Training Program for Community Health Campaign: Fitter Families Project

In recent years, Hong Kong has been undergoing rapid changes with macro social and economic trends. The increasingly complex and diverse family structure contribute to concerns regarding the well-being of families in Hong Kong, including their health, happiness and harmony (FAMILY 3Hs). Family life and health education should be strengthened to meet the increasing needs of promoting healthy active lifestyle among Hong Kong families. In this connection, the FAMILY Project initiates the Fitter Families Project (FFP) with a focus on "FAMILY Holistic Health", will be conducted in order to increase the awareness of the importance of FAMILY 3Hs. FFP is a community-based research project with 3 main components - train-the-trainer program, community-based family interventions and public education events. It is expected that trainees from the train-the-trainer program will acquire adequate skills to organize community-based health education programs effectively. Participants of the community-based family interventions will gain knowledge on family holistic health and live a healthy active lifestyle. Attendees of the public education events will become more aware of the importance of FAMILY 3Hs.

Study Overview

• Status: Completed
• Conditions: Motor Activity
• Intervention / Treatment: Behavioral: Training group

Detailed Description

In 2011, United Nations (UN) addressed the prevention and control of four non-communicable diseases (NCDs: cancer, cardiovascular disease, chronic respiratory disease, and diabetes mellitus) worldwide. The UN, in its Political Declaration, recognized the critical importance of reducing the exposure to the common modifiable risk factors for NCDs, namely, tobacco use, unhealthy diet, physical inactivity, and the harmful use of alcohol.In Hong Kong, NCDs are responsible for more than 85% of all deaths and most of these are preventable. FAMILY Project Cohort Study (2014) also found that 88.6% of Hong Kong people had inadequate vegetable and fruit intake, 70.6% had inadequate physical exercise, 26.4% were overweight and 5.4% were obese.

Families worldwide have been undergoing rapid changes with macro, social and economic trends. Demographic shifts, economic upheavals, changing societal norms and values, immigration across national borders and migration within nations are creating new and altered structures, processes and relationships within families. The increasingly complex and diverse family structure contributes to concerns regarding the well-being of families in Hong Kong, including their health, happiness and harmony (FAMILY 3Hs). Family life and health education should be strengthened to meet the increasing needs of promoting healthy lifestyle among Hong Kong families.

The Fitter Families Project is developed based on the strong foundation of the Learning Families Project in the previous years. In view of the health challenges locally and globally, the new phase of FAMILY project will put more emphasis on health in the upcoming three years. Following the themes on FAMILY health, happiness and harmony (3Hs), the Fitter Families Project focuses on family holistic health with emphasis on the interaction and integration of both physical and psychosocial health.

As an initial step of this project, the investigators conducted a need assessments before designing and conducting a train-the-trainer program. The train-the-trainer program aimed to prepare the staff and lay volunteers to conduct and or assist to implement a series of community-based activities and interventions for the participants of Fitter Families Project. Focus group interviews were conducted to obtain feedback and opinion from the trainees . Questionnaire assessments were conducted before, immediately after finishing the training, three months after training.

• Study Type: Interventional
• Enrollment (Actual): 28
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Hong Kong
  • Kwun Tong, Hong Kong, 852
    • Christian Family Service Centre

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 100 years (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Chinese speaking
• able to complete assessments

Exclusion Criteria:

• not fit the inclusion criteria

Study Plan

How is the study designed?

Design Details

• Primary Purpose: PREVENTION
• Allocation: NA
• Interventional Model: SINGLE_GROUP
• Masking: NONE

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Training group; Four two-hour training sessions were conducted at baseline, and one week, one month and three months after the first session.	Behavioral: Training group; The training workshop includes four two-hour sessions: Session one - a knowledge, self-efficacy, and motivation enhancement session at baseline; Session two - an interpersonal communication and leadership skills session at one week; Session three - a motivation enhancement session at one month Session four - an experience sharing session at three months

