Promoting Family Health, Happiness, and Harmony Through a Community-based Learning Family Campaign

Study Overview
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Brief Summary
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According to the Social Welfare Department statistics, Kwun Tong has been ranked as the highest for the reported cases of elderly abuse (12.3%), the second and fourth highest for the reported cases of battered spouse (9.2%) and child abuse (7.9%) respectively. To strengthen family well-being in the Kwun Tong community, the investigators adopt a community-based participatory (CBP) approach and implement a community-based Learning Family campaign in Kwun Tong district with the investigators collaborator, the Christian Family Service Centre (CFSC). The campaign aims to promote family health, happiness, and harmony (3Hs) through cultivating cooperative and self-regulated family learning culture in Kwun Tong district.

Detailed Description
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Family well-being, which has been conceptualized as family-life satisfaction, sense of well-being and family function, is associated with outcomes such as hypertension, self-rated health, depression, and self-esteem in family members. Interpersonal harmony in the family is believed to be crucial for the Chinese who see it as contributing not only to each individual member's welfare but also to a well-organized and peaceful world. According to traditional Confucius ideals, family harmony is the basis for an individual's happiness. The investigators qualitative studies in Hong Kong have also found that family health, happiness and harmony (3Hs) are three major themes of family well-being. Family health includes physical and mental health of family members, which is strongly related to psychological capital and family unity. Family happiness can be enhanced by spending time with family members and building connection with friends and relatives. Family harmony means absence of conflicts and effective communication with family members. Forbearance and spending time with family are important in forming a harmonious family. Learning Families Project was initiated based on the social ecological model. Social ecological model is a framework to examine the dynamic interrelations among various personal and environmental factors. This model emphasizes people's behaviors are affected by factors of different levels including intra-personal, inter-personal, community and societal factors. These programs promoted the concepts of Learning Family and family 3Hs to the participants (intra-personal level). The concepts of Learning Family indicated that family relationship could be improved when family members learnt something together. These programs also provided a platform for family members to learn together and communicate with each other (inter-personal level), as well as for residents to interact in these community activities (community level).

Official Title
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Promoting Family Health, Happiness, and Harmony Through a Community-based Learning Family Campaign

Conditions
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Health Behavior

Intervention / Treatment
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* Behavioral: Resident training programs


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Residents living in the intervention estate Hong Kong residents Older than 10 years of age Could communicate in Chinese (Cantonese or Putonghua) Exclusion Criteria: Participants who fail to meet the inclusion criteria

Ages Eligible for Study
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Minimum Age: 10 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Training group<br>Resident training programs such as talks, day camp and thematic activities were delivered in training group. | Behavioral: Resident training programs<br>* A total of 24 resident training programs such as talks, day camp and thematic activities were delivered in the intervention estate by CFSC from June to November 2011. Each program included an introduction to the concepts of Learning Family and family 3Hs as well as how to promote family 3Hs through learning and communicating with family, delivered by interactive games and workshops.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in family communication time from baseline to 6 weeks after intervention | Family communication time (minutes per day) was assessed. | Baseline and 6 weeks after intervention | 
| Changes in perceived communication adequacy from baseline to 6 weeks after intervention | Perceived communication adequacy was assessed by a 1-5 score. | Baseline and 6 weeks after intervention | 
| Changes in family harmony from baseline to 6 weeks after intervention | Family harmony was assessed by a 0-10 score. | Baseline and 6 weeks after intervention | 
| Changes in family happiness from baseline to 6 weeks after intervention | Family happiness was assessed by a 0-10 score. | Baseline and 6 weeks after intervention | 
| Changes in family health from baseline to 6 weeks after intervention | Family health was assessed by a 0-10 score. | Baseline and 6 weeks after intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in neighborhood cohesion from baseline to 1 year after intervention | Neighborhood cohesion was assessed by a 5-items scale. | Baseline and 1 year after intervention |