- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02866773
A Community-based Family Holistic Health Promotion Project in Hong Kong: A Cluster Randomized Controlled Trial (cRCT)
Family Holistic Health Community Promotion, A Community-based Research to Promote Healthy Diet and Physical Activity in Hong Kong Island: A Cluster Randomized Controlled Trial (cRCT)
Study Overview
Status
Conditions
Intervention / Treatment
- Behavioral: PA2: Education sessions, Reminders
- Behavioral: PA3: Education sessions, Whataps group
- Behavioral: PA4: Education sessions
- Behavioral: HD1: Education sessions, Reminders, Whataps group
- Behavioral: HD4: Education sessions
- Behavioral: PA1: Education sessions, Reminders, Whataps group
- Behavioral: HD2: Education sessions, Reminders
- Behavioral: HD3:Education sessions, Whataps group
Detailed Description
According to World Health Organization (WHO), the prevalence of obesity among all nations has nearly doubled since 1980. High body mass index (BMI) is one of the major risk factors of many non-communicable diseases (NCD) and is the result of unhealthy diet and physical inactivity. In Hong Kong, the Department of Health (DH) found in 2012, through the telephone surveys, that nearly 40% of adults were overweight or obese. About 60% of total registered deaths in Hong Kong were due to four major preventable NCD, which were cancer, heart diseases, stroke and chronic lower respiratory diseases. Therefore, population-based interventions for collective health benefits, especially regarding weight management, are essential in lowering the risk of NCD in the total population.
Given the high proportion of overweight and obese individuals among the local population, achieving modest or even small behavioral changes in diet or activity could potentially lead to significant improvements in public health. Promotion of healthy diets and physical activity is one of the five recommended cost-effective interventions that have been addressed in The Lancet Series. The implementation of policies to promote healthy diets - reducing sugary beverages, in particular - and physical activity due to the likelihood of wide-ranging health gains, including prevention of overweight and cardiovascular disease, on a population level is advocated.
Facing the same challenges of the rest of the world that many residents are lacking of attention on healthy lifestyle, the Hong Kong SAR Government has a burden to improve the well-being of the general public. The Government has recently established a Committee on 'Reduction of Salt and Sugar in Food'. They will steer the direction, formulate and oversee the Action Plans for Salt and Sugar Reduction in Hong Kong. The aim is to reduce the intake of salt and sugar by residents to meet the WHO recommendations. The Centre for Food Safety showed that carbonated drinks and fruit juices were popular in Hong Kong. However, the added sugar does not have any nutritional value but increases the risk of overweight and obesity. Therefore, the promotion of healthy family diet is appropriate for improving a current public health situation in Hong Kong. On the other hand, the Leisure and Cultural Services Department have been jointed with the Department of Health to launch the 'Healthy Exercise for All Campaign' for raising the public's interest in exercising. However, none of the campaigns have addressed the problems and barriers of the sedentary people and their families. The barriers include myths and wrong perceptions, e.g.; exercise has to be difficult, or one has to find much time, spend much money and do lots of high intensive exercise to be beneficial.
This project is aimed to motivate participants to improve start with 'zero-time exercise' and reduce sugary beverages, which can be incorporated into daily life to reduce day-to-day sedentary time and sugar intake together with family members of all ages, that can then act as a trigger for active and healthy lifestyle. Few exercises can be done by the family members together. The investigators shall motivate participants to share what they have learned with their family members and to do 'zero-time exercise' and reduce sugary beverage's intake together. This project includes three major components: Train-the-trainer and -ambassador workshop, community-based family interventions, and public education events. Knowledge and skills of the community leaders and ambassadors will be strengthened through the 'Train-the-trainer and -ambassador' workshop. The trainees will be expected to help the implementation of community-based family interventions and public education events on the personal and family holistic health of the community participants.
