Forbedring av familiekommunikasjon hos eldre: En pilotstudie med randomisert kontrollert design (ReFrame-P)
Pilotevaluering av ReFrame-R: En kommunikasjonstrening for å omramme eldre voksnes familiære roller og fremme aktiv aldring
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
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Registrering
Fase
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- Ikke aktuelt
Kontakter og plasseringer
Studiekontakt
Studiekontakt
- Navn: Yee Man Branda Yu
- Telefonnummer: +852-39173914
- E-post: branda.yu@hku.hk
Studiesteder
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Hong Kong, Hong Kong, 000000
- The University of Hong Kong
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Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
Inklusjonskriterier:
- Kantonesisk-talende eldre voksne
- har regelmessig kontakt med voksne barn
- kan forstå tradisjonell kinesisk
Eksklusjonskriterier:
- kjent psykisk helsediagnose
- milde eller alvorligere depressive symptomer (scoret ≥5 på Patient Health Questionnaire [PHQ-9; Kroenke et al., 2001; Manea et al., 2015])
- kommunikasjonsvansker
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Annen
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
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Eksperimentell: ReFrame-R-opplæring
ReFrame-R består av fire ukentlige 90-minutters gruppesessioner (totalt 6 timer), supplert med korte ukentlige individuelle konsultasjoner for å feilsøke barrierer og forsterke hjemmetrening.
Tilpasset fra en eksisterende MI-protokoll for lekfolk (Kline et al., 2022), er programmet forankret i familiens systemteori for å adressere over-/underfunksjonsdynamikk i eldre forelder-voksne barn-relasjoner, samtidig som det også legger vekt på empatisk lytte og autonomistøttende kommunikasjon.
En MI-ferdighetsbok vil bli distribuert for å støtte og registrere hjemmetrening.
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ReFrame-R-programmet er tilpasset fra et etablert Motivational Interviewing (MI)-protokoll for lekfolk (Kline et al., 2022).
Forankret i Family Systems Theory, adresserer pensumet spesifikt overfunksjonerende og underfunksjonerende dynamikker som ofte finnes i eldre forelder-voksen barn-dyader og den kulturelt spesifikke konteksten i Hong Kong.
I motsetning til generelle kommunikasjonsverksteder, legger dette programmet vekt på rolleavgrensninger innenfor forelder-voksen barn-relasjonen.
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Ingen inngripen: Kontrollgruppe
Deltakerne i kontrollgruppen vil ikke motta aktiv trening i studieperioden.
De vil få tilsendt samme MI-ferdighetshefte for referanse og egenstyrt praksis.
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Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Perceived communication competence
Tidsramme: 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
Tidsramme: 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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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Self-efficacy
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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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Samarbeidspartnere og etterforskere
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Publikasjoner og nyttige lenker
Generelle publikasjoner
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- Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change. Guilford Press.
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- Li, X. (2021). How do Chinese fathers express love? Viewing paternal warmth through the eyes of Chinese fathers, mothers, and their children. Psychology of Men & Masculinities, 22(3), 500-511. https://doi.org/10.1037/men0000312
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- EA260121
- 2501262488 (Annet stipend/finansieringsnummer: The University of Hong Kong)
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