More Appreciation and Less Criticism Project
2020年6月21日 更新者：The University of Hong Kong
A Pilot Intervention Study to Increase Appreciation and Reduce Criticism Among Families in Hong Kong
The project "More Appreciation and Less Criticism Project" (MALC) is a collaboration between the Tung Wah Group of Hospitals (TWGHs) and the School of Public Health of The University of Hong Kong (HKUSPH), funded by The Hong Kong Jockey Club Charities Trust.
The objectives are to develop and test theory-driven group programmes to increase parents' intention and actual behaviours to express more appreciation or less criticism when interacting with their children, thereby enhancing family harmony and happiness.
研究概览
详细说明
This study is a cluster randomized controlled trial (RCT) with three arms: More Appreciation (MA), Less Criticism and Fruit and Vegetable (FV) group. Clusters, mostly schools, are the unit of random allocation to one of the three arms. Participants from all three arms will be assessed a total of four times, i.e. baseline (before the intervention workshop; (T1), immediate post-workshop (T2), 2-week post-workshop (T3) and 6-week post-workshop (T4).
"Fruit and vegetable consumption" is a subsidiary study to the More Appreciation and Less Criticism (MALC) Project. The study will take advantage of the cluster RCT design adopted by the MALC study, and aims at testing the active HAPA-based intervention (increasing fruit and vegetable intervention) delivered to the MALC control group. The fruit and vegetable group will serve as the intervention arm, and the groups that received interventions regarding increasing appreciation or decreasing criticism, served as the control arms.
研究类型
介入性
注册 (实际的)
803
阶段
- 不适用
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
是的
有资格学习的性别
全部
描述
Inclusion Criteria:
- Parents who are Cantonese-speaking, able to complete study questionnaire, and who have children attending p.4 to p.6 will be included.
Exclusion Criteria:
- Parents with active psychiatric problems, suicidal ideations, personality disorders, emotional problems, and mental retardartion will be excluded from the study.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：卫生服务研究
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的：More Appreciation
A 6-minute engaging video will be shown, illustrating examples where a mother initially withholds her appreciation for her son's effort in school and later express it.
The video will also capture the effect on the child and the family.
Attributional discussion questions will follow to elicit positive outcomes of expressing appreciation and the negative outcomes of withholding appreciation (e.g., What may be the long-term effects of showing appreciation on your child, family, or on yourself?).
Key points will be summarised and reinforced to enhance behavioural intention (Schwarzer & Luszczynska, 2008).
Then the participants will be asked to plan by indicating when (e.g., Saturday afternoon), what (e.g., child helping a younger sibling prepare for a dictation test), and how (e.g., "I can see that you gave up your leisure time to help your sister with the spelling.
Thank you!") they would express appreciation to their children.
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实验性的：Less Criticism
Participants will watch a 6-minute video showing examples of a father criticising his son, which will be replaced by positive communication later, and the different reactions evoked in the child and the family.
Then, participants will have an attributional discussion on the negative effects of criticism (e.g., negative effect on self-worth and motivation) and positive outcomes of using constructive feedback (e.g., promptly identifying undesirable behaviours without relating to personal traits or abilities).
In small groups, they will work out alternatives (i.e., constructive feedback; termed "positive reminder" in the intervention) to criticism, and each plan and write down when (e.g., after school), what (e.g., low test marks), and how (e.g., "How do you prepare for the tests?)
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实验性的：Fruit and Vegetable
This workshop will emphasise the importance of consuming at least 5 portions of fruit and vegetable daily for a healthy diet, and aim to boost participants' self-efficacy in achieving this.
Participants will be presented with examples of one portion of fruit or vegetable, and then create their own recipes.
They will also consider how to overcome obstacles of consuming more portions.
Each participant will set goals and write down plans on when, where, what, and how they would increase their fruit and vegetable intake of their children and family as a whole.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Changes from baseline self-reported appreciation behaviours at follow-ups
大体时间：Baseline (before the workshop, T1), 2-week post-workshop (T3) and 6-week post-workshop (T4).
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Being assessed by averaging two items, measuring the frequency with which parents expressed appreciation (express appreciation towards children's efforts; express appreciation towards children's strengths) in the past 7 days.
Responses range from 0 to 6 (0: '0 time,' 1: 'one to two times per week,' 2: 'three to four times per week,' 3: 'five to six times per week,' 4: 'once a day,' 5: 'two to three times a day,' and 6: 'four times or more per day').
The Cronbach's alpha is 0.90.
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Baseline (before the workshop, T1), 2-week post-workshop (T3) and 6-week post-workshop (T4).
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Changes from baseline self-reported criticism behaviours at follow-ups
大体时间：Baseline (before the workshop, T1), 2-week post-workshop (T3) and 6-week post-workshop (T4).
