Mixed Method Evaulation of Jockey Club Project ReBond (ReBond)
18 de maio de 2026 atualizado por: Professor Wong, Paul Wai Ching, The University of Hong Kong
'Through the Gate' Desistance-Based Social Work Intervention for Offenders Serving First or Second Prison Sentence in Hong Kong - Jockey Club Project ReBond: A Longitudinal Mixed-Methods Randomised Control Trial
Overall, the investigators hypothesize that participants assigned to the intervention group (Project ReBond) will demonstrate significantly greater improvements across all outcomes compared to the control group. Specifically, the investigators expect positive intervention effects on desistance and TPB outcomes to become evident as participants transition back into the community (i.e., across the at 1-2 months, 6-7 months, and 13-14 months post-release assessment waves), while workshop-specific outcomes will be evident at the end of the workshop.
Overall Design The current study employs a two-arm, parallel-group randomized controlled trial (RCT) utilizing a mixed design. The between-subjects factor is the treatment condition (Project ReBond Intervention plus TAU versus TAU Control), and the within-subjects factor is time, with repeated measures assessed across multiple time points over a 13-month tracking period.
Intervention Group (Project ReBond + TAU)
Participants allocated to the intervention group will receive the multifaceted Project ReBond services alongside standard care (TAU) for up to two years, beginning during their incarceration and continuing post-release. It should be noted that the 13-month research tracking period is shorter than the full two-year service duration; this truncated follow-up is necessary due to anticipated challenges in recruiting the predefined sample size before the project's overall deadline. The TAU is provided by the collaborating non-governmental organization (NGO), SideBySide. The Project ReBond intervention consists of the following specific components:
- Pre-Release (During Incarceration): Each participant will receive a 6-session pro-social habit workshop and career-life counselling as part of their pre-release preparation. Those requiring employment assistance will be provided with job interview opportunities prior to their release.
Post-Release: Based on their personal interests and the recommendations of their caseworker, participants can choose to engage in the following services:
i) Subsidies for professional grooming and image building; ii) Peer mentorship provided by successful desisters; iii) Financial literacy training and counselling; iv) Ongoing career-life counselling; v) Routine workshops designed to cultivate and maintain pro-social hobbies; vi) Subsidies for further education or occupational training; vii) Family-based counselling involving the participant and their significant other(s); and viii) Volunteering and community outreach, sharing opportunities.
TAU Control Group Participants in the control group will receive standard care (TAU) while incarcerated and remain free to utilize any existing social services post-release.
Visão geral do estudo
Status
Recrutamento
Condições
Intervenção / Tratamento
Descrição detalhada
Pre-Release Workshop Outcomes
In terms of workshop-specific outcomes, compared to the control group, participants in the intervention group will demonstrate at post-test:
• H6 (Workshop Effects):
- H6a (Art Workshop): Significantly higher emotional competence.
- H6b (Sports Workshop): Significantly higher resilience.
- H6c (Tech Workshop): Significantly higher AI literacy.
- H6d (Tech Workshop): Significantly higher problem-solving confidence.
Exploratory Outcomes
Compared to the TAU control group, across post-release follow-ups, participants in the intervention group will demonstrate:
- H7: Significantly higher levels of well-being.
- H8: Significantly higher levels of thriving.
Tipo de estudo
Intervencional
Inscrição (Estimado)
300
Estágio
- Não aplicável
Contactos e Locais
Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.
Contato de estudo
- Nome: Sunny Chow, BSocSc
- Número de telefone: 85295565912
- E-mail: suunyccc@hku.hk
Estude backup de contato
- Nome: Kylie Lui, P.h.D. (Soci)
- Número de telefone: 8523910 2115
- E-mail: kcylui@hku.hk
Locais de estudo
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Hong Kong Island
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Hong Kong, Hong Kong Island, Hong Kong, 000
- Recrutamento
- The University of Hong Kong
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Contato:
- Sunny Chow, BSocSc
- Número de telefone: 85295565912
- E-mail: suunyccc@hku.hk
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Contato:
- Kylie Lui, PhD (Soci)
- Número de telefone: 8523910 2115
- E-mail: kcylui@hku.hk
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Investigador principal:
- Paul Wong, D.Psyc.
