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Item Developing a sense of self in the modern world : gaining deeper insight into the role of social media in young peoples’ lives : a thesis presented in partial fulfillment of the requirements for the degree of Doctor of Clinical Psychology at Massey University, Palmerston North, New Zealand(Massey University, 2024-12-11) Clapperton, AlanaIn a world where the ability to connect globally and instantaneously has reached a profound level, the challenges and opportunities presented by digital environments are now greater than ever before. The current generation of adolescents represent the first generation to have grown up with 24-hour access to modern social media platforms, and are therefore at the forefront of social, cultural, political, and technological change. Thus, social media platforms now have far-reaching implications for identity development, social interaction, self-presentation, privacy, and connection. However, young peoples’ social media use occurs within a wider public discourse of risk and concern. Therefore, the aims of the research were to explore young peoples’ positive experiences of social media platforms, identify the narratives used by young people in discussing their online engagement, and to explore how social media informs young peoples’ identity practices and sense of self. To explore what could be learnt from taking an affirmative approach to social media, this study utilised cooperative inquiry as an action research methodology. Between 4-5 workshops were held with young people over the course of several weeks. Sixteen participants aged 16 and 17 were recruited through local secondary schools by way of advertisements and recruitment of friendship groups. Data gathered from these workshops was analysed through phenomenologically informed thematic analysis. Overall, participant responses were highly nuanced and insightful. They negotiated their engagement with platforms carefully and challenged dominant risk discourses with dialectical understandings. They also recognised contextual factors associated with developmental age and stage that influenced their engagement over time. However, the implementation of individual solutions were limited by sociocultural and political systems underpinning platforms, resulting in a sense of helplessness among participants. Additionally, young people criticised adults for not recognising their expertise and requested collaborative support to generate effective solutions. Social media platforms were also found to intimately shape the identity practices of young people through the utilisation of impression management strategies and development of safe spaces online. Importantly, cooperative inquiry was found to be a meaningful methodology for engaging with young people and highlights the importance of intentionally designing affirmative oriented research in this area.Item Alcohol marketing on social media: young people’s exposure, engagement and alcohol-related behaviors(Taylor and Francis Group, 2024-07-08) McCreanor T; Moewaka Barnes A; Goodwin I; Carah N; Young J; Spicer J; Lyons ACAim Alcohol promotions in conventional channels are associated with subsequent alcohol consumption in young people, but little is known about young people’s exposure to digital alcohol marketing. This exploratory study investigated young people’s exposure to, and engagement with, alcohol marketing on social media platforms, variations across sociodemographic groups and associations with alcohol-related behaviors. Method An online survey was conducted with 3698 participants aged between 14 and 20 years (M = 17.1; SD = 1.8) in New Zealand. The survey asked about social media use and exposure to and engagement with alcohol product marketing on their preferred platforms, alcohol consumption patterns, hazardous drinking (AUDIT-C scores) and purchasing alcohol online. Results Nearly three-quarters of the sample who responded to questions about exposure to alcohol marketing (70.6%; n = 1541) reported seeing marketing on at least one social media platform, with older respondents (18–20 years) more likely to report exposure than younger respondents (14–17 years); no differences were found across gender, ethnicity or socioeconomic groups. Over one-third of those who responded to questions about engagement (40.7%; n = 850) reported engaging with alcohol marketing and this varied by age, gender and ethnicity. Recall of exposure to alcohol marketing was less strongly associated with online purchase and having ever drunk alcohol than was engagement with alcohol marketing, which was also associated with hazardous drinking. Conclusions Engagement with alcohol marketing was more strongly related to alcohol behaviors, including online purchasing, having ever drunk alcohol, and drinking at hazardous levels, than exposure. These findings also demonstrated inequitable patterns of engagement with alcohol marketing on social media associated with these novel