4Rs for a Better Family

4Rs for a Better Family (Review, Refresh, Restore, Rebuild) 家好之四重計劃: 重溫、重整、重塑、重建

The goal of this clinical trial is to learn about the effects of a family conflict intervention in Chinese New Arrival families in Hong Kong.

The main questions it aims to answer are:

• Is the family conflict intervention group more effective to improve adaptive parent-child conflict resolution skills compared to the control group?
• Is the family conflict intervention group more effective to reduce parent-child conflicts compared to the control group?
• Is the family conflict intervention group more effective to improve adaptive parental conflict resolution skills compared to the control group?
• Is the family conflict intervention group more effective to enhance family harmony compared to the control group?
• Is the family conflict intervention group more effective to enhance family resilience compared to the control group?

Participants will be randomly assigned to one of the two groups: the family conflict intervention group and the handcraft-making group. For each group, parents will participate in 3 sessions independently, children will participate in 2 sessions independently, and parents and children will jointly participate in 1 session. Each session takes around 2 hours, and it takes 4 weeks to complete the full intervention. The family conflict intervention sessions include an introduction to the occurrence of family conflicts, communication skills training to prevent and address conflicts, and role play to practice the skills, etc.

Researchers will compare the family conflict intervention group and the handcraft-making group to see if the family conflict intervention group is effective in promoting conflict resolution skills, reducing family conflicts, and enhancing family resilience.

Study Overview

• Status: Recruiting
• Conditions: Family Relations
• Intervention / Treatment: Behavioral: family conflict intervention group; Behavioral: handicraft-making group

• Study Type: Interventional
• Enrollment (Estimated): 400
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Xiaonan Nancy YU, Doctoral; Phone Number: 34429436; Email: nancy.yu@cityu.edu.hk

Study Locations

• China
  • Hong Kong, China
    • Recruiting
    • International Social Service Hong Kong Branch
    • Contact: Iris Liu; Phone Number: 2834 6863; Email: isshk@isshk.org

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

1. Parents who have newly arrived in Hong Kong for less than seven years, and their children who are studying in primary school grade 4 to secondary school form 3; or
2. New arrivals who have settled in Hong Kong for less than seven years and are studying in primary school grade 4 to secondary school form 3, and their parents; and
3. Parents and children must live together; and
4. Parents and children must participate together

Exclusion Criteria:

1. Self-reported serious emotional or mental illness by parent or child, or
2. Children with special learning needs

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: 4Rs Group	Behavioral: family conflict intervention group; The family conflict preventive intervention includes the introduction to the occurrence of family conflicts, communication skills training, and role play to practice the skills.
Active Comparator: 4As Group	Behavioral: handicraft-making group; The group involves handicraft-making.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Parent-child conflicts	Parent-child conflicts are measured by the frequency and intensity of parent-child conflicts (Yau & Smetana, 1996). Possible scores for conflict frequency range from 0 (not at all) to 4 (4 times or above). A higher score indicates a higher level of parent-child conflict frequency. Possible scores for conflict intensity range from 1 (none) to 5 (severe). A higher score indicates more severe parent-child conflicts.	Baseline, 4 weeks, 8 weeks
Parent-child conflict resolution	Parent-child conflict adaptive resolution strategy is measured by the subscale of the Parent-Child Conflict Response Strategy Scale (Sun, 2019). The four items are each rated on a five-point scale, which is from 1 (never) to 5 (always). A higher score indicates a higher level of adaptive parent-child conflict resolution.	Baseline, 4 weeks, 8 weeks
The Chinese version of the Rahim Organizational Conflict Inventory-II	Couple conflict and problem-solving will be measured by the subscale of the Chinese version of the Rahim Organizational Conflict Inventory-II (ROC-II; Rahim, 1983; Chang & Lu, 2007). The subscale includes 7 items. Each item is rated on a five-point scale. A higher score indicates a higher level of adaptive couple conflict resolution.	Baseline, 4 weeks, 8 weeks
Family Harmony Scale	Family Harmony will be measured by the Family Harmony Scale (Fabrizio et al., 2015). The scale includes 8 items. Each item is rated on a five-point scale. A higher score indicates a higher level of family harmony.	Baseline, 4 weeks, 8 weeks
Family Resilience Quetionnaire	Family Resilience will be measured by the Walsh Family Resilience Questionnaire (Walsh, 2015). We selected 9 representative questions from the original questionnaire for our study. Each item is rated on a five-point scale. A higher score indicates a higher level of family resilience.	Baseline, 4 weeks, 8 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Family Harmony Scale (Fabrizio et al., 2015)	Family Harmony will be measured by the Family Harmony Scale (Fabrizio et al., 2015).	2 weeks
Family Resilience Quetionnaire (Walsh, 2015)	Family Resilience will be measured by the Walsh Family Resilience Questionnaire (Walsh, 2015).	2 weeks

Collaborators and Investigators

• Sponsor: City University of Hong Kong
• Investigators: Principal Investigator: Xiaonan Nancy YU, Doctoral, City University of Hong Kong

Study record dates

Study Major Dates

• Study Start (Actual): September 1, 2023
• Primary Completion (Estimated): April 1, 2024
• Study Completion (Estimated): June 1, 2024

Study Registration Dates

• First Submitted: July 28, 2023
• First Submitted That Met QC Criteria: July 28, 2023
• First Posted (Actual): August 4, 2023

Study Record Updates

• Last Update Posted (Estimated): February 28, 2024
• Last Update Submitted That Met QC Criteria: February 26, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Other Study ID Numbers: 4Rs for a Better Family

Drug and device information, study documents

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