A Co-Designed, Culturally-Tailored mHealth Tool to Support Healthy Lifestyles in Māori and Pasifika Communities in New Zealand: Protocol for a Cluster Randomized Controlled Trial

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dc.citation.issue8
dc.citation.volume7
dc.contributor.authorVerbiest M
dc.contributor.authorBorrell S
dc.contributor.authorDalhousie S
dc.contributor.authorTupa'i-Firestone R
dc.contributor.authorFunaki T
dc.contributor.authorGoodwin D
dc.contributor.authorGrey J
dc.contributor.authorHenry A
dc.contributor.authorHughes E
dc.contributor.authorHumphrey G
dc.contributor.authorJiang Y
dc.contributor.authorJull A
dc.contributor.authorPekepo C
dc.contributor.authorSchumacher J
dc.contributor.authorTe Morenga L
dc.contributor.authorTunks M
dc.contributor.authorVano M
dc.contributor.authorWhittaker R
dc.contributor.authorNi Mhurchu C
dc.coverage.spatialCanada
dc.date.available2018-08-22
dc.date.available2018-06-19
dc.date.issued2018-08-22
dc.description.abstractBACKGROUND: New Zealand urgently requires scalable, effective, behavior change programs to support healthy lifestyles that are tailored to the needs and lived contexts of Māori and Pasifika communities. OBJECTIVE: The primary objective of this study is to determine the effects of a co-designed, culturally tailored, lifestyle support mHealth tool (the OL@-OR@ mobile phone app and website) on key risk factors and behaviors associated with an increased risk of noncommunicable disease (diet, physical activity, smoking, and alcohol consumption) compared with a control condition. METHODS: A 12-week, community-based, two-arm, cluster-randomized controlled trial will be conducted across New Zealand from January to December 2018. Participants (target N=1280; 64 clusters: 32 Māori, 32 Pasifika; 32 clusters per arm; 20 participants per cluster) will be individuals aged ≥18 years who identify with either Māori or Pasifika ethnicity, live in New Zealand, are interested in improving their health and wellbeing or making lifestyle changes, and have regular access to a mobile phone, tablet, laptop, or computer and to the internet. Clusters will be identified by community coordinators and randomly assigned (1:1 ratio) to either the full OL@-OR@ tool or a control version of the app (data collection only plus a weekly notification), stratified by geographic location (Auckland or Waikato) for Pasifika clusters and by region (rural, urban, or provincial) for Māori clusters. All participants will provide self-reported data at baseline and at 4- and 12-weeks postrandomization. The primary outcome is adherence to healthy lifestyle behaviors measured using a self-reported composite health behavior score at 12 weeks that assesses smoking behavior, fruit and vegetable intake, alcohol intake, and physical activity. Secondary outcomes include self-reported body weight, holistic health and wellbeing status, medication use, and recorded engagement with the OL@-OR@ tool. RESULTS: Trial recruitment opened in January 2018 and will close in July 2018. Trial findings are expected to be available early in 2019. CONCLUSIONS: Currently, there are no scalable, evidence-based tools to support Māori or Pasifika individuals who want to improve their eating habits, lose weight, or be more active. This wait-list controlled, cluster-randomized trial will assess the effectiveness of a co-designed, culturally tailored mHealth tool in supporting healthy lifestyles. TRIAL REGISTRATION: Australia New Zealand Clinical Trials Register ACTRN12617001484336; http://www.ANZCTR.org.au/ACTRN12617001484336.aspx (Archived by WebCite at http://www.webcitation.org/71DX9BsJb). REGISTERED REPORT IDENTIFIER: RR1-10.2196/10789.
dc.description.publication-statusPublished online
dc.format.extente10789 - ?
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/30135054
dc.identifierv7i8e10789
dc.identifier.citationJMIR Res Protoc, 2018, 7 (8), pp. e10789 - ?
dc.identifier.doi10.2196/10789
dc.identifier.elements-id413499
dc.identifier.harvestedMassey_Dark
dc.identifier.issn1929-0748
dc.languageeng
dc.publisherJMIR Publications
dc.relation.isPartOfJMIR Res Protoc
dc.rightsThe Author(s) CC BY 4.0
dc.subjectMāori
dc.subjectNew Zealand
dc.subjectPasifika
dc.subjectbehavior change
dc.subjectco-design
dc.subjecthealth behavior
dc.subjectmHealth
dc.subjectnoncommunicable diseases
dc.subjectrandomized controlled trial
dc.subject.anzsrc1103 Clinical Sciences
dc.subject.anzsrc1117 Public Health and Health Services
dc.titleA Co-Designed, Culturally-Tailored mHealth Tool to Support Healthy Lifestyles in Māori and Pasifika Communities in New Zealand: Protocol for a Cluster Randomized Controlled Trial
dc.typeJournal article
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/College of Health
pubs.organisational-group/Massey University/College of Health/Research Centre for Hauora and Health
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