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    Service users’ experiences of tele-health abortion services in Aotearoa (New Zealand) : a thesis presented in partial fulfilment of the requirements for the degree of Master of Arts in Psychology at Massey University, Te Kunenga ki Pūrehuroa Manawatū, Aotearoa (New Zealand)
    (Massey University, 2025) Sutherland, Charmaine Patricia
    The Aotearoa (New Zealand) national abortion tele-health service, Decide, was launched in 2022, following legal abortion decriminalisation in 2020. The safety, effectiveness, and user satisfaction of tele-health abortion have been reported in a large body of global research. However, service user voices are often overlooked, and little is known about service delivery, especially the extent to which principles of person- and relational centred care are upheld. This study aims to address this oversight using a qualitative case study design focused on the Decide service. An online qualitative survey gathered data from 21 service users, which was analysed thematically alongside relevant textual data (seven national policy, guidance, and training documents on abortion care in Aotearoa, the Decide website content and researcher fieldnotes). A reflexive thematic analysis, guided by feminist standpoint, in conjunction with person- and relational-centred care frameworks, generated five themes: (1) the “Everything could be in done in my lunchbreak”; (2) Feeling seen, heard, and supported: Care is relational, supportive, and attentive to emotional wellbeing; (3) Care acknowledges interdependence and honours diverse support needs; (4) Care affirms autonomy and de-medicalises abortion decision-making; and (5) When person- and relational-centred care falls short: Structural strain and cultural stigma. The findings suggest that Decide services met the intended aims of being inclusive and emotionally responsive. However, pervasive stigma and structural inequalities undermine service delivery, resulting in fragmented care, erosion of trust in the service, emotional vulnerability, and suppressed autonomy. The findings highlight the importance of centring lived experience in service design and delivery, providing valuable insights for addressing service delivery issues and working toward reproductive justice.
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    The co-design of a chat telepsychotherapy manual for Indonesians with minor depression : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Psychology at Massey University, Auckland, New Zealand
    (Massey University, 2024-04-08) Endro, Wisnu Tri Widodo
    The primary aim of this study was to address a gap found in the discipline of Psychology and mental health treatment in the Indonesian setting. Advances in technology and the changing lifestyle of Indonesians made distance mental health treatment a common practice. This study focuses on one of the few options for distance mental health treatment, Chat Telepsychotherapy, which has gained popularity among Indonesians, especially the Millennials and Gen Z in Indonesia. The main issue with the phenomenon was the unavailability of comprehensive, evidence-based guidelines on how to best execute such a therapy. Thus, this study aimed to create a manual that could help the community of Indonesian Clinical Psychologists to deliver Chat Telepsychotherapy to Indonesians. The study limits the scope to Indonesian Millennials and Gen Z who suffer from Minor Depression. This is because these generations are the primary users of such a service, and depression itself is found to be one of the most common mental health issues in Indonesia. To achieve the goal of this study, I used a qualitative method that used Collaborative Design with the help of online-focused group discussion. I collaborated with Indonesian clinical psychologists, Indonesian millennials, and Gen Z with minor depression to design the manual. Thematic analysis was used to analyse the participants' answers. The result of the study is a comprehensive manual that consists of nine chapters: 1) Introduction; 2) The Concept of Chat Telepsychotherapy; 3) Starting CT Practice; 4) General Guidelines for Conducting CT; 5) Specific Guidelines for Conducting CT; 6) Characteristics of Indonesian Millennials and Gen Z; 7) Minor Depressive Disorder; 8) Self-Harm; 9) CT Stages for Indonesian Millennial and Gen Z with Minor Depression. The main suggestion for future studies is to test the manual to assess its usability and effectiveness.
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    "It really puts women in charge of what they're seeking : wāhine Māori experiences of using online technologies in pregnancy : a thesis presented in partial fulfilment of the requirements for the degree of Master of Science in Psychology at Massey University, Te Kunenga ki Pūrehuroa, Albany, New Zealand
    (Massey University, 2023) King, Deanne
    Online technologies, including social media, mobile applications, portals and communication technologies are part of everyday life. Women are using different online technologies in order to inform themselves, keep track of and monitor their health, connect with friends, whānau (family) and health professionals, and to be part of the online world. The current reality for Māori today is that even after decades of research, policies and improvements, disparities in health care continue to be experienced, resulting in inequitable health outcomes. The COVID 19 pandemic forced health providers to use telehealth and other online technologies to keep people updated and provide health services. Continuing to integrate telehealth and technologies into post COVID-19 service delivery could enhance maternity care. The aim of this research is to explore wāhine Māori (Māori women) experiences with online technologies during pregnancy and their potential to support maternity care engagement and provision. 10 wāhine, six mama (mothers) and four Māori midwives, shared their experiences and thoughts through semi-structured interviews and one focus group. Reflexive thematic analysis was used to analyse their kōrero (discussion). The findings show online technologies are able to provide avenues for support and connection. Tikanga (customary values and practices) such as whakawhanaungatanga (establishing relationships) and tino ranatiratanga (self-determination) could be enacted through online channels enabling, increased opportunities for whānau involvement and empowerment in decision-making. Wāhine were able to connect with mātauranga Māori (Māori knowledge) pertaining to traditional birthing practices and Māori maternities online, by following Māori social media influencers and being part of online communities. This research illustrates the potential for online technologies to be integrated alongside kanohi ki te kanohi (face to face) maternity services, to support the provision of culturally responsive, equitable maternity care. The online environment provides multiple avenues in which wāhine can engage and interact to support the development of a secure cultural identity and to establish and maintain relationships that are vital for holistic health and wellbeing. It also further demonstrates the drive and desire hapū māmā (pregnant mothers) have to engage with maternity care information and services, if it is delivered in a way that is relatable, culturally enhancing and whānau-led.