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Critérios de participação
Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Não
Descrição
Inclusion Criteria:
- Hong Kong residents;
- Aged 18 years or above and capable of providing informed consent
- Serving a maximum of two sentences (including the current one) across any level or type of correctional facility
- The current sentence lasts between 3 and 12 months.
Exclusion Criteria:
- Physical conditions that preclude participation in at least 80% (six or seven sessions) of the Stage 1 in-prison workshops
- Psychological conditions (e.g. bipolar disorder or schizophrenia) that preclude participation in at least 80% (six or seven sessions) of the Stage 1 in-prison workshops
- Medical appointments that preclude participation in at least 80% (six or seven sessions) of the Stage 1 in-prison workshops
- Inadequate Cantonese or English proficiency that prevent the individual from providing informed consent and participating in the Stage 1 group workshops
- Cognitive impairments that prevent the individual from providing informed consent and participating in the Stage 1 group workshops
- A history or high risk of inflicting physical harm on other participants, clinicians, or CSD staff
Plano de estudo
Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Cuidados de suporte
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
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Experimental: ReBond (Desistance-based social work) +Treatment as Usual
Participants allocated to the intervention group will receive the multifaceted Project ReBond services alongside standard care (TAU) for up to two years, beginning during their incarceration and continuing post-release.
It should be noted that the 13-month research tracking period is shorter than the full two-year service duration; this truncated follow-up is necessary due to anticipated challenges in recruiting the predefined sample size before the project's overall deadline.
The TAU is provided by the collaborating non-governmental organization (NGO), SideBySide.
|
The Project ReBond intervention consists of the following specific components:
Participants in the control group will receive standard care (TAU) while incarcerated and remain free to utilize any existing social services post-release.
Specifically, control participants will be encouraged to engage with the standard services provided by SideBySide, whose standard care is informed by Risk-Need-Responsivity (RNR) principles.
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Comparador Ativo: Treatment as Usual
Participants in the control group will receive standard care (TAU) while incarcerated and remain free to utilize any existing social services post-release.
Specifically, control participants will be encouraged to engage with the standard services provided by SideBySide, whose standard care is informed by Risk-Need-Responsivity (RNR) principles.
|
Participants in the control group will receive standard care (TAU) while incarcerated and remain free to utilize any existing social services post-release.
Specifically, control participants will be encouraged to engage with the standard services provided by SideBySide, whose standard care is informed by Risk-Need-Responsivity (RNR) principles.
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Self-Reported Re-offending
Prazo: 1-2 months, 6-7 months, and 13-14 months post-release
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To capture the two-dimensional nature of act desistance-specifically the frequency and severity of reoffending, this construct is measured using the self-constructed item: "I have committed fewer crimes than before."
Both items are rated on a 6-point scale ranging from 0 (Not committing any crime) to 5 (Committing more/more serious crimes than before).
Higher scores indicate worse reoffending outcomes.
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1-2 months, 6-7 months, and 13-14 months post-release
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Continuance Intention
Prazo: 1-2 months, 6-7 months, and 13-14 months post-release
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To measure engagement with the ReBond project, participants will complete a self-constructed 4-item measure of continuance intention.
Items are rated on a 7-point Likert scale ranging from 1 (Strongly disagree) to 7 (Strongly agree).
Higher scores indicate a stronger intention to continue.
The internal consistency of this measure will be calculated and reported in the final analysis.
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1-2 months, 6-7 months, and 13-14 months post-release
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Social Integration Indicators (Education, Housing, Employment, Health)
Prazo: 1-2 months, 6-7 months, and 13-14 months post-release
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To capture objective markers of social integration, the following self-constructed items are utilized:
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1-2 months, 6-7 months, and 13-14 months post-release
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Post-Release Living Inventory for Ex-Prisoners (PROLI-ex)
Prazo: 1-2 months, 6-7 months, and 13-14 months post-release
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The PROLI-ex measures post-release daily routines and behaviors linked to health and desistance outcomes, which predict self-reported reoffending.