Outcome and process evaluations will be used to assess the engagement, implementation and effectiveness of the project. Focus group and in-depth interviews will be conducted to obtain feedback, and opinion of the community leaders, ambassadors and community participants. Quantitative questionnaire assessments will be conducted at different time points to assess the effectiveness of the project on the key components of personal and family holistic health, and family well-being. The assessment time points are before and immediately after the core session, before and after the booster session at one month, three months, six months for community participants. An additional assessment for the community leaders and ambassadors is nine months.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Agnes YK Lai, DN
- Phone Number: 852-3917-6779
- Email: agneslai@hku.hk
Study Contact Backup
- Name: Tai-hing Lam, MD
- Phone Number: 852-3917-9287
- Email: hrmrlth@hku.hk
Study Locations
-
-
-
Hong Kong Island, Hong Kong, 852
- Recruiting
- Hong Kong Island Women Association
-
Contact:
- Piana He, MSc
- Phone Number: 3621-0102
- Email: hkiwassoc@yahoo.com.hk
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria
Train-the-trainers and ambassador programs:
- Cantonese speaking
- Intact verbal and hearing abilities for interpersonal communication
- Reading and writing abilities for questionnaire completion
- Community leaders and health ambassadors
- Aged 18 or above
Community-based family interventions:
- Cantonese speaking
- Intact verbal and hearing abilities for interpersonal communication
- Reading and writing abilities for questionnaire completion
- Aged 12 or above
Public education events:
- Reading and writing abilities for questionnaire completion
- Aged 12 or above
Exclusion criteria
- Participants who fail to meet the inclusion criteria, or are unable to sign the consent form.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: PA1:Education sessions, Reminders, Whataps group
The intervention includes Physical activity knowledge enhancement session, Physical activity anti-inertia Reminders , Physical activity ambassadors' electronic communication group.
|
The intervention includes two components:
The intervention includes two components:
The intervention includes one component only: - Physical activity knowledge enhancement session: one core session and one booster session on increasing physical activity and reducing sedentary behavior The intervention includes two components: - Healthy diet knowledge enhancement session: one core session and one booster session on increasing reducing sugary intake. Healthy diet Anti-inertia Reminder: souvenirs and electronic healthy messages are sent to participants in this group to promote the awareness of reducing sugary intake. - Healthy diet ambassadors' electronic communication group: the community leaders and ambassadors' formed an electronic communication group to share their experience on reducing sugary intake and program implementation. |
ACTIVE_COMPARATOR: PA2:Education sessions, Reminders
The intervention includes Physical activity knowledge enhancement session and Physical activity anti-inertia Reminders
|
The intervention includes two components:
The intervention includes one component only: - Physical activity knowledge enhancement session: one core session and one booster session on increasing physical activity and reducing sedentary behavior |
ACTIVE_COMPARATOR: PA3:Education sessions, Whataps group
The intervention includes Physical activity knowledge enhancement session and Physical activity ambassadors' electronic communication group.
|
The intervention includes two components:
The intervention includes one component only: - Physical activity knowledge enhancement session: one core session and one booster session on increasing physical activity and reducing sedentary behavior |
ACTIVE_COMPARATOR: PA4:Education sessions
The intervention includes Physical activity knowledge enhancement session only.
|
The intervention includes one component only: - Healthy diet knowledge enhancement session: one core session and one booster session on increasing reducing sugary intake. |
EXPERIMENTAL: HD1:Education sessions, Reminders, Whataps group
The intervention includes Health diet knowledge enhancement session, Health diet anti-inertia Reminders , Health diet ambassadors' electronic communication group.
|
The intervention includes one component only: - Healthy diet knowledge enhancement session: one core session and one booster session on increasing reducing sugary intake. The intervention includes three components:
The intervention includes two components:
The intervention includes two components:
|
ACTIVE_COMPARATOR: HD2:Education sessions, Reminders
The intervention includes Health diet knowledge enhancement session, Health diet anti-inertia Reminders , and Health diet ambassadors' electronic communication group.