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Being assessed by averaging two items, measuring the frequency with which parents expressed criticism (criticise children; express dissatisfaction towards children's behavior) in the past 7 days.
Responses range from 0 to 6 (0: '0 time,' 1: 'one to two times per week,' 2: 'three to four times per week,' 3: 'five to six times per week,' 4: 'once a day,' 5: 'two to three times a day,' and 6: 'four times or more per day').
The Cronbach's alpha is 0.93.
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Baseline (before the workshop, T1), 2-week post-workshop (T3) and 6-week post-workshop (T4).
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Changes from baseline self-reported fruit and vegetable intake behaviours at follow-ups
大体时间：Baseline (before the workshop, T1), 2-week post-workshop (T3) and 6-week post-workshop (T4).
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Being assessed by summing two items, one each for the number of servings of fruits and vegetables consumed in the past week.
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Baseline (before the workshop, T1), 2-week post-workshop (T3) and 6-week post-workshop (T4).
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Changes from baseline outcome expectancies of more appreciation at post-workshop
大体时间：Baseline (before the workshop, T1), and T2 (immediately after the workshop).
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Measured by averaging three items, "If I express my appreciation through words or action more often, my children will be more positive to themselves", "If I express my appreciation through words or action more often, my children will appreciate the other family members more", "If I express my appreciation through words or action more often, my family will be happier and more harmonious".
Participants rated their agreement using a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), and T2 (immediately after the workshop).
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Changes from baseline outcome expectancies of less criticism at post-workshop
大体时间：Baseline (before the workshop, T1), and T2 (immediately after the workshop).
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Measured by averaging three items.
"If I criticize my children, they will be more negative to themselves", "If I criticize my children, they will learn to criticize the other family members", "If I criticize my children, my family will be less happy and less harmonious".
Participants rated their agreement using a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), and T2 (immediately after the workshop).
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Changes from baseline outcome expectancies of fruit and vegetable intake at post-workshop
大体时间：Baseline (before the workshop, T1), and T2 (immediately after the workshop).
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Measured by averaging two items.
"if I eat more servings of fruit and vegetables every day, that would be good for my health", "If I eat more fruit and vegetable, I will set a good example for my children".
Participants rated their agreement using a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), and T2 (immediately after the workshop).
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Changes from baseline intention to express more appreciation at post-workshop and 2-week
大体时间：Baseline (before the workshop, T1), T2 (immediately after the workshop), and 2-week post-workshop (T3).
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Measured by a single item "In the coming 2 weeks, I intend to express appreciation to my child through words or action more often".
Participants rated their agreement on a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), T2 (immediately after the workshop), and 2-week post-workshop (T3).
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Changes from baseline intention to criticize less at post-workshop and 2-week
大体时间：Baseline (before the workshop, T1), T2 (immediately after the workshop), and 2-week post-workshop (T3).
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Measured by a single item "In the coming 2 weeks, I intend to criticize my child less often".
Participants rated their agreement on a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), T2 (immediately after the workshop), and 2-week post-workshop (T3).
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Changes from baseline intention of more fruit and vegetable intake at post-workshop and 2-week
大体时间：Baseline (before the workshop, T1), T2 (immediately after the workshop), and 2-week post-workshop (T3).
|
Measured by a single item "in the coming 2 weeks, I intend to eat more servings of fruit and vegetables every day".
Participants rated their agreement on a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), T2 (immediately after the workshop), and 2-week post-workshop (T3).
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Changes from baseline self-efficacy of more appreciation at post-workshop and 2-week
大体时间：Baseline (before the workshop, T1), T2 (immediately after the workshop), and 2-week post-workshop (T3).
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Measured by a single item "In the coming 2 weeks, I am confident that I can express appreciation to my child through words or action more often".
Participants rated their agreement on a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), T2 (immediately after the workshop), and 2-week post-workshop (T3).
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Changes from baseline self-efficacy of less criticism at post-workshop and 2-week
大体时间：Baseline (before the workshop, T1), T2 (immediately after the workshop), and 2-week post-workshop (T3).
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Measured by a single item "In the coming 2 weeks, I am confident that I can criticize my child less often".
Participants rated their agreement on a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), T2 (immediately after the workshop), and 2-week post-workshop (T3).
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Changes from baseline self-efficacy of more fruit and vegetable intake at post-workshop and 2-week
大体时间：Baseline (before the workshop, T1), T2 (immediately after the workshop), and 2-week post-workshop (T3).
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Measured by a single item "In the coming 2 weeks, I am confident that I could eat more servings of fruit and vegetables every day".
Participants rated their agreement on a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), T2 (immediately after the workshop), and 2-week post-workshop (T3).
