The Health and Effect of Health Empowerment Programmes Among Families in Tung Chung

Study Overview
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Brief Summary
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Kerry Group Kuok Foundation Limited (KGKF) has initiated the Trekkers Family Project that aims to enable low-income families to develop their full potentials by providing support and opportunities in education, employment, environmental harmony and health. Health is an essential component to enable a person to develop his/her full potential. This study looks into one of the key elements, health, of members of low-income families and the effect of health education, health enablement and mutual health support on health and social outcomes. It is a cohort study of around 800 subjects from 200 families of the Trekkers Family Project, and around 800 subjects not included in the Trekkers Family Project in Hong Kong, recruited base on pre-defined inclusion criteria. Health empowerment interventions consisting of three inter-related programmes, namely, the Health Literacy, the Self-care Enablement, and the Health Ambassador Programmes.

Detailed Description
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The Health Literacy Programme aims to improve the knowledge on health and health services in order to promote health, prevent disease, and the proper use of services. It consists of four seminars per year on common health problems, mental health and cognitive health, etc. The Self-Care Enablement Programme is to enable participants to keep themselves healthy, to build up self-efficacy and proper help-seeking skills, and to generate a spirit of mutual support among families. Two programmes will be delivered yearly, each with six 2.5 hour workshops facilitated by professional and lay leaders. The Health Ambassador Programme aims to train up a group of adults recruited from the Trekkers families to act as a lay-advisor to other families on health issues. Participants who have completed the Health Literacy and Self-care Enablement programme will be given priority to take part in the Health Ambassador training programme. The outcome measures are health enablement, health status, health-related quality of life, life style, cardiovascular risk factors, illnesses rates, and health service utilization pattern. All subjects in the cohort study will be surveyed on enrolment, and then yearly for 5 years. An age-gender appropriate health assessment will be carried out at baseline and at the end of five years for each subject. Changes in the outcomes will be evaluated and compared between groups. The impact of the health intervention programmes will be assessed.

Official Title
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In-depth Exploration of a Bidirectional Parent-child Health Relationship and Its Mediating Factors Among Low-income Families in Hong Kong

Conditions
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Quality of Life, Empowerment

Intervention / Treatment
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* Behavioral: Trekkers Family Health Empowerment Programme


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Intervention group (inclusion criteria of Trekkers Families) Participants included must be part of a family whom all family members are usual residents in Tung Chung; The family must have at least one family member working full-time or part-time; The family household income does not exceed 75% of monthly median income of Hong Kong; At least one child studying Primary 1,2 or 3 at the time of recruitment; and At least one adult family member must be willing to participate in the long-term follow up study. Only fathers, mothers and children aged 6 or above will be included in this study. Control group Participants included must be part of a family whom all family members are usual residents in Hong Kong; The family household income does not exceed 75% of monthly median income of Hong Kong; At least one child studying Primary 1, 2 or 3 at the time of recruitment; Only fathers, mothers and children aged 6 or above will be included in this study. Exclusion Criteria: None of the family member was able to understand or communicate in Chinese language, The family is receiving Comprehensive Social Security Assistance (CSSA), Refuse to give consent.

Ages Eligible for Study
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Minimum Age: 6 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: Other
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Trekkers<br> | Behavioral: Trekkers Family Health Empowerment Programme<br>* Health Assessment, Health Enablement and Health Literacy provided to empower participants awareness towards a healthier life style<br>* Other names: Trekkers Family;|
| No Intervention: Controls<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Patient enablement measured by the Chinese (HK) Patient Enablement Instrument at 60 months |  | Up to 60 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Health Status (global health, mental health) measured by DASS at 60 month |  | Up to 60 months | 
| Change from Baseline Health-related quality of Life measured by the Chinese (HK) SF-12v2 Health Survey at 60 months |  | Up to 60 months | 
| Change from Baseline Lifestyle to 60 months | Number of participants with unhealthy lifestyle | Up to 60 months | 
| Change from Baseline Health parameters to 60 months | Including blood pressure, body mass index; lipids and blood glucose, for adults only; vitamin D, iron, mercury and lead | Up to 60 months | 
| Change from Baseline Health service utilization pattern to 60 months | Having a family doctor, self-care, use of Accident and Emergency service | Up to 60 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Quality of Life, Empowerment, Low-income Families, Parent-child health relationship