|
The intervention includes one component only: - Healthy diet knowledge enhancement session: one core session and one booster session on increasing reducing sugary intake. The intervention includes two components:
|
ACTIVE_COMPARATOR: HD3:Education sessions, Whataps group
The intervention includes Health diet knowledge enhancement session and Health diet ambassadors' electronic communication group.
|
The intervention includes one component only: - Healthy diet knowledge enhancement session: one core session and one booster session on increasing reducing sugary intake. The intervention includes two components:
|
ACTIVE_COMPARATOR: HD4:Education sessions
The intervention includes Health diet knowledge enhancement session only.
|
The intervention includes one component only: - Healthy diet knowledge enhancement session: one core session and one booster session on increasing reducing sugary intake. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in behaviour
Time Frame: baseline and one month
|
Assessed by outcome-based questionnaire
|
baseline and one month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in behavior
Time Frame: Baseline, 1 month, 3 months, 6 months, and 9 months
|
Assessed by outcome-based questionnaire
|
Baseline, 1 month, 3 months, 6 months, and 9 months
|
Change in learning
Time Frame: Baseline, immediately after core session, 1 month, 3 months, 6 months, and 9 months
|
Assessed by outcome-based questionnaire
|
Baseline, immediately after core session, 1 month, 3 months, 6 months, and 9 months
|
Influence on family members
Time Frame: Baseline, 1 month, 3 months, 6 months, and 9 months
|
Assessed by outcome-based questionnaire
|
Baseline, 1 month, 3 months, 6 months, and 9 months
|
Personal physical and psychological health
Time Frame: Baseline, 1 month, 3 months, 6 months, and 9 months
|
Assessed by outcome-based questionnaire
|
Baseline, 1 month, 3 months, 6 months, and 9 months
|
Quality of Life
Time Frame: Baseline, 1 month, 3 months, 6 months, and 9 months
|
Assessed by a validated questionnaire (SF12)
|
Baseline, 1 month, 3 months, 6 months, and 9 months
|
Family well-being
Time Frame: Baseline, 1 month, 3 months, 6 months, and 9 months
|
Assessed by outcome-based questionnaire
|
Baseline, 1 month, 3 months, 6 months, and 9 months
|
Family relationship
Time Frame: Baseline, 1 month, 3 months, 6 months, and 9 months
|
Assessed by outcome-based questionnaire
|
Baseline, 1 month, 3 months, 6 months, and 9 months
|
Satisfaction towards the program
Time Frame: immediately after core session, immediately after booster session at 1 month, 6 months, 9 months
|
Assessed by outcome-based questionnaire
|
immediately after core session, immediately after booster session at 1 month, 6 months, 9 months
|
Response on Anti-inertia Reminder
Time Frame: 1 months, 3 months, 6 months
|
Assessed by outcome-based questions
|
1 months, 3 months, 6 months
|
Social network relationship
Time Frame: 6 months and 9 months
|
Assessed by outcome-based questions
|
6 months and 9 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Tai-hing Lam, MD, School of Public Health, The University of Hong Kong
- Study Director: Piana He, MSc, Hong Kong Island Women Association
Publications and helpful links
General Publications
- Artinian NT, Fletcher GF, Mozaffarian D, Kris-Etherton P, Van Horn L, Lichtenstein AH, Kumanyika S, Kraus WE, Fleg JL, Redeker NS, Meininger JC, Banks J, Stuart-Shor EM, Fletcher BJ, Miller TD, Hughes S, Braun LT, Kopin LA, Berra K, Hayman LL, Ewing LJ, Ades PA, Durstine JL, Houston-Miller N, Burke LE; American Heart Association Prevention Committee of the Council on Cardiovascular Nursing. Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults: a scientific statement from the American Heart Association. Circulation. 2010 Jul 27;122(4):406-41. doi: 10.1161/CIR.0b013e3181e8edf1. Epub 2010 Jul 12. No abstract available.