Upon request, the original authors provided an unpublished, localized short Chinese version of the scale.
This 17-item scale comprises four subscales: institutional routine, active living, online leisure, and support seeking (α=0.71,0.69,0.81,0.69).
Participants indicate how regularly they performed specific routines over the past two weeks on an 11-point Likert scale ranging from 0 (Not regular at all) to 10 (Very regular).
Scores are calculated by averaging the items within each subscale, as well as averaging all items for a total score.
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1-2 months, 6-7 months, and 13-14 months post-release
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Identification with Desistance
Prazo: Intake asssessment, 1-2 months, 6-7 months, and 13-14 months post-release
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Pro-social identity, conceptualized as identity desistance, is measured using the 5-item Identification with Desistance scale, which assesses an individual's subjective law-abiding identity.
Participants rate their responses on a 5-point Likert scale ranging from 1 (Rarely) to 5 (Always).
The final score is calculated by summing the items, with higher scores indicating a stronger pro-social identity.
The reported internal consistency for this scale is α=0.62.
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Intake asssessment, 1-2 months, 6-7 months, and 13-14 months post-release
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Reintegration Needs
Prazo: Intake asssessment, 1-2 months, 6-7 months, and 13-14 months post-release
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Relational desistance is operationalized as the level of concern regarding various reentry barriers across several domains: basic needs, work and career, health and well-being, digital literacy, and interpersonal relationships.
Adapted from the Barriers to Reentry Success Inventory and integrated with clinical insights, this scale asks participants to rate their concerns on a 4-point Likert scale ranging from 1 (No Concern) to 4 (Great Concern), with an additional "Not Applicable" (N/A) option.
Scores are calculated by summing the items for each subscale and for the total score, with higher scores indicating a higher need for reintegration support.
Internal consistency will be calculated and reported after data collection.
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Intake asssessment, 1-2 months, 6-7 months, and 13-14 months post-release
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Stigma Consciousness Questionnaire (SCQ)
Prazo: 1-2 months, 6-7 months, and 13-14 months post-release
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Stigma consciousness refers to the anticipated stigma an individual expects to experience.
A modified 10-item Stigma Consciousness Questionnaire is used, with the subject adapted to "ex-offenders."
Participants rate items on a 7-point Likert scale ranging from 1 (Strongly disagree) to 7 (Strongly agree).
Higher scores indicate higher anticipated stigma.
Internal consistency will be calculated and reported after data collection.
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1-2 months, 6-7 months, and 13-14 months post-release
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Multidimensional Scale of Perceived Social Support (MSPSS)
Prazo: 1-2 months, 6-7 months, and 13-14 months post-release
|
The MSPSS measures an individual's perception of social support across three sources: significant others, family, and friends.
This 12-item questionnaire utilizes a 7-point Likert scale ranging from 1 (Strongly disagree) to 7 (Strongly agree), with higher scores indicating higher perceived social support.
Previous research indicates good to excellent reliability for the subscales: significant other (α=0.91),
family (α=0.87),
and friends (α=0.85).
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1-2 months, 6-7 months, and 13-14 months post-release
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Agency for Desistance (ADQ)
Prazo: Intake asssessment, 1-2 months, 6-7 months, and 13-14 months post-release
|
The ADQ assesses offenders' intentions to change and their perceived ability to stay crime-free.
The original 10-item scale has acceptable internal consistency (α=0.77).
Following communication with the original authors, 6 additional items were added to more accurately measure the construct.
The internal consistency of the final 16-item scale will be calculated and reported in the final analysis.
