Effects on sleep and wellbeing in New Zealand infants and families: the Moemoea Trial

This trial is being run using the Multiphase Optimization Strategy (MOST) approach. The trial has three separate components ('interventions') so our optimization trial will be a 2 x 2 x 2 factorial trial, meaning that participants will be randomised to one of 8 conditions. The 8 conditions represent every possible combination (receive, do not receive) of the following three interventions: 1) Rongo Time. The tools and resources in this pou (pillar) look at creating a feeling of peace and connection within the whanau (family) prior to sleep by bringing ritual into food- and outdoor-related activities. Resources include karakia (prayers), short videos, and activities that promote ritual (rather than routine) and connection by encouraging healthy kai and activities for the whole whanau. 2) Uru Time. The second pou, Uru time has been named after Uru-te-Ngangana, the red light that expands across and ignites the sky at dawn and dusk. These tools and resources are designed to help pepi to transition from day to night, sleep well, and wake up well rested including waiata (songs) and karakia (prayers) to help pepi relax during bath time and mirimiri (massage), as well as oriori (songs), karakia and purakau (stories) to learn and play when putting pepi (baby) to sleep. 3) Whanau Support. The third pou, Whanau support relates to the whakatauki (proverb) ‘He waka eke noa’ - the idea that everyone has a role to play and something to contribute within a whanau (family). These interactive resources allow the participant build their own waka (canoe - acting as a metaphor) to lean into the strengths within your whanau networks while also helping to identify other potential sources of support at community, regional and national levels. All resources have been designed specifically for this study. Each intervention has been designed as a 6-week programme which is delivered online using a website and an app. Each intervention has 6 steps; participants are recommended to complete 1 step each week, with each step building upon the last. There is no minimum or recommended time to spend on each step as it is a self-paced intervention. All interventions are provided simultaneously. Participants in all interventions will be enrolled in the study for a total of 6 months. All 8 groups will also receive a 'Safe Sleep' video resource at the start of the study. This video has been specifically designed for Moemoea, is 7 minutes long, and outlines safe sleep practices for babies, addressing how to safely bed-share and keep baby's face clear. Website analytics will be used to indicate how many steps and when (date) each participant progresses through. As the resources have been designed to be downloaded and used offline in an effort to limit data costs for participants, we cannot tell how many times each resource will be used. A brief questionnaire will also be used at the end of steps 3 and 6 to determine how useful they find the resources and any other feedback.