O009a Ko Te honoka te whariki o whanau ora: Bridging indigenous and Western world views to create a sleep and connection intervention in the Moemoeā MOST trial

Abstract Introduction Bridging indigenous and Western world views to create a sleep and connection intervention in the Moemoeā MOST trial“aimed to blend Māori cultural practices with Western methods to enhance infant sleep and family wellbeing. Researchers from the University of Otago used Kaupapa Māori Research theory and a Multiphase Optimisation Trial (MOST) design to test culturally tailored sleep intervention components online over six months. Methods Caregivers of infants aged 2-12 months were recruited and randomly assigned to one of eight combinations of three intervention components: Rongo time (promoting peace through nature), Uru time (guiding sleep transitions), and Whānau Support (emphasizing family support). Interventions were delivered online through a website and an app. Outcome measures assessed at baseline and 6 months included our Perception of Infant and Toddler Sleep Scale (PoITSS), caregiver wellbeing (WHO-5), and connection measures (researcher developed scales). Results Of 503 caregivers (98.6% mothers, 35.4% Māori, 38.8% high deprivation), 377 (75%) completed the study. Most caregivers accessed the online resources, with varying levels of engagement. Qualitative feedback indicated improved connection to Māori culture and a perceived calming effect on infants from Uru Pou. However, there were no significant differences in PoITSS scores for Uru or Rongo time, and only minor improvements for Whānau Support. The intervention did not notably affect caregiver wellbeing or connection. Discussion While the intervention showed limited impact on infant sleep health, the positive qualitative feedback highlighted the value of culturally relevant resources and the need for further research in designing Indigenous-led interventions. Funding was provided by the Ministry of Business, Innovation and Employment as part of the A Better Start National Science Challenge.