Vanhempien aikuisten perheviestinnän parantaminen: Pilottitutkimus satunnaistetulla kontrolloidulla kokeella (ReFrame-P)
Pilot-tutkimus ReFrame-R:stä: Viestintäkoulutus vanhempien aikuisten perheroolien uudelleenkehykseen ja aktiivisen ikääntymisen edistämiseen
Tutkimuksen yleiskatsaus
Tila
Tila
Ehdot
Ehdot
Interventio / Hoito
Interventio / Hoito
Opintotyyppi
Opintotyyppi
Ilmoittautuminen (Todellinen)
Ilmoittautuminen
Vaihe
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskeluyhteys
Opiskeluyhteys
- Nimi: Yee Man Branda Yu
- Puhelinnumero: +852-39173914
- Sähköposti: branda.yu@hku.hk
Opiskelupaikat
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Hong Kong, Hong Kong, 000000
- The University of Hong Kong
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Kuvaus
Sisällyttämiskriteerit:
- Kantoninkiiltä puhuvat ikääntyneet aikuiset
- säännöllinen yhteys aikuisiin lapsiin
- ymmärtää perinteistä kiinaa
Poissulkemiskriteerit:
- tunnettu mielenterveyden diagnoosi
- lievät tai vaikeammat masennusoireet (pistemäärä ≥5 Potilaan terveyskyselyssä [PHQ-9; Kroenke et al., 2001; Manea et al., 2015])
- viestintävaikeudet
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Muut
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Yksittäinen
Aseiden lukumäärä
Aseet ja interventiot
Osallistujaryhmä / ArmOsallistujaryhmä / Arm |
Interventio / HoitoInterventio / Hoito |
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Kokeellinen: ReFrame-R-koulutus
ReFrame-R koostuu neljästä viikoittaisesta 90-minuuttisesta ryhmätapaamisesta (yhteensä 6 tuntia), joita täydennetään lyhyillä viikoittaisilla yksilöllisillä neuvotteluilla ongelmien ratkaisemiseksi ja kotiharjoittelun vahvistamiseksi.
Sovellettuna olemassa olevasta MI-protokollasta maallikoille (Kline ym., 2022), ohjelma perustuu perhejärjestelmäteoriaan käsitelläkseen yli-/ali-toiminnan dynamiikkaa vanhempien ja aikuisten lasten suhteissa, samalla painottaen empaattista kuuntelua ja autonomiaa tukevaa viestintää.
MI-taitojen vihko jaetaan tukemaan ja tallentamaan kotiharjoittelua.
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ReFrame-R-ohjelma on mukautettu vakiintuneesta Motivational Interviewing (MI) -protokollasta maallikoille (Kline et al., 2022).
Perustuen Perhejärjestelmäteoriaan, opetussuunnitelma käsittelee erityisesti ylitoiminnan ja alitoiminnan dynamiikkaa, jota usein esiintyy vanhempi aikuinen lapsi -dyadeissa, sekä Hongkongin kulttuurispesifistä kontekstia. Toisin kuin yleiset viestintätyöpajat, tämä ohjelma korostaa roolirajoja vanhempi-aikuinen lapsi -suhteessa. |
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Ei väliintuloa: Kontrolliryhmä
Kontrolliryhmän osallistujat eivät saa aktiivista koulutusta tutkimusjakson aikana.
Heille annetaan sama MI-taitojen kirjanen viitteeksi ja itsenäistä harjoittelua varten.
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
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Perceived communication competence
Aikaikkuna: Both groups: Baseline, Week 4 (end of training), Week 6 (2 weeks follow-up); Intervention group only: 4 months post-training
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Participants' self-perceived communication competence is assessed using an 11-item scale adapted from the Family Communication Scale (FCS).
The scale consists of 10 items adapted from the original FCS to measure perceived ability to engage in positive communication with adult children, plus an additional item regarding overall communicagtion competence.
Each item is rated on a 5-point scale (1-5), with a total score ranging from 11 to 55. Higher scores indicate a higher level of perceived communication competence.
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Both groups: Baseline, Week 4 (end of training), Week 6 (2 weeks follow-up); Intervention group only: 4 months post-training
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Meaning in life
Aikaikkuna: Both groups: Baseline, Week 4 (end of training), Week 6 (2 weeks follow-up); Intervention group only: 4 months post-training
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The 10-item Meaning in Life Questionnaire (MLQ; Steger et al., 2006) is used.
