filler to look like a journey through Christchurch. A plastic road cone as well as mini road cones, road signs, tunnels and rivers can be seen. The course has been built using green felt, wooden pallets, tyres, planks of wood and bricks.

Images, UC QuakeStudies

An aerial photograph of the Christchurch CBD. The photograph has been captioned by BeckerFraserPhotos, "This photograph shows the many tall CBD buildings, with the Hotel Grand Chancellor under demolition in the centre of the photograph. The street in the foreground running up the photograph from left to right is Lichfield Street with the old Bus Exchange clearly visible".

Images, UC QuakeStudies

A photograph of an earthquake-damaged building in Christchurch. The wall on the side of the house has crumbled, and the bricks have fallen onto the fence and damaged it. Wooden planks have been used to brace the wall towards the back of the property. A red sticker on the front window indicates that the house is unsafe to enter.

Images, UC QuakeStudies

A member of the Los Angeles County Fire Department Search and Rescue Team looking at the maps at the entrance to 'Camp Hollywood', the headquarters of the American Civil Defence Forces in Latimer Square. After the 22 February 2011 earthquake, emergency service agencies set up their headquarters in Latimer Square.

Images, UC QuakeStudies

A member of the Los Angeles County Fire Department Search and Rescue Team looking at the maps at the entrance to 'Camp Hollywood', the headquarters of the American Civil Defence Forces in Latimer Square. After the 22 February 2011 earthquake, emergency service agencies set up their headquarters in Latimer Square.

Images, UC QuakeStudies

The Cathedral of the Blessed Sacrament on Barbadoes Street, severely damaged after the 22 February 2011 earthquake. The domes on either side of the Cathedral have collapsed and are lying in the area in front. To the right, a crushed car can just be seen.

Images, UC QuakeStudies

The Cathedral of the Blessed Sacrament on Barbadoes Street, severely damaged after the 22 February 2011 earthquake. The domes on either side of the Cathedral have collapsed and are lying in the area in front. To the right, a crushed car can just be seen.

Images, UC QuakeStudies

Damage to the Lyttelton Hotel on Norwich Quay. The top of the building has crumbled, bringing the roof down with it. Bricks have fallen on the awning and all along the footpath. Wire fencing and road cones have been used to create a cordon around the building.

Images, UC QuakeStudies

Damage to the Royal Hotel on the corner of Norwich Quay and Canterbury Street in Lyttelton. The columns next to the windows have cracked, indicating that there is major structural damage to the building. Wire fencing and cones have been used to create a cordon around the building.

Images, UC QuakeStudies

A member of the New Zealand Search and Rescue team outside damaged stores on Tuam Street. The top storeys of the stores have almost entirely collapsed onto the street, bringing the awnings down. A digger is parked on the street, and another one can be seen demolishing a store behind it.

Images, UC QuakeStudies

An image from a Army News March 2011 photo compilation titled, "All in a Days Work". The image is captioned, "Searching through the rubble". In the image, members of the South Australian Urban Search and Rescue team are digging through rubble in the central city. In the background, a digger can be seen.

Images, UC QuakeStudies

A Christchurch City Council/Canterbury District Health Board/ECan sign on a tree next to the Heathcote River reads, "Warning, contaminated water. Due to sewage overflows this water is unsafe for human contact and activity and is a public health risk. Please keep all people and pets out of contact with the water and do not consume any seafood or shellfish collected from this area.".

Images, UC QuakeStudies

A collection of wheelbarrows from the Student Volunteer Army in the car park of the USCA. The wheelbarrows have been returned by students after a day of clearing liquefaction from Christchurch properties. Behind them the UCSA's "Big Top" tent can be seen, which was erected to provide support for students at the University of Canterbury in the aftermath of the 22 February 2011 earthquake.

Images, UC QuakeStudies

A photograph of members of the Wellington Emergency Management Office Emergency Response Team and the New Zealand Police inspecting the Cherish Bridal and Formal Wear store on Montreal Street. Inside the store one of the ERT members is attempting to break through a wall.

Images, UC QuakeStudies

An image from a Army News March 2011 photo compilation titled, "All in a Days Work". The image is captioned, "Army Driver Section Commander 3 Transport CPL Andrew Eddington and Driver PTE Shay Heketa delivered chemical toilets to Eastern suburbs which were without water and power for over 10 days".

Images, UC QuakeStudies

A photograph of members of the Wellington Emergency Management Office Emergency Response Team walking through Latimer Square. In the background there are members from other emergency management teams including the China USAR team, the Tauranga Response Team, and the Red Cross.