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Intake asssessment, 1-2 months, 6-7 months, and 13-14 months post-release
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Factors of Motivation for Desistance (FoM-D)
Prazo: 1-2 months, 6-7 months, and 13-14 months post-release
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The FoM-D assesses motivational factors (attitude, perceived social norm, self-efficacy, and positive affect) expected to predict the ADQ.
The first three constructs are measured using a modified scale.
Participants rate their responses on a 5-point Likert scale ranging from 1 (Rarely) to 5 (Always), some items with an added "Not Applicable" option.
Scores are summed, with higher scores indicating stronger motivation.
Reported internal consistencies for these subscales are α=0.62,
α=0.65, and α=0.61.
An option 'Not Applicable' is added so some questions where it asks the frequency of an experience.
Since an option that is close to 'never' is not provided in the original scale.
A 'Not Applicable' is added to those options with instructions to allow respondents to answer that the particular question does not apply to them.
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1-2 months, 6-7 months, and 13-14 months post-release
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Positive Affect
Prazo: Intake assessment, 1-2 months, 6-7 months, and 13-14 months post-release
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Measured using the Positive Feelings subscale of the Comprehensive Inventory of Thriving (CIT).
This is a 3-item subscale rated on a 5-point Likert scale from 1 (Strongly disagree) to 5 (Strongly agree).
Scores are summed.
While the full CIT has shown strong reliability (α=0.77 to 0.96), internal consistency for this specific subscale alone is not previously available and will be calculated.
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Intake assessment, 1-2 months, 6-7 months, and 13-14 months post-release
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Profile of Emotional Competence (PEC) for Art Workshop
Prazo: Baseline (First session) and 7 weeks later (last session of the Stage 1 workshop)
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The PEC measures individual differences in the identification, understanding, expression, regulation, and use of emotions.
To align with workshop objectives, only three subscales are used: 'Identification of own emotions,' 'Understanding of own emotions,' and 'Expression of own emotions.'
Items are rated on a 5-point Likert scale ranging from 1 (Does not describe me at all) to 5 (Describes me very well).
The full 50-item scale has excellent internal consistency (α=0.93); the reliability of the specific subscales used will be calculated.
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Baseline (First session) and 7 weeks later (last session of the Stage 1 workshop)
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Brief Resilience Scale (BRS) for Sports Workshop
Prazo: Baseline (First session) and 7 weeks later (last session of the Stage 1 workshop)
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The BRS measures the ability to bounce back or recover from stress.
This 6-item scale utilizes a 5-point Likert scale ranging from 1 (Strongly disagree) to 5 (Strongly agree).
Previous research demonstrates good to excellent reliability across samples (α=0.80 to 0.91).
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Baseline (First session) and 7 weeks later (last session of the Stage 1 workshop)
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A.I. Literacy (AIL) for Tech Workshop
Prazo: Baseline (First session) and 7 weeks later (last session of the Stage 1 workshop)
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The AIL is a combined 12-item measure of subscales from ChatGPT literacy and AI self-efficacy scale.
It sources 8 items from the intrinsic motivation and behavioral commitment subscale of the AILQ ( a = 0.88) and 4 items from the creative application subscale of the ChatGPT literacy scale (a = 0.79).
Both scales use a 5-point Likert format ranging from 1 (Strongly disagree) to 5 (Strongly agree).
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Baseline (First session) and 7 weeks later (last session of the Stage 1 workshop)
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Problem Solving Inventory (PSI) for Tech Workshop
Prazo: Baseline (First session) and 7 weeks later (last session of the Stage 1 workshop)
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The PSI measures problem-solving confidence, approach-avoidance style, and personal control.
To align with workshop objectives, only the problem-solving confidence subscale is used.
Items are rated on a 6-point Likert scale ranging from 1 (Strongly disagree) to 6 (Strongly agree).
The full inventory has excellent reliability (α=0.90), and the selected subscale is also highly reliable (α=0.85).
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Baseline (First session) and 7 weeks later (last session of the Stage 1 workshop)
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Well-Being
Prazo: Intake assessment, 1-2 months, 6-7 months, and 13-14 months post-release
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General well-being is assessed using a 6-item scale recommended by the literature as an optimal short measure.