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    The effects of online exercise prescription on well-being in healthy adults : a thesis completed as part of the requirements for Master of Health Science in Sport and Exercise at Massey University, Albany Campus, Auckland, New Zealand
    (Massey University, 2022) Bahi, Fadi
    Background: Positive well-being is associated with living a healthy and happy life; increased sedentary behaviour can negatively impact physical and mental health. Therefore, increased engagement in physical activity is necessary to improve quality of life and overall well-being. With the COVID-19 pandemic, it has become apparent that alternative means of health delivery are necessary. Online health delivery can be very effective in reducing limitations associated with in-person care, such as cost of use and travel, waiting time, and lack of availability within rural areas. Despite the benefits, online health delivery is similarly limited in aspects such as the inability of physical inspections and dependence on smart devices and an internet connection. The concept of online exercise delivery remains relatively novel, however, and needs to be further explored. Therefore, the objectives of this study were to determine the effects of online exercise prescription on well-being and understand participant perspectives and opinions on the use of online health delivery. Methods/Design: Seventeen healthy participants were recruited for this study. Nine participants (male = 4, female = 5, mean age = 44 years) were allocated to the online group (INT) and 8 participants (male = 4, female = 4, mean age = 40 years) were allocated to the self-monitoring group (ACON). This study utilised an interpretivist phenomenological approach. All participants attended a 60-minute pre-intervention data collection session where cardiorespiratory (VO₂ₘₐₓ), blood pressure, blood flow and well-being data was collected. Well-being data was derived via a holistic questionnaire completed by participants upon arrival to the laboratory. Cardiorespiratory fitness was assessed via the 6-minute Astrand Rhyming Cycle test and blood flow measures were recorded via a Uscom 1A ultrasound. Participants were also informed which group they were assigned to and provided with an equipment pack containing a Swiss ball, skipping rope, and resistance bands to use throughout the 12-week program. INT participants attended a weekly 20-minute Zoom session where long and short-term goals were set, exercises were prescribed and demonstrated, and feedback was provided. After each weekly session, participants were provided with a link to a YouTube video demonstrating the exercises along with a document containing step-by-step instructions for said exercises. Self-monitoring participants were provided with a 12-week exercise program upfront during the pre-intervention session, and a weekly check-up email was sent to assess progress and determine whether any assistance was needed. The 12-week program consisted of various strength training exercises and progressively increased in resistance throughout the intervention. Online focus group sessions were conducted by a research assistant via Zoom to assess participant perspectives on their respective delivery methods. This data was transcribed and then analysed via phenomenological thematic analysis using Braun and Clark’s process, incorporating codes to identify themes. The initial aim of this study was to determine the effects of online exercise prescription on blood pressure and cardiorespiratory fitness in participants. However, due to a COVID-19 lockdown being announced during the post-intervention data collection period which meant closure of the Massey University laboratory and mandatory social distancing and limited gatherings, we were unable to gather the necessary post-intervention data and hence the study employed a qualitative approach. Hence, the aim of this study was to determine the effects of online exercise prescription on well-being and to understand the varying perspectives of participants on this method. Results: Through phenomenological analyses, the themes identified for the INT group were perceived advantages of online exercise prescription and acceptance of online sessions as a form of health delivery. In the self-monitoring group, the themes consisted of self-monitoring physical activity and using online health delivery in the future. Age and availability of smart devices did not appear to be barriers for online group participants as weekly online Zoom sessions were easily accessed. Overall, online health delivery was well received by participants and most thought it to be effective in improving well-being. Weekly online sessions were considered important in increasing adherence to exercise through accountability, motivation, and feedback. Participants did not want to disappoint the practitioner and therefore effectively completed their prescribed exercises ahead of weekly sessions. In contrast, self-monitoring participants experienced difficulty engaging in physical activity and, as a result, did not perceive any changes in physical well-being, however, interestingly, some did note an improvement in mental well-being. The increased participation in physical activity within the online group led to increased energy levels and physical fitness and strength. Conclusion: Our findings suggest that online health delivery has great potential in the management of health conditions such as hypertension and improving overall well-being in individuals. The online intervention appeared more effective in eliciting a positive physical well-being response compared to the ACON group. It is imperative that further research be undertaken to further expand on the literature and determine whether prescribing physical activity via an online intervention can be implemented in the health sector, and whether this would be effective for those residing in rural locations