algorithmic marketing methods.Item Evaluating Te Reo Tuakiri : acceptance and commitment therapy in a schools-based resilience programme in Aotearoa : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Clinical Psychology at Massey University, Auckland, New Zealand(Massey University, 2024-08-08) Burt, ReganThe mental health of Aotearoa’s (New Zealand) rangatahi (young people) has received considerable attention in recent years due to increasing rates of psychological distress and suicidality. Evidence shows these difficulties are greater for Māori and Pacific rangatahi and those living in low socioeconomic areas. The New Zealand government’s 2018 inquiry into mental health recommended implementing early intervention programmes in schools to help rangatahi learn about mental health and develop skills to build their resilience. One such intervention is Te Reo Tuakiri, a new resilience programme offered to rangatahi in secondary schools across Aotearoa. Run by the bi-lingual social impact organisation M3, the content of Te Reo Tuakiri is informed by Te Ao Māori (Māori worldview) models of wellbeing and acceptance and commitment therapy (ACT). The programme utilises a tuakana-teina (relationship between an older person and a younger person) approach, whereby the rangatahi learn resilience skills and pūrākau (Māori legends) which they then go on to teach to tamariki (children) at a nearby kindergarten. This thesis evaluated the Te Reo Tuakiri programme’s inaugural offerings in two secondary schools in Tamaki Makaurau (Auckland). The aims of this evaluation were to investigate the effect the Te Reo Tuakiri programme was having on participant resilience and psychological flexibility and to investigate participants’ experiences, understandings, and practices of ACT processes as taught in the programme, alongside their cultural applicability. To achieve these aims this research took a mixed-methods approach to evaluation and involved the quantitative analysis of measures of resilience and psychological flexibility at three time points, alongside thematic analysis of focus groups with students and facilitators following completion of the programmes. The main findings of this study showed improvement in participants resilience from pre- to post-programme with a medium effect size. However, the participants did not see a significant difference in their psychological flexibility across the programme (pre to post), though there was a medium effect size from pre- to mid-programme. Further, no significant correlation was found between measures of resilience and psychological flexibility at any of the three time points. The qualitative portion of this study helped to provide some context to these findings. The themes generated highlighted instances where students provided evidence of several ACT-congruent perspectives that were beneficial in helping rangatahi better manage their private experiences and act on these newly developed skills. However, there were also instances where students expressed ACT-incongruent perspectives. The qualitative analysis also provided support for the programmes cultural applicability and demonstrated the successful adaptation of ACT processes for a Māori cultural context. Taken together, these findings demonstrate support for the Te Reo Tuakiri programme as an effective resilience intervention and adds to a small pool of research indicating ACT may be an appropriate intervention for addressing the mental health needs of rangatahi in Aotearoa. Limitations of the present study as well as recommendations for Te Reo Tuakiri and areas of future research are also presented.Item Effective alcohol policies are associated with reduced consumption among demographic groups who drink heavily.(Wiley Periodicals LLC on behalf of Research Society on Alcohol, 2023-04-23) Casswell S; Huckle T; Parker K; Graydon-Guy T; Leung J; Parry C; Torun P; Sengee G; Pham C; Gray-Phillip G; Callinan S; Chaiyasong S; MacKintosh AM; Meier P; Randerson SBACKGROUND: Alcohol policies stand out among other noncommunicable disease-relevant policies for the lack of uptake. Composite indicators have been developed to measure the effects of alcohol control policy. We investigated whether drinking patterns among demographic groups from general population samples of drinkers from diverse countries are associated with alcohol control policy as measured by the International Alcohol Control (IAC) Policy Index. METHODS: Representative samples of adult drinkers from 10 countries (five high-income and five middle-income) were surveyed about alcohol consumption, using beverage and location-specific questions. MEASUREMENTS: The IAC Policy Index was analyzed with frequency, typical occasion quantity, and volume consumed. Analyses used mixed models that included interactions between country IAC Policy Index score and age group, gender, and education level. FINDINGS: Each increase in IAC policy index score (reflecting more effective alcohol policy) was associated