Items are rated on a 10-point Likert scale ranging from 1 (Not at all) to 10 (Completely).
Internal consistency will be calculated and reported in the final analysis.
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Intake assessment, 1-2 months, 6-7 months, and 13-14 months post-release
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Comprehensive Inventory of Thriving (CIT)
Prazo: 1-2 months, 6-7 months, and 13-14 months post-release
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The CIT measures a broad range of psychological well-being constructs, representing a holistic view of positive functioning.
This 54-item scale covers 18 domains, including support, learning, mastery experience, and autonomy.
Participants rate items on a 5-point Likert scale ranging from 1 (Strongly disagree) to 5 (Strongly agree).
Across five distinct samples in previous research, the CIT demonstrated acceptable to excellent internal consistency (α=0.77 - 0.96).
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1-2 months, 6-7 months, and 13-14 months post-release
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Colaboradores e Investigadores
É aqui que você encontrará pessoas e organizações envolvidas com este estudo.
Patrocinador
Colaboradores
Investigadores
- Investigador principal: Paul Wong, D.Psyc., The University of Hong Kong
Publicações e links úteis
A pessoa responsável por inserir informações sobre o estudo fornece voluntariamente essas publicações. Estes podem ser sobre qualquer coisa relacionada ao estudo.
Publicações Gerais
- Brasseur S, Gregoire J, Bourdu R, Mikolajczak M. The Profile of Emotional Competence (PEC): development and validation of a self-reported measure that fits dimensions of emotional competence theory. PLoS One. 2013 May 6;8(5):e62635. doi: 10.1371/journal.pone.0062635. Print 2013.
- Pinel EC. Stigma consciousness: the psychological legacy of social stereotypes. J Pers Soc Psychol. 1999 Jan;76(1):114-28. doi: 10.1037//0022-3514.76.1.114.
- Fung SF. Validity of the Brief Resilience Scale and Brief Resilient Coping Scale in a Chinese Sample. Int J Environ Res Public Health. 2020 Feb 16;17(4):1265. doi: 10.3390/ijerph17041265.
- Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1), 30-41. https://doi.org/10.1207/s15327752jpa5201_2
- Su R, Tay L, Diener E. The development and validation of the Comprehensive Inventory of Thriving (CIT) and the Brief Inventory of Thriving (BIT). Appl Psychol Health Well Being. 2014 Nov;6(3):251-79. doi: 10.1111/aphw.12027. Epub 2014 Jun 12.
- Wittes J. Sample size calculations for randomized controlled trials. Epidemiol Rev. 2002;24(1):39-53. doi: 10.1093/epirev/24.1.39. No abstract available.
- VanderWeele TJ, Trudel-Fitzgerald C, Allin P, Farrelly C, Fletcher G, Frederick DE, Hall J, Helliwell JF, Kim ES, Lauinger WA, Lee MT, Lyubomirsky S, Margolis S, McNeely E, Messer N, Tay L, Viswanath V, Weziak-Bialowolska D, Kubzansky LD. Current recommendations on the selection of measures for well-being. Prev Med. 2020 Feb 1;133:106004. doi: 10.1016/j.ypmed.2020.106004. Online ahead of print.
- Team, R. C. (2025). R: A Language and Environment for Statistical Computing. In https://www.R-project.org/
- Rocque, M. (2021). But what does it mean?: Defining, measuring, and analyzing desistance from crime in criminal justice. US Department of Justice
- Rizopoulos, D., Miranda-Afonso, P., & Papageorgiou, G. (2026). JMbayes2: Extended Joint Models for Longitudinal and Time-to-Event Data. In https://github.com/drizopoulos/jmbayes2
- Olver ME, Stockdale KC, Wormith JS. A meta-analysis of predictors of offender treatment attrition and its relationship to recidivism. J Consult Clin Psychol. 2011 Feb;79(1):6-21. doi: 10.1037/a0022200.