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Changes from baseline action planning of more appreciation at post-workshop, 2-week and 6-week
大体时间：Baseline (before the workshop, T1), T2 (immediately after the workshop), 2-week post-workshop (T3), and 6-week post-workshop (T4).
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Measured by a single item "In the coming 2 weeks, I have a clear plan on how to express appreciation to my child through words or action more often".
Participants rated their agreement on a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), T2 (immediately after the workshop), 2-week post-workshop (T3), and 6-week post-workshop (T4).
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Changes from baseline action planning of less criticism at post-workshop, 2-week and 6-week
大体时间：Baseline (before the workshop, T1), T2 (immediately after the workshop), 2-week post-workshop (T3), and 6-week post-workshop (T4).
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Measured by a single item "In the coming 2 weeks, I have a clear plan on how to criticize my child less often.
Participants rated their agreement on a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), T2 (immediately after the workshop), 2-week post-workshop (T3), and 6-week post-workshop (T4).
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Changes from baseline action planning of more fruit and vegetable intake at post-workshop, 2-week and 6-week
大体时间：Baseline (before the workshop, T1), T2 (immediately after the workshop), 2-week post-workshop (T3), and 6-week post-workshop (T4).
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Measured by a single item "In the coming 2 weeks, I have a clear plan on how to eat more servings of fruit and vegetables every day".
Participants rated their agreement on a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), T2 (immediately after the workshop), 2-week post-workshop (T3), and 6-week post-workshop (T4).
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Changes from baseline coping planning of more appreciation at post-workshop, 2-week and 6-week
大体时间：Baseline (before the workshop, T1), T2 (immediately after the workshop), 2-week post-workshop (T3), and 6-week post-workshop (T4).
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Measured by a single item "In the coming 2 weeks, I have a clear plan on how to overcome challenges in expressing appreciation to my child through words or action more often".
Participants rated their agreement on a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), T2 (immediately after the workshop), 2-week post-workshop (T3), and 6-week post-workshop (T4).
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Changes from baseline coping planning of less criticism at post-workshop, 2-week and 6-week
大体时间：Baseline (before the workshop, T1), T2 (immediately after the workshop), 2-week post-workshop (T3), and 6-week post-workshop (T4).
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Measured by a single item "in the coming 2 weeks, I have a clear plan on how to overcome challenges to criticize my child less often".
Participants rated their agreement on a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), T2 (immediately after the workshop), 2-week post-workshop (T3), and 6-week post-workshop (T4).
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Changes from baseline coping planning of more fruit and vegetable intake at post-workshop, 2-week and 6-week
大体时间：Baseline (before the workshop, T1), T2 (immediately after the workshop), 2-week post-workshop (T3), and 6-week post-workshop (T4).
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Measured by a single item "In the coming 2 weeks, I have a clear plan on how to overcome challenges to eat more servings of fruit and vegetables every day".
Participants rated their agreement on a 10-point scale (1 = totally disagree, 10 = totally agree).
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Baseline (before the workshop, T1), T2 (immediately after the workshop), 2-week post-workshop (T3), and 6-week post-workshop (T4).
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Changes from baseline family well-being
大体时间：Baseline (before the workshop, T1), 2-week post-workshop (T3) and 6-week post-workshop (T4).
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Being assessed by a composite score of 3 items, namely the 3Hs: family harmony, family happiness, and family health.
Participants rated each item on a scale from 0 (not at all harmonious/ happy/ healthy) to 10 (very harmonious/ happy/ healthy).
This composite score has been used in another study in Hong Kong (M.
P. Wang et al., 2014) which showed a satisfactory Cronbach's alpha (0.84).
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Baseline (before the workshop, T1), 2-week post-workshop (T3) and 6-week post-workshop (T4).
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Samantha Fung, PhD、The University of Hong Kong
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2012年4月1日
初级完成 (实际的)
2013年5月31日
研究完成 (实际的)
2013年5月31日
研究注册日期
首次提交
2020年6月16日
首先提交符合 QC 标准的
2020年6月21日
首次发布 (实际的)
2020年6月24日
研究记录更新
最后更新发布 (实际的)
2020年6月24日
上次提交的符合 QC 标准的更新
2020年6月21日
最后验证
2020年6月1日
更多信息
与本研究相关的术语
其他研究编号
- HKUSPH-MALC
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
不
IPD 计划说明
Generally, individual participant data will not be shared with a third party.
People not involved in the project can check the data availability from the principal investigator.
药物和器械信息、研究文件
研究美国 FDA 监管的药品
不
研究美国 FDA 监管的设备产品
不
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
More appreciation的临床试验
-
University of UtahNational Institute on Drug Abuse (NIDA); BehaVR完全的