It consists of two subscales: presence of meaning (5 items) and search of meaning (5 items).
Each subscale is rated on a 7-point scale, with summed scores are calculated (ranged 5-35 for each).
Higher scores indicate stronger sense of purpose and motivation to find meaning, respectively.
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Both groups: Baseline, Week 4 (end of training), Week 6 (2 weeks follow-up); Intervention group only: 4 months post-training
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Toissijaiset tulostoimenpiteet
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
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Self-efficacy
Aikaikkuna: Both groups: Baseline, Week 4 (end of training), Week 6 (2 weeks follow-up); Intervention group only: 4 months post-training
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Participants' self-efficacy will be assessed using the 6-item General Self-Efficacy Scale (GSE-6; Romppel et al., 2013).
It is typically rated on a 4-point scale from 1 to 4. Total scores range from 6 to 24, with higher scores reflecting greater perceived self-efficacy.
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Both groups: Baseline, Week 4 (end of training), Week 6 (2 weeks follow-up); Intervention group only: 4 months post-training
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Well-being
Aikaikkuna: Both groups: Baseline, Week 4 (end of training), Week 6 (2 weeks follow-up); Intervention group only: 4 months post-training
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The 5-item WHO Well-Being Index will be adopted for measuring participants' subjective well-being (Bech, 1998; Kong et al., 2016), rated on a 7-point scale.
The WHO-5 score ranges from 0 to 25, zero representing worst possible mental well-being and 25 representing best possible mental well-being.
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Both groups: Baseline, Week 4 (end of training), Week 6 (2 weeks follow-up); Intervention group only: 4 months post-training
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Role boundaries
Aikaikkuna: Both groups: Baseline, Week 4 (end of training), Week 6 (2 weeks follow-up); Intervention group only: 4 months post-training
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We used a 5-item scale adapted from the Control subscale of the Parent-Adult Child Relationship Questionnaire's Relationship with Father component (PACQF; Peisah et al., 1999).
While the original scale assess children's perceptions of parental conrtol, this adapted version is a self-report measure for parent to assess their attempt to maintain power, influence, or dominance over their adult children.
Each item is rated on a 5-point scale, with a total score ranging 5-25.
Higher scores indicater higher levels of parent control, reflecting weaker awareness of role boundaries in parent-adult children relationship.
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Both groups: Baseline, Week 4 (end of training), Week 6 (2 weeks follow-up); Intervention group only: 4 months post-training
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Family functioning
Aikaikkuna: Both groups: Baseline, Week 4 (end of training), Week 6 (2 weeks follow-up); Intervention group only: 4 months post-training
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The 5-item Family Adaption, Partnership, Growth, Affection, Resolve questionnaire (Family APGAR; Chan et al., 1988; Smilkstein, 1978) is used.
This scale assesses participants' satisfaction with five aspects of family function.
Each item is rated on a 3-point scale (0-2), with a total score ranged from 0 to 10. Higher scores indicate better family functioning.
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Both groups: Baseline, Week 4 (end of training), Week 6 (2 weeks follow-up); Intervention group only: 4 months post-training
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Training appropriateness
Aikaikkuna: Week 6 (2 week follow-up)
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We used the 4-item Intervention Appropriateness Measure (IAM) from Weiner et al (2017) to access training appropriateness.
All items are rated on a 5-point scale (1-5), with an average score being calculated.
Higher scores indicate greater perceived appropriateness of training.
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Week 6 (2 week follow-up)
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Training acceptability
Aikaikkuna: Week 6 (2 week follow-up)
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The 4-item Acceptability of Intervention Measure (AIM) from Weiner et al (2017) is adopted to access training appropriateness.
All items are rated on a 5-point scale (1-5), with an average score being calculated.
Higher scores indicate greater perceived acceptability of training.
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Week 6 (2 week follow-up)
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Training feasibility
Aikaikkuna: Week 4 (end of training)
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This study used the 4-item Intervention Appropriateness Measure (IAM) from Weiner et al (2017) to access training feasibility.
All items are rated on a 5-point scale (1-5), with an average score being calculated.
Higher scores indicate greater perceived feasibility of training.
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Week 4 (end of training)
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Yhteistyökumppanit ja tutkijat
Sponsori
Sponsori
Julkaisuja ja hyödyllisiä linkkejä
Yleiset julkaisut
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- EA260121
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