Journal Articles

Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/7915

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    Challenging the inequities of ebike access: An investigation of a community-led intervention in a lower-income neighbourhood in Aotearoa - New Zealand
    (Elsevier B.V., 2024-09) Witten K; Opit S; Mackie H; Raja A
    Introduction Ebiking offers positive physical and mental health benefits for riders. However, inequitable access to bike share schemes and purchase cost barriers limit ebike availability and uptake in lower-income communities. Furthermore, as bike culture differs from place to place, incentive schemes responsive to the local culture are needed to improve access to ebikes as a healthy mobility choice. Methods Three trials of ebike access were co-designed sequentially between 2021 and 2023. Give-it-a go, Ebikes in daily life, Pathway to Permanence were all designed by a community bike organisation working in tandem with a research team. Trial delivery was community-led. Trial participants’ experiences of ebike use were gathered through group and individual interviews, and the research also included a brief before and after survey of trip destination and mode use. Results Trial participants valued their ebiking experience, including the skills training and group rides, new knowledge of safe routes, health benefits of exercise, and fuel savings. During the trial, a third of weekly trips were made by ebike, while trips made by motor vehicle reduced by 25%. Cost emerged as a substantial barrier to ebike ownership. Conclusions Effective models to support ebike uptake in lower-income communities will be characterised by: adequate funding of community organisations to grow local bike culture; safe and secure bike infrastructure; community ownership of an ebike fleet to support skill acquisition and social connection; and a pathway to low-cost ebike access.
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    A scoping review of non-pharmacological perinatal interventions impacting maternal sleep and maternal mental health
    (BioMed Central Ltd, 2022-12) Ladyman C; Sweeney B; Sharkey K; Bei B; Wright T; Mooney H; Huthwaite M; Cunningham C; Firestone R; Signal TL
    BACKGROUND: A woman's vulnerability to sleep disruption and mood disturbance is heightened during the perinatal period and there is a strong bidirectional relationship between them. Both sleep disruption and mood disturbance can result in significant adverse outcomes for women and their infant. Thus, supporting and improving sleep in the perinatal period is not only an important outcome in and of itself, but also a pathway through which future mental health outcomes may be altered. METHODS: Using scoping review methodology, we investigated the nature, extent and characteristics of intervention studies conducted during the perinatal period (pregnancy to one-year post-birth) that reported on both maternal sleep and maternal mental health. Numerical and descriptive results are presented on the types of studies, settings, sample characteristics, intervention design (including timeframes, facilitation and delivery), sleep and mood measures and findings. RESULTS: Thirty-seven perinatal interventions were identified and further described according to their primary focus (psychological (n = 9), educational (n = 15), lifestyle (n = 10), chronotherapeutic (n = 3)). Most studies were conducted in developed Western countries and published in the last 9 years. The majority of study samples were women with existing sleep or mental health problems, and participants were predominantly well-educated, not socio-economically disadvantaged, in stable relationships, primiparous and of White race/ethnicity. Interventions were generally delivered across a relatively short period of time, in either the second trimester of pregnancy or the early postnatal period and used the Pittsburgh Sleep Quality Index (PSQI) to measure sleep and the Edinburgh Postnatal Depression Scale (EPDS) to measure mood. Retention rates were high (mean 89%) and where reported, interventions were well accepted by women. Cognitive Behavioural Therapies (CBT) and educational interventions were largely delivered by trained personnel in person, whereas other interventions were often self-delivered after initial explanation. CONCLUSIONS: Future perinatal interventions should consider spanning the perinatal period and using a stepped-care model. Women may be better supported by providing access to a range of information, services and treatment specific to their needs and maternal stage. The development of these interventions must involve and consider the needs of women experiencing disadvantage who are predominantly affected by poor sleep health and poor mental health.