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in trainees' learning	Assessed by outcome-based questionnaire	baseline, immediately after first session "up to 30 min", one month and three months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Trainees' reactions to training content	Assessed by outcome-based questionnaire	Immediately after the training workshop
Trainees' changes in the frequency and amount on performing physical exercise adn Zero Time Exercise	Assessed by outcome-based questionnaire on performing moderate exercise, vigorous exercise and Zero Time Exercise and walking	baseline, one month and three months
Trainees' changes in grip strength (kg)	assessed by a hand grip dynamometer	baseline and one month
Trainees' changes in chair stand (times)	baseline and one month	Assessed 30s Chair stand test ( a test counting number of times from sitting position to standing position in 30 seconds
Trainees' changes in single-leg standing time (second)	baseline and one month	Assessed by a single-leg stance test ( a test measuring the longest duration of a single leg in 120 seconds)
Trainees' changes in seat and reach (cm)	Assessed by a ruler	Baseline and one month
Trainees' changes in body fat (%)	Assessed by a standard body fat and weight measuring scale	Baseline and one month
Trainees' changes in body weight (kg)	Assessed by a standard body fat and weight measuring scale	Baseline and one month
Trainees' changes in frequency and amount on performing physical activity and Zero Time Exercise)	Assessed by outcome-based questionnaire on performing moderate exercise, vigorous exercise and Zero Time Exercise and walking	baseline, one month and three months
Trainees' changes in personal happiness	Assessed by outcome-based questionnaire	baseline, one month and three months
Trainees' changes in personal health	Assessed by outcome-based questionnaire	baseline, one month and three months
Trainees' changes in family health	Assessed by outcome-based questionnaire	baseline, one month and three months
Trainees' changes in family happiness	Assessed by outcome-based questionnaire	baseline, one month and three months
Trainees' changes in family harmony	Assessed by outcome-based questionnaire	baseline, one month and three months
Trainees' changes in sharing health knowledge with family members in relation to physical activity	Assessed by outcome-based questionnaire	baseline, one month and three months
Trainees' changes in doing physical activity and exercise with family	Assessed by outcome-based questionnaire	baseline, one month and three months
Trainees' comments on the received electronic health messages	Assessed by outcome-based questionnaire	baseline, one month and three months
Community participants' changes in family health	Assessed by outcome-based questionnaire	baseline, one month and three months
Community participants' changes in family happiness	Assessed by outcome-based questionnaire	baseline, one month and three months
Community participants' changes in family harmony	Assessed by outcome-based questionnaire	baseline, one month and three months

Collaborators and Investigators

• Sponsor: The University of Hong Kong

Publications and helpful links

General Publications

• Wacharasin C, Theinpichet S. Family nursing practice, education, and research: what is happening in Thailand? J Fam Nurs. 2008 Nov;14(4):429-35. doi: 10.1177/1074840708327515.
• Denham SA. Family routines: a structural perspective for viewing family health. ANS Adv Nurs Sci. 2002 Jun;24(4):60-74. doi: 10.1097/00012272-200206000-00010.
• Yoshikawa H. Integrating methods in the science of family health: new directions from an institute of medicine workshop report. Arch Pediatr Adolesc Med. 2012 Jul 1;166(7):659-61. doi: 10.1001/archpediatrics.2012.510. No abstract available.
• Anderson KH, Tomlinson PS. The family health system as an emerging paradigmatic view for nursing. Image J Nurs Sch. 1992 Spring;24(1):57-63. doi: 10.1111/j.1547-5069.1992.tb00700.x.
• Lai AYK, Stewart SM, Wan ANT, Shen C, Ng CKK, Kwok LT, Chan SS, Ho DSY, Lam TH. Training to implement a community program has positive effects on health promoters: JC FAMILY Project. Transl Behav Med. 2018 Nov 21;8(6):838-850. doi: 10.1093/tbm/iby070.

Study record dates

Study Major Dates

• Study Start (ACTUAL): September 1, 2015
• Primary Completion (ACTUAL): December 31, 2017
• Study Completion (ACTUAL): December 31, 2017

Study Registration Dates

• First Submitted: May 5, 2017
• First Submitted That Met QC Criteria: May 8, 2017
• First Posted (ACTUAL): May 9, 2017

Study Record Updates

• Last Update Posted (ACTUAL): May 14, 2018
• Last Update Submitted That Met QC Criteria: May 7, 2018
• Last Verified: May 1, 2018

More Information

Terms related to this study

• Other Study ID Numbers: UW15 - 401

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: The minimal anonymized dataset will be available upon request to interested researchers. For interested researchers, please contact, Ms Grace Lau (email gclau@hku.hk), (School of Public Health, The University of Hong Kong) for further information."

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No