- Mozaffarian D, Afshin A, Benowitz NL, Bittner V, Daniels SR, Franch HA, Jacobs DR Jr, Kraus WE, Kris-Etherton PM, Krummel DA, Popkin BM, Whitsel LP, Zakai NA; American Heart Association Council on Epidemiology and Prevention, Council on Nutrition, Physical Activity and Metabolism, Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on the Kidney in Cardiovasc. Population approaches to improve diet, physical activity, and smoking habits: a scientific statement from the American Heart Association. Circulation. 2012 Sep 18;126(12):1514-63. doi: 10.1161/CIR.0b013e318260a20b. Epub 2012 Aug 20.
- Haines DJ, Davis L, Rancour P, Robinson M, Neel-Wilson T, Wagner S. A pilot intervention to promote walking and wellness and to improve the health of college faculty and staff. J Am Coll Health. 2007 Jan-Feb;55(4):219-25. doi: 10.3200/JACH.55.4.219-225.
- Epstein LH, Paluch RA, Wrotniak BH, Daniel TO, Kilanowski C, Wilfley D, Finkelstein E. Cost-effectiveness of family-based group treatment for child and parental obesity. Child Obes. 2014 Apr;10(2):114-21. doi: 10.1089/chi.2013.0123. Epub 2014 Mar 21.
Study record dates
Study Major Dates
Study Start
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- UW -1622
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Physical Activity
-
Istinye UniversityCompletedPhysical Activity | Youth | Physical Activity Barriers | Physical Activity FacilitatorsTurkey
-
Istanbul Kültür UniversityWithdrawnPhysical Activity Level | Physical Activity Awareness
-
Georgetown UniversityUniversity of PennsylvaniaCompletedPhysical Activity | Motor ActivityUnited States
-
Assistance Publique - Hôpitaux de ParisTerminatedPhysical Activity | Physical DisabilityFrance
-
University of Colorado, DenverCompletedPhysical Activity | Physical ImpairmentUnited States
-
PXL University CollegeHasselt UniversityNot yet recruitingPhysical Activity - Digital Phenotyping - Activity Tracking
-
University of ExtremaduraThe Spanish Ministry of Science, Innovation and UniversitiesRecruitingPhysical Activity | Cognition | Physical Fitness | AdolescentsSpain
-
AdventHealth Translational Research InstituteWake Forest UniversityRecruiting
-
Wake Forest University Health SciencesMayo Clinic; National Institute of Diabetes and Digestive and Kidney Diseases... and other collaboratorsRecruitingPhysical ActivityUnited States
-
Wake Forest University Health SciencesMayo Clinic; National Institute of Diabetes and Digestive and Kidney Diseases... and other collaboratorsRecruiting
Clinical Trials on PA2: Education sessions, Reminders
-
Children's Hospital Medical Center, CincinnatiMedical University of South Carolina; National Institute of Nursing Research... and other collaboratorsActive, not recruiting
-
Instituto Nacional de Ciencias Medicas y Nutricion...UnknownType 2 Diabetes MellitusMexico
-
Columbia UniversityActive, not recruiting
-
Columbia UniversityNational Institute of Nursing Research (NINR)Active, not recruiting
-
Kaiser PermanenteFred Hutchinson Cancer Center; Hackensack Meridian HealthEnrolling by invitationLung Cancer | Lung Cancer ScreeningUnited States
-
University of California, IrvineRadiological Society of North AmericaRecruitingLung CancerUnited States
-
The University of Texas Health Science Center,...Baylor College of Medicine; Cancer Prevention Research Institute of TexasCompletedHuman Papillomavirus (HPV)United States
-
Northeastern UniversityBrandeis UniversityRecruitingTraumatic Brain Injury | Mild Traumatic Brain Injury | TBI | Moderate Traumatic Brain InjuryUnited States
-
University of AlbertaAlberta Heritage Foundation for Medical ResearchCompletedOsteoporosis | Wrist FracturesCanada
-
The Hospital for Sick ChildrenCompleted