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.contributor.author Verbiest, Marjolein en
dc.contributor.author Borrell, Suaree en
dc.contributor.author Dalhousie, Sally en
dc.contributor.author Tupa'i-Firestone, Ridvan en
dc.contributor.author Funaki, Tevita en
dc.contributor.author Goodwin, Deborah en
dc.contributor.author Grey, Jacqueline en
dc.contributor.author Henry, Akarere en
dc.contributor.author Hughes, Emily en
dc.contributor.author Humphrey, Gayle en
dc.contributor.author Jiang, Yannan en
dc.contributor.author Jull, Andrew en
dc.contributor.author Pekepo, Crystal en
dc.contributor.author Schumacher, Jodie en
dc.contributor.author Te Morenga, Lisa en
dc.contributor.author Tunks, Megan en
dc.contributor.author Vano, Mereaumate en
dc.contributor.author Whittaker, Robyn en
dc.contributor.author Ni Mhurchu, Cliona en
dc.date.accessioned 2019-11-24T21:45:17Z en
dc.date.issued 2018-08-22 en
dc.identifier.citation JMIR research protocols 7(8):e10789 22 Aug 2018 en
dc.identifier.issn 1929-0748 en
dc.identifier.uri http://hdl.handle.net/2292/49082 en
dc.description.abstract 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.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.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.Trial recruitment opened in January 2018 and will close in July 2018. Trial findings are expected to be available early in 2019.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.Australia New Zealand Clinical Trials Register ACTRN12617001484336; http://www.ANZCTR.org.au/ACTRN12617001484336.aspx (Archived by WebCite at http://www.webcitation.org/71DX9BsJb).RR1-10.2196/10789. en
dc.format.medium Electronic en
dc.language eng en
dc.relation.ispartofseries JMIR research protocols en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.title 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. en
dc.type Journal Article en
dc.identifier.doi 10.2196/10789 en
pubs.issue 8 en
pubs.begin-page e10789 en
pubs.volume 7 en
dc.rights.holder Copyright: The authors en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype research-article en
pubs.subtype Journal Article en
pubs.elements-id 752369 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Nursing en
pubs.org-id Population Health en
pubs.org-id Pacific Health en
pubs.org-id Science en
pubs.org-id Statistics en
dc.identifier.eissn 1929-0748 en
pubs.record-created-at-source-date 2018-08-24 en
pubs.dimensions-id 30135054 en

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