with a 13.9% decrease in drinking frequency (p = 0.006) and a 16.5% decrease in volume (p = 0.001). With each increase in IAC Policy Index score, both genders decreased for all three measures, but men less so than women. Women decreased their typical occasion quantity by 1.2% (p = 0.006), frequency by 3.1% (p < 0.001), and total volume by 4.2% (p < 0.001) compared to men. Low and mid-education groups decreased their typical occasion quantity by 2.6% (p < 0.001) and 1.6% (p = 0.001), respectively, compared to high education, while for drinking frequency the low education group increased by 7.0% (p < 0.001). There was an overall effect of age (F = 19.27, p < 0.0001), with 18-19 and 20-24-year-olds showing the largest decreases in typical occasion quantity with increasing IAC policy index score. CONCLUSIONS: The IAC Policy Index, reflecting four effective policies, was associated with volume and frequency of drinking across 10 diverse countries. Each increase in the IAC Policy Index was associated with lower typical quantities consumed among groups reporting heavy drinking: young adults and less well-educated. There is value in implementing such alcohol policies and a need to accelerate their uptake globally.Item Attitudes to noise and behaviour towards hearing protection among Pasifika university students in New Zealand(Taylor and Francis Group on behalf of the Royal Society of New Zealand, 2021-01-17) Reddy R; Nosa V; Mafi I; Welch D; Gaffney JSIt is estimated that 1.1 billion young people worldwide are at risk of hearing loss due to high levels of noise exposure. Hearing loss can contribute to low self-esteem, poor employment prospects and social problems. The aim of this research was to explore the attitudes and beliefs towards noise, hearing loss and hearing protection among Pasifika university students in New Zealand. 96 Pasifika students completed the Youth Attitude to Noise Scale (YANS) and Beliefs About Hearing Protection and Hearing Loss (BAHPHL) questionnaire electronically using a Qualtrics survey. The findings show that the study sample had higher mean scores in the BAHPHL scales related to susceptibility to hearing loss, severity of hearing loss, and benefits of preventive action compared to findings of similar international research. This implies that Pasifika participants had more positive beliefs than their international peers on some factors. Despite their greater awareness, the Pasifika sample had similarly poor attitudes related to minimising loud sounds in the daily environment, perceived barriers towards prevention, behavioural intention and social norms towards hearing conservation. This study provides a good foundation to develop a culturally appropriate hearing conservation intervention aimed at improving hearing-health outcomes among young Pasifika people.Item The Youth Transitions Study: Final Report - Summary of Key Findings(Pathways to Resilience and Youth Transitions Research Te Kunenga ki Pūrehuroa Massey University, 2019-10-30) Munford R; Jackie SItem A Casual Video Game With Psychological Well-being Concepts for Young Adolescents: Protocol for an Acceptability and Feasibility Study(JMIR Publications, 2021-08-12) Pine R; Mbinta J; Te Morenga L; Fleming TBACKGROUND: Many face-to-face and digital therapeutic supports are designed for adolescents experiencing high levels of psychological distress. However, promoting psychological well-being among adolescents is often neglected despite significant short-term and long-term benefits. OBJECTIVE: This research has 3 main objectives: (1) to assess the acceptability of Match Emoji, a casual video game with psychological well-being concepts among 13-15-year-old students in a New Zealand secondary school; (2) to identify the feasibility of the research process; and (3) to explore the preliminary well-being and therapeutic potential of Match Emoji. METHODS: Approximately 40 participants aged 13-15 years from a local secondary college in Wellington, New Zealand, will be invited to download and play Match Emoji 3-4 times a week for 5-15 minutes over a 2-week period. Participants will complete 4 assessments at baseline, postintervention, and 3 weeks later to assess psychological well-being and therapeutic changes. Statistical analysis will be used to synthesize data from interviews and triangulated with assessment changes and game analytics. This synthesis will help to assess the acceptability and feasibility of the Match Emoji. RESULTS: The key outputs from the project will include the acceptability, feasibility, and therapeutic potential of Match Emoji. It is anticipated that participants will have finished playing the recommended game play regimen by August 2021 with analysis of results completed by October 2021. CONCLUSIONS: Data from the study are expected to inform future research on Match Emoji including a randomized controlled trial and further adjustments to the design and development of the game. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/31588.