- Ng, D. T. K., Wu, W., Leung, J. K. L., Chiu, T. K. F., & Chu, S. K. W. (2024). Design and validation of the AI literacy questionnaire: The affective, behavioural, cognitive and ethical approach. British Journal of Educational Technology, 55(3), 1082-1104. https://doi.org/https://doi.org/10.1111/bjet.13411
- Miller, H. A. (2018). The Inventory of Offender Risk, Needs, and Strengths (IORNS). In Handbook of Recidivism Risk/Needs Assessment Tools (pp. 101-116). https://doi.org/https://doi.org/10.1002/9781119184256.ch5
- Lloyd, C. D., & Serin, R. C. (2012). Agency and outcome expectancies for crime desistance: measuring offenders' personal beliefs about change†. Psychology, Crime & Law, 18(6), 543-565. https://doi.org/10.1080/1068316X.2010.511221
- Liptak, J. J. (n.d.). Barriers to Reentry Success Inventory Administrator's Guide.
- Lee, S., & Park, G. (2024). Development and validation of ChatGPT literacy scale. Current Psychology, 43(21), 18992-19004. https://doi.org/10.1007/s12144-024-05723-0
- Kuznetsova, A., Brockhoff, P. B., & Christensen, R. H. B. (2017). lmerTest Package: Tests in Linear Mixed Effects Models. Journal of Statistical Software, 82(13), 1 - 26. https://doi.org/10.18637/jss.v082.i13
- Heppner, P. P., & Petersen, C. H. (1982). The development and implications of a personal problem-solving inventory. Journal of Counseling Psychology, 29(1), 66-75. https://doi.org/10.1037/0022-0167.29.1.66
- Giordano, P. C., Cernkovich, S. A., & Rudolph, J. L. (2002). Gender, Crime, and Desistance: Toward a Theory of Cognitive Transformation. American Journal of Sociology, 107(4), 990-1064. https://doi.org/10.1086/343191
- Giordano, P. C. (2016). Mechanisms underlying the desistance process: reflections on 'A theory of cognitive transformation'. In Global perspectives on desistance (pp. 27-43). Routledge.
- Cheung CK, Li JC, Lee TY. Social Work Contribution to Desistance Among At-Risk Youth. Int J Offender Ther Comp Criminol. 2018 Apr;62(5):1216-1240. doi: 10.1177/0306624X16672865. Epub 2016 Oct 7.
- Bates, D., Mächler, M., Bolker, B., & Walker, S. (2015). Fitting Linear Mixed-Effects Models Using lme4. Journal of Statistical Software, 67(1), 1 - 48. https://doi.org/10.18637/jss.v067.i01
Datas de registro do estudo
Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.
Datas Principais do Estudo
Início do estudo (Real)
16 de abril de 2026
Conclusão Primária (Estimado)
1 de setembro de 2028
Conclusão do estudo (Estimado)
1 de setembro de 2028
Datas de inscrição no estudo
Enviado pela primeira vez
20 de abril de 2026
Enviado pela primeira vez que atendeu aos critérios de CQ
11 de maio de 2026
Primeira postagem (Real)
18 de maio de 2026
Atualizações de registro de estudo
Última Atualização Postada (Real)
22 de maio de 2026
Última atualização enviada que atendeu aos critérios de controle de qualidade
18 de maio de 2026
Última verificação
1 de maio de 2026
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- EA250537
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
NÃO
Descrição do plano IPD
Individual participant data will not be shared because the original Informed Consent Form signed by the participants did not include permission to share individual-level data with external researchers or third parties.
Furthermore, the trial involves highly sensitive information (i.e., self-reported reoffending) where the risk of a potential data breach outweighs the benefits of sharing, as disclosure could introduce legal risks for both the participants and the researchers.
Informações sobre medicamentos e dispositivos, documentos de estudo
Estuda um medicamento regulamentado pela FDA dos EUA
Não
Estuda um produto de dispositivo regulamentado pela FDA dos EUA
Não
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .