Evaluation of an E-intervention on Multiple Health Behaviour Change for Chinese Cardiac Patients in Home-based Rehabilitation
Phase: NA
Conditions: Cardiac Rehabilitation, Physical Activity, Fruit and Vegetable Intake
Sponsor: Hong Kong Baptist University



[ FRG2/17-18/099] 
(Please submit the application in English) 
1. Project Title: 
Hong Kong Baptist University 
Faculty Research Grant Category II 
Application Form 
(Funding Limit: $150,000) 
Evaluation of an E-intervention on multiple health behaviour change for Chinese cardiac 
patients in home-based rehabilitation 
2. Name(s) of Applicant(s): 
Name 
Department & 
HKBU Staff 
Post Title 
l.D. No. 
Principal Investigator: 
Dr Duan Yanping 
Assistant 
118411 
(with title e.g. Prof., Dr., 
Professor 
Ms., Miss) 
PE 
Co-investigator(s): 
Dr Lan Guo 
(with title e.g. Prof., Dr., 
Ms., Miss) 
Guangdong 
General 
Hospital 
Mr Liang Wei 
PE 
Hong Kong 
Baptist 
University 
Prof Lippke Sonia 
Jacobs 
University 
Bremen 
3. Abstract of research: 
(Please provide a short abstract of ~ page or 200 words. The abstract should be 
comprehensible to a non-specialist) 
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By using the Health Action Process Approach (HAPA) model as a theoretical 
backdrop, the proposed study aims to provide an 8-week e-health learning strategies 
for Chinese cardiac patients, with which they can follow at home after rehabilitation 
discharge. 
166 participants will be recruited from an outpatient cardiac rehabilitation center in 
China. Eligible participants will be randomly assigned into one of two groups. (1) 
Intervention group (IG): simultaneously physical activity (PA) and fruit and vegetable 
intake (FVI) (week 1-8); and (2) the waiting list control group 0fVCG): not participate in 
any support program during the intervention period. The testing indicators consist of 
PA (International Physical Activity Questionnaires; IPAQ), self-reported FVI, 
combined healthy lifestyle, social-cognitive variables of two behaviors (self-efficacy, 
intention, planning, social support), quality of life and depression. All indicators will be 
conducted at the beginning of intervention (T1 ), at the end of intervention (T2), and 
three-month follow-up (T3). All data collection will be completed via e-health learning 
website with electronic questionnaires. 
The current study will examine whether the cardiac rehabilitation patients in IG 
increase their PA level and FVI, improve the social-cognitive variables of PA and FVI, 
and enhance mental health outcomes in comparison with control condition; and 
whether the social-cognitive variables mediate the association between intervention 
and adopting a healthy lifestyle. We believe the study findings will contribute to the 
current multiple health behaviour intervention research and support Chinese cardiac 
patients to maintain rehabilitation outcomes and cultivate a healthy lifestyle. 
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4. The project aims, its long-term significance: 
(State the aims, identify the key issues and problems being addressed and list the possible 
outcomes of the research project, as well as its significance and value) (Maximum 600 words 
or 1 page) 
Key issues and problems: 
Medical rehabilitation after sever health issues (e.g., cardiovascular diseases such as stroke or 
orthopedic issues such as a knee replacement) is a crucial component of the recovery process. 
Patients are physically trained under guidance and prepared for their return to everyday life at 
rehabilitation discharge. Regular physical activity and healthy dietary plays an irreplaceable 
role in this process to get the patients to adopt a healthy lifestyle and maintain their treatment 
success with the aim of becoming resilient and being able to return to work (Russell & Bray, 
2009; Xie et al., 2016;). However, the significant contribution of rehabilitation depends mainly 
on its successful implementation in daily life after the formal rehabilitation process. Literatu re 
reviews show that it is often difficult for patients to integrate the learning outcomes from 
rehabilitation into their daily life (e.g., Li & Shao, 2017). Especially in China, because of the 
limitation of rehabilitation aftercare, many family-based health care offers are inaccessible to 
patients, especially those who live in decentralized residential areas, which subsequently 
aggravate the difficulties for cardiac patients to maintain the treatment success and transfer the 
learning outcomes of clinical rehabilitation. Therefore, the present study suggests that aftercare 
which the patients can follow at home (e.g., website plus SMS and Wechat prompts) should be 
offered (Kordy, Theis, & Wolf, 2011; Yan, Yang, & Nang, 2017). 
This study aims to examine the efficacy of an 8-week e-health intervention on physical activity 
(PA) and fruit and vegetable intake (FVI) in Chinese cardiac patients. In addition, this study will 
detect why the intervention is effective and to identify the social-cognitive variables that may 
account for adopting a healthy lifestyle. 
The possible outcomes of the research project are to provide knowledge on: 
1. Participants in the intervention group (IG) increase their PA levels and FVI portion in 
comparison with a control group. 
2. Participants in the intervention group (IG) improve their social-cognitive variables of PA and 
FVI in comparison with a control group. 
3. Participants in the intervention group (IG) enhance their mental health outcomes in terms of 
quality of life and depression level in comparison with a control group. 
4. The social-cognitive variables of PA and FVI mediate the association between intervention 
and adopting a healthy lifestyle. 
Long-term significance: 
This study will make a significant contribution with new insights toward the current multiple 
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health behaviour intervention in rehabilitation aftercare in China. By using innovative 
theory-based e-health learning technology, the tailored intervention program can help cardiac 
patients form healthy lifestyle habit in daily life. 
In addition, this study will apply the Health Action Process Approach (HAPA; Schwarzer, 2008) 
model, which has been proved to be applicable to diverse participants in different health 
behaviour, so that contribution can be made to the development of the HAPA model in health 
behaviour research among Chinese cardiac patients. 
To our knowledge, very few studies have provided evidence for detecting the psychological 
mechanism of multiple health behaviours change among Chinese population. This study will 
explore whether the social-cognitive variables of PA and FVI can be mediators of intervention 
and adopting a healthy lifestyle. 
5. Objectives (State the objectives in point form): 
Objective 1 : 
Objective 2: 
Objective 3: 
Objective 4: 
To examine the efficacy of an e-health intervention on single behaviour 
indicator (PA and FVI) and adoption of a healthy lifestyle (the synthesis of 
both behaviours) in comparison with a control group. 
To examine the efficacy of an e-health intervention on social-cognitive 
variables of PA and FVI (self-efficacy, intention, action and coping planning, 
social support) in comparison with a control group. 
To examine the efficacy of an e-health intervention on mental health 
outcomes, including perceived quality of life, and depression level in 
comparison with a control group. 
To examine whether there are mediation effects of social-cognitive variables 
of PA and FVI on adopting a healthy lifestyle. 
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6. Background of research, research plan and methodology:: (Maximum 6 pages, excl uding 
references) 
[Summary of related work that has already been done and an outline of previous and 
alternative approaches to the problem -
(a) By others (give key references) 
(b) By the investigator(s) (give key references) 
(c) Progress report (for on-going projects)] 
[Explain, in terms of the educated layman, the novel idea which you will be introducing to 
tackle the problem in question. Please include key references. Attach a draft 
questionnaire should the research plan involve a survey/interview.] 
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Background of research 
(a) Work done by others 
[ FRG2/17-18/099] 
This study will apply the Health Action Process Approach (HAPA; Schwarzer, 2008) 
as the theoretical backdrop, which suggests there are two distinctive phases during 
the health behaviour change process. First is the motivation phase, which plays an 
important role before a goal is set. Subsequently individuals enter the volitional 
phases. This distinction allows the tailored intervention to the variables which 
correspond to a specific process. In particular, the motivation must occur before 
individuals change their unhealthy habits. Therefore, individuals may benefit most 
from interventions that will increase risk perception, self-efficacy, and the positive 
outcome expectancies (Schwarzer, Cao, & Lippke, 2010). The purpose is to lead 
towards a specific intention (e.g., "I intend to eat some fruit and vegetables today") 
and once they forming the intention, individuals enter into volition processes. People 
benefit the most from planning interventions, which can be the bridge from intention to 
behaviour (Reinwand et al., 2016). At this process, individuals will learn to make 
specific plans (e.g., when, where and how to eat fruit and vegetables), determine 
priorities, and to translate their action plans into behaviour. Self-regulatory skills are 
necessary to maintain their progress once people start to initiate a healthy behaviour. 
Positive behaviour change will be guided by self-efficacy, as this regulates how much 
effort is invested in goal achievement and how much persistence is maintained if 
obstacles and setbacks occur. Additionally, promoting perceived social support from 
people's social context is equally important in preventing relapse (Schwarzer, 2008; 
Figure 1). 
Considerable evidence has proved the effectiveness of interventions based on the 
HAPA model in improving PA (Schwarzer, Lippke, & Ziegelmann, 2008), healthy diets 
(Wiedemann et al., 2008), and other health behaviours (e.g., Payaprom, Bennett, 
Alabaster, & Tantipong, 2011 ). 
Motivational Phase-
Non-intender 
Self-dfirncy 
Outcome 
~ Intention 
expectancies 
/ 
Ri~k pe1·ception 
Volitional Phase-
Intendet· 
I I 
Actor 
Action plan 
Coping plan 
Behnh·or 
Self-regulation 
Baniet,s, Resow·res (e.g., social support) 
Figure 1: The Health Action Process Approach (HAPA; Schwarzer, 2008) 
During the past two decades, multiple health behaviour interventions have become 
more plausible. Previous studies indicate that interventions implementing on both PA 
and healthy diet behaviour can be effective for cardiac patients (Liang, Duan et al., 
2017; Storm et al., 2016). However, one major question needs to be tackled with is 
how best to achieve multiple health behaviour change, including whether to intervene 
sequentially or simultaneously. Many studies have conducted sequential approach on 
PA and dietary behaviour and found mixed outcomes (Duan et al., 2017; Fleig et al., 
2014; Storm et al., 2016). On the contrary, one view points out that PA and dietary 
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behavior are all health-enhancing behaviours and they are closely correlated. As 
such there might be additive or synergistic when intervening simultaneously (Atkins & 
Clancy, 2004). Meanwhile, the simultaneous approach is suggested to be time and 
cost-effective (Prochaska et al., 2010). Some studies have found support for the 
simultaneous approach (e.g., Kypri & McAnally, 2005). However, there is still limited 
evidence regarding the efficacy of an intervention with simultaneous approach to 
improve PA and healthy dietary behaviour in Chinese cardiac patients. 
In addition, employing the internet technology to deliver intervention of multiple health 
behaviour promotion has a number of advantages (Webb et al., 2010). In particular, 
the internet intervention can (a) be delivered to large numbers of people at a low cost, 
(b) ensure that the intervention is accessible at any time and any location, and (c) 
provide follow-ups and feedback with personalized methods. Furthermore, the use of 
internet technology has become increasingly prevalent in rehabilitation aftercare 
(Reinwand et al., 2016; Widmer et al., 2014). A meta-analysis by Webb et al. (2010) 
indicated that online interventions targeting multiple behaviours had a small but 
significant effect size (d+= 0.12, k = 10, 95% Cl 0.08 to 0.17) on behaviours. 
Meanwhile, this study also pointed out that additional short message service (SMS) 
periodic prompts may improve the efficacy of e-health interventions (Webb et al., 
2010). Moreover, as a prevalent social media for the Chinese population, the Wechat 
has been also applied in the rehabilitation of patients with lumbar disc herniation (Gao 
et al., 2017). 
(b) Work done by the investigators 
On the basis of the HAPA model, a series of e-health intervention have been 
conducted by the investigators. As a Co-I, Lippke et al. developed an 8-week 
web-based intervention on PA and fruit and vegetable intake (FVI) towards population 
with lower cardiovascular risk in German and Dutch (Reinwand, Kuhlmann, Wienert, 
de Vries & Lippke, 2013). The intervention effects have been well supported (Storm et 
al., 2016; Reinwand et al., 2016). 
The principal investigator (Pl) of this project has been collaborating with Lippke to 
design tailored 8-week e-health intervention programmes in Chinese samples since 
2014. With the support of university grants, the Pl has completed some pilot work on 
this intervention program in Chinese university students and Chinese cardiac 
rehabilitation outpatients. In particular, 1) to design the tailored Chinese intervention 
materials (e.g., information about the benefits of PA and FVI, prompts to promote 
explicit goal setting, and feedback provided on participants' performance); 2) to 
validate the intervention materials with regard to the understanding in Chinese 
samples; 3) to build an 8-week explicit intervention website module 
(sequentially PA 
in week 1-4, and FVI in week 5-8); 4) to refine and optimize the website functions by 
implementing online tests with a small sample size. Based on the preparation work 
above, the Pl conducted two e-health intervention studies. Regarding the university 
students, the intervention effects on PA and FVI are supportive (Duan et al., 2017). In 
terms of the cardiac rehabilitation patients, manuscript writing is in progress (Duan et 
al., under preparation). Results of this study indicated that time by group interaction 
effects were significant both in PA (Eta2=.14, p<.01) and FVI (Eta2=.43, p<.001 ). 
Moreover, all psychosocial variables for PA and FVI showed superior intervention 
effects with an effect size of Eta 2 ranging from .09 to .23. With the help of e-health 
learning program, patients were about 1 .7 times more likely to practice or maintain a 
healthy lifestyle in comparison with patients in a control condition (OR= 1 .68, 95%CI= 
1 .94-2.35, p< .01 ). Findings in this pilot study indicate the overall effects of a 
web-based PA and FVI intervention in Chinese cardiac patients. In addition, 
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measurement tools and web-based intervention materials used in this pilot study 
provide the foundation for further intervention study. 
However, based on the previous literature review, there is still limited evidence 
regarding the web-based intervention with simultaneous approach to improve PA and 
healthy dietary behavior in Chinese cardiac patients (Wu & Li, 2017). In addition, the 
psychological mechanism of health behavior change has not been addressed in the 
previous study among Chinese cardiac patients (Duan et al., 2017). Thus, this study 
attempts to fill the research gap and provide empirical evidence for these 
aforementioned issues. 
Methodology 
Participants: 
All rehabilitation participants (~18 years) who have no contraindication with respect to 
PA or FVI will be eligible to participate in the study. In particular, participants must 
meet the inclusion criteria of (1) no restriction of physical mobility under the cardiac 
function at entry; and (2) no restriction of relevant disease such as diabetes or fruit 
allergies. As the study involves an online website and mobile phone SMS, only 
participants with access to the Internet via mobile phone will be enrolled. 
Patients will be recruited from one outpatient cardiac rehabilitation centre in 
Guangdong General Hospital, Guangzhou, China. For the main study, the sample 
size will be estimated by using G*Power 3.1 software with MANOVA of repeated 
measures approach. For achieving medium effect size of 0.25 (Duan et al., 2017), 
with a power (1-~) of 0.8 and alpha of 0.05, the total sample size will be 116. 
Assuming a dropout rate of approximately 30%, a total of 166 participants will be 
required for the study evaluation. 
Procedure: 
(1) Validation stage. There are 4 steps need to be implemented before conducting 
main study. Step 1: based on the established intervention materials with sequential 
intervention mode in previous study (Duan et al., 2017), investigators will work out a 
new intervention protocol corresponding to simultaneous intervention mode (PA+ FVI 
in week 1-8); Step 2: to refine and adjust the language of intervention materials based 
on the feedback of patients participating in the previous study to make the information 
more understandable and acceptable; Step 3: to develop two website modules for 
intervention group and wait list control group; Step 4: to evaluate website module 
functions by conducting online tests with a small sample size. 
(2) Main study stage. Participants who will receive outpatient rehabilitation will be 
informed about the purpose of study by their physicians with relevant information 
materials. Upon patients show their interest and consent, they will sign study consent 
inform and be invited to finish the online registration within one week (TO). Afterwards, 
patients will be randomly assigned into one of two groups. (1) Intervention group (IG): 
simultaneously, both PA and FVI for 8 week; and (2) the waiting control group (WCG): 
patients will not receive any support programme during the intervention period but will 
be provided with the same intervention at follow-up six-month after the intervention. 
The data will be collected at the beginning of intervention (T1 ), at the end of 
intervention (T2), and at 3-month follow-up (T3). All website hyperlinks for the 
questionnaire surveys at T1, T2, and T3 as well as for the weekly e-health learning 
program will be delivered by the researchers to the patients via Wechat platform (a 
Chinese social media app with multi-functions). 
Intervention: 
The 8-week e-health intervention will target HAPA-based social-cognitive variables of 
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PA and FVI. Particularly, Week 1: risk perception and outcome expectancies; Week 2: 
goal setting; Week 3: development of action plans; Week 4: revision and adjustment 
of previous action plans; Week 5: development of coping plans; Week 6: revision and 
adjustment of previous coping plans; Week 7: development of perceived social 
support; Week 8: revision and adjustment of previous social support. Self-efficacy will 
be a fixed intervention variable involved from week 2 to week 8 . Table 1 indicates 
intervention variables, intervention goals and intervention content. 
Table 1: Variables, goals and content of intervention across 8 weeks 
Intervention 
Phy;ical Acti1·ity + Fruit and Vegetable Intake 
Variables 
week I 
week 2 
week3 
week4 
week 5 
week6 
week 7 
week8 
Risk perception 
./ 
Outcome 
./ 
expectancies 
Self~fficacy 
./ 
./ 
./ 
./ 
./ 
./ 
./ 
Goal setting 
./ 
Action plans 
./ 
./ 
Copingplam 
./ 
./ 
Social support 
./ 
./ 
1. improving the 
l. ertliancing 
I.setting action 
I .further continuing I. setting coping 
I .further continuing I.promoting 
1. further pronxiting 
risk awareness of motivational se.lf-
pfans for PA and 
<ppropriate action 
plans for PA and 
appropriate coping 
perceiverd social 
perceiverd soci.11 
iiiactive life~le 
efficacy for PA and FVI 
plans for PA and FVI FVI 
pfan; for PA and 
support on PA and 
s11ppo11 on PA and 
and U1tl1ealthy diet FVI 
FVI 
FVI 
FVI 
Intervention 
goals 
2. stinrulating 
2. setting a general 
2.boosting 
2.further enhancii1g 
2.enliancing self-
2.further ertliancing 2.e1tl1ancing recovery 2.further enhancing 
positive outcome 
goal of health 
nxitivational self-
motivational self-
efficacy on 
self-efficacy on 
self..,fficacy to 
recovery self-efficacy 
expectancies and 
behavior and 
effic>cy for PA and •fficacy for PA and 
maint1irniing PA 
niaintanance of PA prevern miliealthy 
to prever1t 1mhealthy 
motivating 
fomiing the inter1tion FVI 
F\11 
andFVI 
andFVI 
beliaviour replase 
behaviour replase 
intention formaion ofPAandFVI 
iiuonning die risk assessing 
le.1ming how to 
reviewing tl1e 
finding difficulties 
reviewing the 
m~ewing perceived further revie11ing 
ofiiiactive 
motivatioiial self-
make specific action implementation of 
of plan 
implementation of 
social report on PA 
perceived soci.11 
behaviour and 
efficacy; 
plans for PA and 
Wion plans; 
in!plementation, 
coping plans; 
andFVI 
report 
mtliealthy diet 
e11couragii1g patier1t FVI 
<djusting action plait; making coping plan adjusting coping 
to build confidence 
plan 
Intervention 
inPAandFVI 
Content 
introducing and 
setting goals for PA takii1g exan!ples of taking ex.1o!ples of 
taki11g exan!ples of Take. exan!ples of 
takii1g exaniples of 
taking examples of 
promting the 
and FVI, as well as sucsseful case about 1ucsseful case abom sucsseful case. about sucsseful case about sucsseful case about sucssentl case about 
benefits of physical general heald1 goal 
action pla.t1 
wion plan 
he~lth bel~11~01ir 
health belia,iour 
belia1~otir repla~e 
bel~iviour replase 
acti\;ty (PA) and 
in!plementatioii 
iniplementation and 
adherence 
adherence 
prever1tion 
preve>ition 
frnit a.t1d vegetable 
rojusttnent 
intake (FVI). 
Additionally, some behaviour change techniques will be employed in the intervention 
in order to facilitate the implementation and maintenance of behaviour. For example, 
two types of feedback will be provided. Participants will receive individualized 
feedback on their behaviour performance 4 weeks ago, 3 weeks ago, 2 weeks ago 
and 1 week ago respectively. In addition, normative feedback on the criterion-based 
behaviour recommendation will be presented as well (e.g., accumulated at least 150 
minutes with moderate intensity of PA per week, 5 portions of FVC per day) (see 
example in Figure 2). Moreover, examples of role models will be provided throughout 
the intervention to support participants to set goals and develop plans. 
In addition to the intervention on web-site, SMS reminder will be sent to participants 
weekly prior to each intervention program in order to remind patients to attend the 
weekly intervention (e.g., "Dear patients, the coming learning session will start 
tomorrow. We kindly remind you to participate in it by clicking the hyperlink showed 
on the Wechat tomorrow. Have a nice day! '). Sequentially, Wechat message will be 
sentto participants on the next day for accessing the intervention website (e.g., "Here 
is 
the 
intervention 
hyperlink 
for 
Week 
two. 
Please 
click 
on 
it. 
www.ehealthlearningchina.com/patient/two_b.php".). 
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f .eedbock of\'our Consumed Ponlo11 for f ruh nud \'egernble (F\') 
This figure shows bow many ponio!\$ of frui1 and vcgcrable you consumed during a typical day in lasl week. 
During lhe las1 7 days. you have eaten 5 pon1ons ofFV in average~ day. Tilis perform.'Ulcc is ~tttt th.'Ul 1wo weeks ngo 
and you have a.chieved the recolllJllcnded cnterion for fruit and vegetable mt:lke. 
Congratulations! Keep goiug!!! 
I ponion I clay 
Four"f-tks 2go 
l po1tiom clay 
Tlu~t \\'H ks ago 
4 por11om l clay 
S por11om / day 
Ontwffk~:() 
S porllODS I clay 
Rttommt'od~ tion Crittrion 
Figure 2: Individualized and normative feedbacks regarding the portion of fruit and 
vegetable intake in average per day 
Measures: 
The standardized electronic questionnaires have been validated in the previous pilot 
study with Chinese cardiac patients (Liang, Duan et al., 2017), which consists of the 
following four parts. 
1. Behaviour indicators 
Physical activity (PA): The level of PA will be measured through the short Chinese 
version of the IPAQ questionnaire (Macfarlane et al., 2007). Participants will be asked 
to estimate the number of days and hours spent for vigorous, moderate and walking 
activities during the past week. Fruit and vegetable intake (FVI): FVI will be 
measured with four items, including fruit or vegetable juice, fruit, cooked or steamed 
vegetables, and raw vegetables (Rafferty et al., 2002). Respondents will be asked to 
count the number of portions of fruit and vegetables they consumed on average 
during a typical day. Combined healthy lifestyle indicator: In order to combine two 
behaviours, PA and FVI will be categorized according to whether or not the 
participants meet the health recommendations (Lippke, Fleig, Wiedemann, & 
Schwarzer, 2015). Based on the health guidelines for cardiac patients, the thresholds 
of 150 minutes PA per week (WHO, 2010) and 5 portions of fruit and vegetables 
(WHO, 2004) will be chosen. We use 1 and 0 to denote whether participants meet 
both recommendations or not. 
2. Social-cognitive indicators of PA and FVI 
Self-efficacy: Self-efficacy will be assessed with three dimensions consisting of 
motivational, maintenance and recovery self-efficacies with the stem "I am certain 
that. .. " followed by 5 items for PA such as" ... I can be physically active permanently at 
a minimum of 5 days a week for 30 minutes even if it is difficulf', or followed by 5 
items for FVI such as " ... I can eat 5 portions of fruit and vegetable a day even if it is 
difficult." (Cronbach's a for PA= .88; Cronbach's a for FVI= .92) (Luszczynska & 
Sutton, 2006). Intention: Intention for PA will be assessed with the stem "I intentto do 
for at least 30 minutes as day on minimum 5 days a week or at least 150 minutes a 
week with ... " followed by 3 items such as " ... vigorous sporf', " ... moderate PA" and 
" ... mild PA". Intention for FVI will be measured by the stem" I seriously intend to ... " 
followed by 3 items such as "eat at least 5 servings of fruit and vegetable each day" 
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and " ... drink each day at least one glass of fruit or vegetable juice" (Cronbach's a for 
PA= 0.34; Cronbach's a for FVI= 0.73) (Lippke et al., 2009). Planning: Planning 
indicator will be assessed with 6 items, consisting of action planning and coping 
planning with 3 items for each dimension. The item of action planning for PA will be 
asked such as " ... which concreted PA I will pursue", for FVI such as " ... how I will 
prepare the food" (Cronbach's a for PA= 0.86; Cronbach's a for FVI= 0.91 ). The items 
of coping planning for PA will be asked such as " ... how I can stay active, even if 
something happened", for FVI such as "what I can do in difficult situations, in order to 
remain true to my own resolutions" (Cronbach's a for PA= 0.87; Cronbach's a for FVI= 
0.93) (Schwarzer, 2008). Social support: This scale will be measured with the stem 
as "How do you perceived your environment?" followed by 3 items for PA such as 
" .... People like my friends help me to stay physically active", or followed by 3 items for 
FVI such as" ... People like my friends help me to eat healthily" (Cronbach's a for PA= 
0.72; Cronbach's a for FVI= 0.69) (Jackson, Lippke & Gray, 2011 ). 
3. Variables related to mental health status 
Perceived Quality of life: This indicator will be assessed by using the short version 
of WHO Quality of Life-BREF (WHO, 1993). Respondents will be firstly asked about 
their general quality of life as "How would you rate your quality of life?", then 7 items 
in physical health subdomain will be used, such as the example item "To what extent 
do you feel that physical pain prevents you from doing what you need to do?" 
(Cronbach's a = 0.89). Depression: Level of depression will be measured with the 
use of the Center for Epidemiologic Studies Short Depression Scale (CES-D 10) 
(Andersen et al., 1994). Respondents will be asked with the stem as "In the past week 
how often I feel ... " followed by 10 items such as " ... I was bothered by things that 
usually don't bother me" (Cronbach's a= 0.74). 
4. Sociodemographic information 
Gender, age, marital status, education level, rehabilitation treatment history, current 
work status, self-reported height and weight. 
Statistical analysis: 
All data will be analyzed by using SPSS 23.0 software. Independent samples t-tests 
and Chi2-tests will be adopted to examine the characteristics of drop out and compare 
the differences of baseline data at T1. Statistical significance will be set at 5% level 
(two-tailed). 
The intervention effects on behavioural, social-cognitive and mental health status 
related indicators will be test by conducting multivariate analysis of variance 
(MANOVA) with repeated measures, with time (T1, T2 and T3) as with-in subjects 
factor and group (IG and CG) as between-subjects factor. Missing data will be 
imputed within each measurement point in time using the Expectation-Maximization 
(EM) method. 
Furthermore, the intervention effect on healthy lifestyle indicator will be examined by 
performing a multinomial logistic regression model. The multiple-mediator model will 
be conducted to test the mediation effects with the use of SPSS macro (Preacher & 
Hayes, 2008). 
Research Schedule: 
Month 1-4: Refinement and adjustment of questionnaires and intervention materials; 
Website set-up and function test 
Month 5-12: Recruitment of participants; Implementation of main study 
Month 13-16: Data analysis; Report writing; Dissemination of research finding 
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References 
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Andresen, E., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for 
depression in well older adults: evaluation of a short form of the CES-D. 
American Journal of Preventive Medicine, 10(2),77-84. 
Atkins, D., & Clancy, C. (2004). Multiple risk factors interventions: Are we up to the 
challenge? American journal of preventive medicine, 27(2), 102-103. 
Duan, Y. P., Liang, W., Guo, L., Wienert, J., Si, G.Y.,& Lippke, S. (under preparation). 
Application and effect of psychological intervention of multiple health behavior on 
cardiac patients in home-based rehabilitation aftercare. Journal of medical 
Internet research. 
Duan, Y. P., Wienert, J., Hu, C., Si, G.Y. & Lippke, S. (2017). Web-based intervention 
for physical activity and fruit and vegetable intake among Chinese university 
students: A Randomized Controlled Trial. Journal of Medical Internet Research, 
19(4): e106. 
FAO/WHO Workshop. 
Fleig, L., Kerschreiter, R., Schwarzer, R., Pomp, S., & Lippke, S. (2014). 'Sticking to a 
healthy diet is easier for me when I exercise regularly': cognitive transfer 
between physical exercise and healthy nutrition. Psychology & Health, 29(12), 
1361-1372. 
Gao, L., Liang, H.Y., Bai, X.H. , et al. .. (2017). Application of Wechat platform in 
postoperative continuity of care of patients with lumbar disc herniation. Nursing 
Research of China, 31 (6), 758-760. (in Chinese) 
Jackson, J., Lippke, S., & Gray, C. D. (2011). Stage-specific prediction of physical 
activity in orthopaedic patients after rehabilitation treatment. International Journal 
of Sport Psychology, 42(6), 586-609. 
Kordy, H., Theis, F., & Wolf, M. (2011 ). Modern information and communication 
technology 
in 
medical 
rehabilitation. 
Enhanced 
sustainability 
through 
Internet-delivered 
aftercare. Bundesgesundheitsblatt, 
Gesundheitsforschung, 
Gesundheitsschutz, 54(4), 458-464. 
Kypri, K., & McAnally, H. M. (2005). Randomized controlled trial of a web-based 
primary care intervention for multiple health risk behaviors. Preventive medicine, 
41(3), 761-766. 
Li, S. & Shao, X.P. (2017). Research Advance of rehabilitation of patients with 
coronary disease. Journal of Integrated Western and Chinese Nursing, 7, 32-35. 
(in Chinese) 
Liang, W., Duan, Y.P., Guo, L., Si, G.Y. & Lippke, S. The Effectiveness of an 
E-lntervention on Maintaining Health Behavior for Chinese Cardiac Patients in 
Rehabilitation-aftercare. Paper presented at the 14th World Congress of Sport 
Psychology. Sevilla, Spain, 10-14 July 2017. 
P. 13 
07 Jun 2018 

[ FRG2/17-18/099] 
Lippke S., Fleig L., Wiedemann AU, & Schwarzer R. (2015). A computerized lifestyle 
application to promote multiple health behaviors at the workplace: testing its 
behavioral 
and 
psychological 
effects. 
Journal 
of 
Medical 
Internet 
Research, 17(1O):e15. 
Lippke S., Wiedemann A.U ., Ziegelmann J.P., Reuter T., Psych D., & Schwarzer R.(2 
009). Self-efficacy moderates the mediation of intentions into behavior via plans. 
American Journal of Health Behaviour, 33(5), 521-529. 
Luszczynska, A., & Sutton, S. (2006). Physical activity after cardiac rehabilitation: 
Evidence that different types of self-efficacy are important in maintainers and 
relapsers. Rehabilitation Psychology, 51(4), 314. 
Macfarlane, D. J., Lee, C. C., Ho, E. Y., Chan, K. L., & Chan, D. T. (2007). Reliability 
and validity of the Chinese version of IPAQ (short, last 7 days). Journal of 
Science and Medicine in Sport, 10(1 ), 45-51. 
Paya prom, Y., Bennett, P., Alabaster, E., & Tantipong, H. (2011 ). Using the Health 
Action Process Approach and implementation intentions to increase flu vaccine 
uptake in high risk Thai individuals: A controlled before-after trial. Health 
Psychology, 30(4), 492-500. 
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for 
assessing and comparing indirect effects in multiple mediator models. Behavior 
Research Methods, 40, 879-891. 
Prochaska, J. J., Nigg, C. R., Spring, B., Velicer, W. F., & Prochaska, J. 0. (2010). 
The benefits and challenges of multiple health behavior change in research and 
in practice. Preventive medicine, 50(1-2), 26-29. 
Rafferty, A. P., Anderson, J. V., McGee, H. B., & Miller, C. E. (2002). A healthy diet 
indicator: quantifying compliance with the dietary guidelines using the BRFSS. 
Preventive medicine, 35(1 ), 9-15. 
Reinwand, D. A., Crutzen, R., Storm, V., Wienert, J., Kuhlmann, T., de Vries, H., & 
Lippke, S. (2016). Generating and predicting high quality action plans to facilitate 
physical activity and fruit and vegetable consumption: results from an 
experimental arm of a randomised controlled trial. BMC Public Health, 16, 1-12. 
Reinwand, D., Kuhlmann, T., Wienert, J., de Vries, H., & Lippke, S. (2013). Designing 
a theory-and evidence-based tailored eHealth rehabilitation aftercare program in 
Germany and the Netherlands: study protocol. BMC Public Health, 13(1 ), 1-10. 
Russell, K. L., & Bray, S. R. (2009). Self-determined motivation predicts independent, 
home-based 
exercise 
following 
cardiac 
rehabilitation. Rehabilitation 
Psychology, 54(2), 150. 
Schwarzer R, Cao D.S., & Lippke S. (2010). Stage-matched minimal interventions to 
enhance physical activity in Chinese adolescents. Journal of Adolescent Health, 
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07 Jun 2018 

[ FRG2/17-18/099] 
47, 533-539. 
Schwarzer R. (2008). Modeling Health Behaviour Change: How to Predict and Modify 
the Adoption and Maintenance of Health Behaviours. Applied Psychology: An 
International Review, 57, 1-29. 
Schwarzer, R., Lippke, S., & Ziegelmann, J. P. (2008). Health action process 
approach: A research agenda at the Freie Universitat Berlin to examine and 
promote health behavior change. Zeitschrift tar Gesundheitspsychologie, 16(3), 
157-160. 
Storm, V., Dorenkamper, J., Reinwand, D. A., Wienert, J., De Vries H, Lippke, S. 
(2016). Effectiveness of a Web-Based Computer-Tailored Multiple-Lifestyle 
Intervention for People Interested in Reducing their Cardiovascular Risk: A 
Randomized Controlled Trial. Journal of Medical Internet Research, 18(4):e78. 
Webb TL., Joseph J, Yardley L, & Michie S. (2010). Using the Internet to promote 
health behaviour change: A systematic review and meta-analysis of the impact of 
theoretical basis, use of behaviour change techniques, and mode of delivery on 
efficacy. Journal of Medical Internet Research, 12(1 ): e4. 
Widmer, RJ, Allison, TG, Keane, B., Dallas, A., Lerman, LO, Lerman, A. (2014). Using 
an online, personalized program reduces cardiovascular risk factor profiles in a 
motivated, adherent population of participants. American Heart Journal, 167(1 ), 
93-100. 
Wiedemann, A. U., Lippke, S., Reuter, T., Schuz, B., Ziegelmann, J.P., & Schwarzer, 
R. (2008). Prediction of stage transitions in fruit and vegetable intake. Health 
Education Research, 24(4), 596-607. 
World Health Organization (1993). WHOQoL Study Protocol. WHO (MNH7PSF/93.9). 
World Health Organization (201 O).Global recommendations on physical activity for 
health (p.24). 
World Health Organization (2004). Fruit and Vegetables for Health. Report of a Joint 
FAQ/WHO Workshop. 
Wu,Y.,&Li,Q.Y.(2017).Research status quo of cardiac rehabilitation nursing of patient 
s with coronary heart disease. Chinese Nursing Research, 31 (18),2180-2184. (in 
Chinese) 
Xie, S.L., Ma, X., Lin, H., Meng, Y., & Yang, Y. (2016). Research advance of 
interventions on multiple health behaviour change. Chinese Journal of Social 
Medicine, 6, 528-531. (in Chinese) 
Yan, Y., Yang, Y., & Nang, Q.W. (2017). The application of wechat-based nursing 
intervention in the cardiac rehabilitation management for the patients with 
coronary disease. Journal of Clinical Nursing, 16(2), 2-4. (in Chinese) 
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[ FRG2/17-18/099] 
Dear participants: 
Hello! 
The aim of our questionnaire survey is to learn about your health status and some 
influential factors related to rehabilitation exercise and fruit and vegetable intake behaviour. 
There are no right or wrong in your answers, so please answer truthfully. 
The following questionnaires contain four parts. (1) Physical activity behaviour and 
relevant factors; (2) fruit and vegetable intake behaviour and relevant factors; (3) variables 
related to health status; ( 4) demographic factors. 
Please read items carefully before replying. 
Your personal information and data will be used only for study purpose. However, as the 
data will be collected on the internet, we cannot guarantee confidentiality. 
Thank you for your cooperation! 
P. 16 
07 Jun 2018 

[ FRG2/17-18/099] 
Part I Physical Activity Behaviour and Relevant Factors 
1. Physical activity behaviour 
We are interested in finding out about the kinds of physical activities that people do as part of their 
everyday lives. The questions will ask you about the time you spent being physically active in the last 
7 days. Please answer each question even if you do not consider yourself to be an active person. 
Please think about the activities you do at campus, such as, to get from place to place, and in your 
spare time for recreation, exercise or sport. 
Think about all the vigorous activities that you did in the last 7 days. Vigorous physical activities 
refer to activities that take hard physical effort and make you breathe much harder than normal. 
Think only about those physical activities that you did for at least 10 minutes at a time. 
( 1 ). 
During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, 
digging, aerobics, or fast bicycling? 
__ days 
0 No vigorous physical activities 
(2). 
How much time did you usually spend doing vigorous physical activities on one of those days? 
hours per day 
minutes per day 
Think about all the moderate activities that you did in the last 7 days. Moderate activities refer to 
activities that take moderate physical effort and make you breathe somewhat harder than normal. 
Think only about those physical activities that you did for at least 10 minutes at a time. 
( 1 ). 
During the last 7 days, on how many days did you do moderate physical activities like carrying light 
loads, bicycling at a regular pace, or doubles tennis? Do not include walking. 
__ days 
ONo moderate physical activities 
(2). 
How much time did you usually spend doing moderate physical activities on one of those days? 
hours per day 
minutes per day 
Think about the time you spent walking in the last 7 days. This includes at work and at home, 
walking to travel from place to place, and any other walking that you have done solely for recreation, 
sport, exercise, or leisure. 
( 1 ). 
During the last 7 days, on how many days did you walk for at least 10 minutes at a time? 
days 
ONo walking 
(2). 
How much time did you usually spend walking on one of those days? 
hours per day 
minutes per day 
P. 17 
07 Jun 2018 

Which intentions do you have for the near future? 
I intent to do for at least 20 minutes a day on minimum 2 days a week (or at least 40 minutes a week) ... 
not true 
exactly 
true 
1. 
... perform strenuous physical activity (heart beats faster, 
01 
02 
03 
04 
sweating) 
2. 
... be moderately physically active (not fatiguing, mild 
01 
02 
03 
04 
sweating) 
3. 
... be mildly physically active (hardly strenuous, no 
01 
02 
03 
04 
sweating) 
3. Plans of physical activity 
For the next month I already planned in detail ... 
Totally 
Totally 
disagree 
agree 
1. 
... which concrete physical activity I will pursue 
01 
02 
03 
04 
Os 
(e.g. walking) . 
2. 
. . . where I will be physically active (e.g. in the 
01 
02 
03 
04 
Os 
park) . 
3. 
. . . on which days I will be physically active (e.g. 
01 
02 
03 
04 
Os 
every Tuesday and Friday) . 
4. 
. . . when I have to be especially cautious not to 
01 
02 
03 
04 
Os 
stop being active . 
5. 
. . . what I can do in difficult situations, in order to 
01 
02 
03 
04 
Os 
remain true to my own resolutions 
6. 
... how I can stay active, even if something 
01 
02 
03 
04 
Os 
ha 
ened 
4. Perceived Social Su~~ort of ~hysical activity 
not true 
exactly 
true 
1. 
My partner supports me to stay physically active 
01 
02 
03 
04 
2. 
People from my family supports me to stay physically 
01 
02 
03 
04 
active 
3. 
People like my friends helps me to stay physically active 
01 
02 
03 
04 
5. Self-efficacy of physical activity 
The followed questions will ask about your confidence in PA 
I feel certain that I can again be physically active a 
Totally 
Totally 
minimum of 5 da;rs a week for 30 minutes: 
disagree 
agree 
1. 
... even if it is difficult. 
01 
02 
03 
04 
05 
I feel certain that I can be physically active 
Totally 
Totally 
permanently a minimum of 5 days a week for 30 
disagree 
agree 
minutes: 
2. 
... even if it takes a lot of time till I am used to it. 
01 
02 
03 
04 
05 
3. 
. .. even if I have worries and problems (e.g. schedule 
01 
02 
03 
04 
05 
difficulties). 
I feel certain that I can again be physically active a 
Totally 
minimum of 5 days a week for 30 minutes: 
disagree 
4. 
... even if I changed my concrete plans several times. 
01 
02 
03 
04 
5. 
... even ifI skipped a few times. 
01 
02 
03 
04 
05 
P. 18 
07 Jun 2018 

[ FRG2/17 -18/099 ] 
1. FVI behaviour 
During tile last 7 days, how many portions of fruit and vegetable have you eaten in average per day? 
(1) Raw vegetables 
(0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5 or above) 
Example for one portion of raw vegetable 
(2)Fruits 
(0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5 or above) 
"One portion of fiuit" is equal to: 
) 
Two small size :fiuits (e.g., actinidia, plum) 
) 
Onemediumsize:fiuit (e.g., orange, apple, banana) 
) 
Half of big size :fiuit (e.g., Pomelo) 
) 
A handful of other kinds of fruits (e.g., grape, strawbeny). See the picture below. 
(3) Fruit/Vegetable Juice 
(0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5 or above) 
Examples for one cup/portion of juice 
(4) Cooked or steamed vegetables 
(0, 0. 5, 1, 1.5, 2, 2. 5, 3, 3.5, 4, 4.5, 5 or above) 
Examples for one portion of cooked or steamed vegetable 
P. 19 
07 Jun 2018 

2. 
Intention of FVI behaviour 
Which intentions do you have for the near future? I seriously intent to, ... 
not true 
exactly 
true 
1. 
... eat at least 5 portions of fruit and vegetable daily . 
01 
02 
03 
04 
2. 
... eat fruit and vegetable at every meal. 
01 
02 
03 
04 
3. 
... drinking each day at least one glass of fruit- or vegetable 
01 
02 
03 
04 
wee 
3. Plans of FVI behaviour 
For the next month I already planned in detail, ... 
Totally 
Totally 
disagree 
agree 
1. 
... whatI will eat (e.g. cereals, fruits). 
01 
02 
03 
04 
Os 
2. 
... at which meals I will eat fruits and vegetables 
01 
02 
03 
04 
Os 
(e.g. additional salad). 
3. 
.. . how I will prepare the food. 
01 
02 
03 
04 
Os 
4. 
. .. when I have to pay attention not to fall into old 
01 
02 
03 
04 
Os 
eating habits 
5. 
... what I can do in difficult situations, in order to 
01 
02 
03 
04 
Os 
remain true to my own resolutions 
6. 
... how I can eat healthy, even if something 
01 
02 
03 
04 
Os 
ha 
ened 
4. 
Perceived social support of FVI behaviour 
How do you perceive your environment? 
not true 
exactly 
true 
1. My partner supports me to eat healthy 
01 
02 
0 3 
04 
2. People from my family supports me to eat healthy 
01 
02 
03 
04 
3. People like my friends help me to eat healthy 
01 
02 
03 
04 
5. Self-efficacy of FVI behaviour 
I feel certain that I can eat at least 5 portions of fruit 
Totally 
Totally 
and vegetable a da:r: 
disagree 
agree 
1. 
. . . even if it is difficult. 
01 
02 
03 
04 
05 
I feel certain that I can permanently eat 5 portions of 
Totally 
fruit and vegetable a da)'.: 
disagree 
2. 
... even if it takes a lot of time till I am used to it. 
01 
02 
03 
04 
3. 
. .. even if I have worries and problems (e.g. schedule 
01 
02 
03 
04 
05 
difficulties). 
I feel certain that I can a~ain eat 5 portions of fruit and 
Totally 
Totally 
vegetable a day: 
disagree 
agree 
4. 
... even ifl changed my concrete plans several times. 
01 
02 
03 
0 4 
05 
5. 
... even if I skipped a few times. 
01 
02 
03 
04 
05 
Part Ill Variables related to mental h~~~h 
07 Jun 2018 

[ FRG2/17-18/099] 
1. WHOQOL-BREF (general guality of life+ ~hysical domain) 
Very poor 
Very 
good 
(1) How would you rate your quality of life? 
01 
02 
03 
04 
05 
The following questions ask about how much you 
An 
have experienced certain things in the last four 
Not at all 
extreme 
weeks. 
amount 
(2) To what extent do you fell that physical pain 
01 
0 2 
03 
04 
05 
prevents you from doing what you need to do? 
(3) How much do you need any medical treatment to 
01 
02 
03 
04 
05 
function in you daily life? 
The following question asks about how completely 
An 
you experience or were able to do certain things in 
Not at all 
extreme 
the last four weeks. 
amount 
(4) Do you have enough energy for everyday life? 
01 
02 
03 
04 
05 
Very poor 
Very 
good 
(5) How well are you able to get around? 
01 
02 
03 
04 
05 
Very 
dissatisfied 
(6) How satisfied are you with your sleep? 
01 
02 
03 
04 
05 
(7) How satisfied are you with your ability to perform 
01 
02 
03 
04 
05 
your daily living activities? 
(8) How satisfied are you with your capacity to work? 
01 
02 
03 
04 
05 
2. Depression CES-D 10 
For each of the following statements, please check the box that best describes how often you felt or 
behaved this way during the past week 
Occasionally or 
Rarely or none 
Some or a 
moderate 
Most or all of 
of the time( less 
little of the 
amount of the 
the time(S-7 
than one day) 
time( 1-2days) 
time(3-4days) 
days) 
1. 
I was bothering by things that usually 
01 
02 
03 
04 
don't bother me 
2. 
I had trouble keeping my mind on 
01 
02 
03 
04 
what I was doing 
3. 
I felt depressed 
01 
02 
03 
04 
4. 
I felt that everything I did was an 
01 
02 
03 
04 
effort 
5. 
I felt hopeful about the future 
01 
02 
03 
04 
6. 
I felt fearful 
01 
02 
03 
04 
P. 21 
07 Jun 2018 

[ FRG2/17-18/099] 
7. 
My sleep was restless 
01 
02 
03 
04 
8. 
I felt happy 
01 
02 
03 
04 
9. 
I felt lonely 
01 
02 
03 
04 
10. 
I could not get"going" 
01 
02 
03 
04 
Part IV Demographic factors 
1. Name: ----
2. 
Please indicate your sex: male/female 
3. How old are you? __ 
4. Your mobile phone No.: ______ _ 
5. Which of the following heart diseases have been treated during rehabilitation? (Please 
indicate) 
Acute Coronary Syndrome (ACS) 
Myocardial infarction 
Angina Pectoris 
Coronary infarction 
Bypass 
balloon dilatation (percutaneous transluminale coronary angioplasties) 
Others: -----
6. Where do you live currently (city/ district)? _______ _ 
7. 
Please indicate your marital status 
Single 
Close relationship, not living together 
Close relationship, living together 
Marital partnership/Common law marriage 
Divorced 
Widowed 
8. Please indicate if you have children 
Yes 
No 
If yes, how many? ____ _ 
9. Please indicate your highest school graduation 
I do not have any school graduation (yet) 
Primary school graduation 
Secondary school graduation 
High school graduation 
Junior college graduation 
University graduation or above 
Other: -----
10. Please indicate your current work status 
Employed, fulltime 
Employed, part-time 
In training 
Unemployed/searching job 
In pension 
P. 22 
07 Jun 2018 

Housewife/Househusband 
Other: -----
11. Please indicate if you already returned to work 
Yes 
No 
[ FRG2/17-18/099] 
If yes, how many weeks have passed since rehabilitation until you returned to work? __ 
_ 
weeks 
Other: 
Your body height is: __ cm 
Your bodyweight is: __ kg 
P. 23 
07 Jun 2018 

7. Expected duration: 16 months (max 24 months) 
Proposed starting date: 
1 Jul 2018 
Expected completion date: 
8. Estimated cost of the whole project (in Hong Kong dollars): 
(Please also observe the Panel Houserules while preparing the budget: 
http://gs.hkbu.edu. hk/en/home/down load/for _staff/) 
[ FRG2/17-18/099] 
31 Oct 2019 
(Panels can at their discretion fund exceptionally high quality Category 11 proposals up to a 
funding limit of HK$180,000. For budget request that is greater than $150,000, please project 
justifications under 9(d) below.) 
Year 1 
Year2 
Total 
(a) 
Staff* 
Salary 
No. of 
Rank 
per 
Months 
IIIQD1b 
Research 
$12,960 
4.0 
$51,840.0 
$0.0 
Assistant X 1 
$51 ,840.0 
(b) 
Equipment 
(please itemise and include cost of 
com(;luting egui(;lment in the 
budget total) 
(c) 
General Expenses** 
(please itemise) 
(1) Website set-up 
$65,000 
$0 
(2) Participant fee 
$10,790 
$0 
(3) Promotion materials 
$280 
$0 
(4) Transportation and 
$2,920 
$0 
accommodation expenses 
(5) Nurse helper 
$9,170 
$0 
$88,160 
(d) 
Conference I Publication** 
(see Note) 
Health and exercise psychology related cc nfere1 $10,000 
$0 
$10,000 
P. 32 
07 Jun 2018 

[ FRG2/17-18/099] 
Total***: 
$150,000.0 
$0.0 
$150,000.0 
* FRG normally supports research support staff at the Research Assistant level. 
** Pl should include the cost for the medical surveillance programme for research personnel that 
would involve the use of organophosphate and 2,3,7-8 TCDD as well as other highly toxic 
chemicals suggested by the Laboratory Safety Sub-Committee. For programme details, please 
contact the EHSU of the Estates Office. 
***Should there any other research funds that have already been obtained for this project, such 
amount will be deducted from the total cost of the FRG (Item 10-11 refers). 
Note: With effect from the 2011/2012 academic year, FRG supports conference and publication 
charges up to $10,000 for Pl to attend recognized international conference and to disseminate 
the research results. 
9. (a) Justifications for each category/item of the budget in Item 8 above: 
(Regarding 8(a), list the duties and time involved forthe research support staff required. Also 
list the division of work I duties between the Pl and the research support staff). 
Staff Cost: 
A full-time research assistant will be employed for 4 months. S/he will assist website set-up and 
function test, main study implementation, data management and analysis, and report writing. 
Equipment Cost: 
Nil. 
General Expenses: 
(1) An e-health learning website will be set up by an IT production company in Shenzhen, 
China. In addition, the SMS group message service will be included in this website platform. 
(2) Participants will be rewarded HK$65 (RMB50) cash if they complete all data collection at 
three time measurement points. 
(3) For participant recruitment, flyer will be made and distributed to patients at hospital. The 
content of flyer will introduce thee-health program. 
(4) Pl will visit hospital for study promotion twice in total. The transportation fee will be 500 
(round trip) HKD x 2= 1,000 HKD; the accommodation fee will be 480HKD x 2 (nights) x 2 = 
1,920 HKD. 
(5) After communicated with the director of cardiac rehabilitation center who is also the 
co-investigator of this project, a nurse helper in Guangdong General Hospital will be employed 
P.33 
07 Jun 2018 

[ FRG2/17-18/099] 
for 7 months in this study with in total payment of HK$9, 170 (7 months x HK$ 1310/month). 
She will assist with recruitment of patients in hospital, and motivate patients to attend the 
weekly intervention session and complete online questionnaire survey. 
Conference and Publication Cost : 
This research topic is very popular in the field of health promotion. The investigators would like 
to attend an international conference to disseminate the research results. In addition, for 
publishing a journal paper, language editing fee or publication fee will be chargeable. 
9. (b)(i). Declaration on the Equipment Procurement: 
0 
I declare that no equipment is required; OR 
D 
I declare that the equipment indicated in 8(b) above is not available in the 
department/faculty; OR 
D 
I declare that all or some of the equipment (please provide details in the following text 
box) indicated in 8(b) above is available in the department/faculty but cannot be used by 
me in view of the following reasons (max 500 words): 
9. (b)(ii). Declaration on the Equipment Procurement: 
0 
I declare that no research-related software licence I dataset is required; OR 
D I declare that the research-related software licence I dataset indicated in 8(c) above 
is not available in the department/faculty; OR 
D I declare that all or some of the research-related software licence I dataset (please 
provide details in the following text box) indicated in 8(c) above is available in the 
department/faculty but cannot be used by me in view of the following reasons (max 
500 words): 
9. (c) Facilities and major equipment already available in addition to those requested in Item 
8(b) 
A work station, with a computer set will be provided to Research Assistant. No extra 
equipment will be needed in this project. 
9. (d) Justifications for requesting budget greater than $150,000 for exceptionally high quality 
Category II proposals (up to a funding limit of $180,000) 
Nil. 
P. 34 
07 Jun 2018 

[ FRG2/17-18/099] 
10. Other research funds that have already been obtained from other sources for this project (if 
any): 
(Please give source(s) of funding and amount. This amount will be deducted from the total cost 
of the project in Item 8 above) 
(Please give source(s) of funding and amount.) 
11. Allocation for Faculty Research Grant Requested: 
(Item 11 =Item 8 - Item 10) 
$ 150,000 
12. Have funds been sought previously for the same or similar project(s)? If so, please state: 
Organisation/ Committee applied to: 
Project Code: 
Project Title: 
(if different from item 1 above) 
Date of Application: 
Outcome: 
NOTE: If this proposal is similar to a proposal that has been submitted to the RC (including 
previous round of FRG)/RGC or other funding bodies, please revisit the main 
concerns/suggestions previously expressed by the internal and/or external reviewers. 
Explain whether and if so what changes have been incorporated in the current 
proposal. 
Main concerns/suggestions previously expressed by the external reviewers 
Changes incorporated in the current proposal 
13. Please indicate whether this application has previously been submitted to the Research 
Grants Council (RGC), i.e. a General Research Fund (GRF) application: (where appropriate) 
0 (i) 
Current application is a project independent of the GRF; 
D (ii) Current application is a pilot study in preparation for the GRF; 
D (iii) Current application forms part of the GRF and the application is seeking seed funding 
for the GRF; 
D (iv) Current application serves to seek top-up funding for awarded GRF. (please give the 
following project details) 
P.35 
07 Jun 2018 

[ FRG2/17-18/099] 
(a) 
Original Requested Amount of GRF Project: 
(b) 
Approved Amount of GRF Project: 
(c) 
Top-up Funding Sought for GRF Project (this figure should NOT be greater than Item 
11): 
14. Have you submitted any HKBU-endorsed RGC related schemes such as GRF I ECS I CRF I 
TBRS I AoE I HSSPFS I JRS-ANR I JRS-ESRC I JRS-NSFC I JRS-SRFDP I JRS-SFC (or 
equivalent) proposals as Pl in the immediate past year? If no, please note the "Variable Quota 
for FRG Projects" to see whether you are eligible for FRG application. 
Submission(s) in last academic year 
Scheme 
Ref No 
GRF 
12100317 
JRS-GER 
G-HKBU202/17 
Grant Title 
The effect of sequential and 
simultaneous web-based interventions 
on the physical activity and fruit and 
vegetable intake of Chinese university 
students 
Evaluation of the Attractiveness of 
Urban Parks for Fitness-related 
Physical Activity among the Elderly: A 
Comparison Study in Hong Kong and 
Leipzig 
15. Number of On-going FRG Projects held by the Pl in the capacity of Pl (Refer to the ''Variable 
Quota System for FRG Projects") (including those of which completion reports have not yet 
been submitted, where appropriate) 
Do 
0 1 Project Code: 
FRG1/17-18/007 
D 2 Project Code: 
D >2 Project Code: 
16. Details of on-going research projects (including those of which completion reports have not yet 
been submitted) funded by whatever sources undertaken by all investigator(s): 
Chinese Medicine and Science Panel applicants: Provide also a list of FRG, RGC or other 
projects which Pl has completed within the previous 2 years. 
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[ FRG2/17-18/099] 
Name of 
Project title and 
Grant & 
Starting 
Expected 
Amount of 
investigator(s) 
project code 
source(s) 
date 
completion 
time involved 
(Indicate Pl or Co-I) 
(HK$) 
date 
(hours/week) 
Dr Duan Yanping(PI) 
Psychosocial and 
$50,000 
1 Nov 2017 
30 Jun 2018 
10 
Behavioral Features of 
Physical Activity 
Fluctuators: A 
Mixed-Methods Study 
among Office Employees 
FRG1/17-18/007 
Dr Duan Yanping(PI) 
The Contributions of 
$50,588 
1 Jan 20 16 
5 
Urban Parks to Physical 
Activity among the Older 
Adults: A Comparative 
Study between Hong 
Kong and Germany 
G-HKBU202/15 
17. List of Outstanding FRG (Cat I & 11) Completion Reports: 
Project Code 
Project Title 
Starting 
Completion 
Report Submission Date 
Date 
Date 
(6 months from 
Completion Date) 
18. Plans for collaboration: 
(This item should be completed if two or more co-investigators are involved in the project.) 
(Indicate the division of work among the Pl , co-investigator(s) and research support staff and 
the amount of ti me [hours per week] each is expected to spend on this project. The role of 
each individual should be adequately described). 
The Pl, Co-ls and research assistant basically work as a team in developing the research plan. However, in 
carrying out the study, the job specifications for each investigator are as follows: 
Dr. Yanping Duan, the Pl, would be responsible for overseeing the entire research project, including the 
formulation of research design, selection and recruitment of subjects, conducting data collection and 
analyses, writing of the final report, and supervising the research assistant. She is expected to spend an 
average of 8 hours/week on the project. 
Prof. Sonia Lippke, the Co-I, would be contributing her expertise in research design, data statistical analyses 
and writing of the research report. She is expected to spend an average of 3 hours/week on the project. 
Dr. Lan Guo, the Co-I, would be contributing her networking in the recruitment of subjects, validation of 
intervention materials, as well as data collection. She is expected to spend an average of 3 hours/week on 
this project. 
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07 Jun 2018 

[ FRG2/17-18/099] 
Mr. Liang Wei, the Co-I, would be contributing to the validation of intervention materials, data collection, and 
data analysis. He will also assist on writing of the final report. He is expected to spend an average of 8 
hours/week on this project. 
A full-time research assistant would assist website set-up and function test, main study implementation, data 
management and analysis, and report writing. She/he is expected to spend an average of 40 hours/week on 
this project. 
19. International Collaboration laoolicable to ARTS/SOSC/COMM/BUS/AVA) 
For ARTS/SOSC: 
Please provide the following supplementary information below: 
(a) outline how cross-cultural/non-local collaboration would enhance the quality of research; 
AND 
(b) involve collaboration between an eligible Arts/Social Sciences faculty member and a named 
co-investigator from outside Hong Kong. 
For BUS/COMM/AVA: 
Please provide the following supplementary information below: 
(a) a description and value of the collaboration; 
(b) connection to international institutions; 
(c) statement of outcome; 
(d) scope or potential for future collaboration; and 
(e) brief C.V. of international partners. 
N/A 
20. Research ethics/safety approval: 
Please tick·~· the appropriate box( es) to indicate approval required, if any, from the Committee 
on the Use of Human and Animal Subjects in Teaching and Research (HASC). 
(If "none" is the response, please indicate also.) 
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07 Jun 2018 

Human Research Ethics 
Animal Research Ethics 
Biological Safety 
Ionizing Radiation Safety 
Non-Ionizing Radiation Safety 
Chemical Safety 
None 
0 
D 
D 
D 
D 
D 
D 
[ FRG2/17-18/099] 
* 
If approval is required, please also submit the HASC application through the RPS via 
BUniPort (under the same FRG reference no. under "Research Grant & Output" > "My 
HASC") after filing the FRG application to Graduate School. 
**Please note proposals from ALL Specialist Panels should first seek relevant ethical/safety 
approval from the HASC before the Panels can make the funding decision. 
21. Curriculum vitae of investigators: 
(Please submit a brief CV* for all investigators relevant to the proposed area of research. - one 
CV for each seoarate crocosal.) 
*The brief CV should contain the following information only: 
(i) 
education background; 
(ii) 
employment history; 
(iii) 
publication list (for the previous 5 years.) 
(Chinese Medicine & Science Panel applicants - indicate publications or submitted 
manuscripts arising from your previous or ongoing projects.) and 
(iv) 
research activities (for the previous 5 years). 
** Please note that an academic must have produced at least one publication/research outputs 
wtfhin the immediate past two years in order to be eligible to apply for FRG projects. 
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07 Jun 2018 

[ FRG2/17-18/099] 
Contact Address 
Department of Movement and Sport 
Sciences, 
Ghent University 
Ghent, Belgium 
Telephone No. 
+0032 (09) 264 6311 
Fax No. 
E-mail Address 
llse.DeBourdeaudhuij@UGent.be 
23. Please advise to what extent this FRG project is related to the key clusters as indicated in the 
HKBU Institutional Strategic Plan (2018-2028): 
Primary Theme 
Health, and Drug Discovery 
Secondary Theme 
NA 
Mutidisciplinary I Interdisciplinary Study? 
Yes 
24. Applicable to Chinese Medicine and Science Specialist Panel (CMSSP) Only - External 
Funding Requirement 
The CMSSP requires all applicants to acquire an external funding that would have to be not 
less than the total amount of FRG funding the applicant had gained. The CMSSP will screen 
out those non-compliance applications and may suggest these applicants to apply for 
Category I as appropriate. 
Please provide a list of external funding (e.g. donation, grants etc) that were obtained in the 
immediate past four years. For newly joined junior academics, please provide a list of 
external funding that were obtained in the immediate past five years. Newly joined junior 
academics are defined as follows: 
i) 
the appointment at HKBU is the first destination in their academic career (excluding 
post-doc appointments); and ii) they have never applied for GRF grants. 
25.Aooeal 
0 I understand that the decision of the Specialist Panel is final and no appeal is allowed. 
P.46 
07 Jun 2018