Training Program for Community Health Campaign: Fitter Families Project

Study Overview
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Brief Summary
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In recent years, Hong Kong has been undergoing rapid changes with macro social and economic trends. The increasingly complex and diverse family structure contribute to concerns regarding the well-being of families in Hong Kong, including their health, happiness and harmony (FAMILY 3Hs). Family life and health education should be strengthened to meet the increasing needs of promoting healthy active lifestyle among Hong Kong families. In this connection, the FAMILY Project initiates the Fitter Families Project (FFP) with a focus on FAMILY Holistic Health, will be conducted in order to increase the awareness of the importance of FAMILY 3Hs. FFP is a community-based research project with 3 main components - train-the-trainer program, community-based family interventions and public education events. It is expected that trainees from the train-the-trainer program will acquire adequate skills to organize community-based health education programs effectively. Participants of the community-based family interventions will gain knowledge on family holistic health and live a healthy active lifestyle. Attendees of the public education events will become more aware of the importance of FAMILY 3Hs.

Detailed Description
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In 2011, United Nations (UN) addressed the prevention and control of four non-communicable diseases (NCDs: cancer, cardiovascular disease, chronic respiratory disease, and diabetes mellitus) worldwide. The UN, in its Political Declaration, recognized the critical importance of reducing the exposure to the common modifiable risk factors for NCDs, namely, tobacco use, unhealthy diet, physical inactivity, and the harmful use of alcohol.In Hong Kong, NCDs are responsible for more than 85% of all deaths and most of these are preventable. FAMILY Project Cohort Study (2014) also found that 88.6% of Hong Kong people had inadequate vegetable and fruit intake, 70.6% had inadequate physical exercise, 26.4% were overweight and 5.4% were obese. Families worldwide have been undergoing rapid changes with macro, social and economic trends. Demographic shifts, economic upheavals, changing societal norms and values, immigration across national borders and migration within nations are creating new and altered structures, processes and relationships within families. The increasingly complex and diverse family structure contributes to concerns regarding the well-being of families in Hong Kong, including their health, happiness and harmony (FAMILY 3Hs). Family life and health education should be strengthened to meet the increasing needs of promoting healthy lifestyle among Hong Kong families. The Fitter Families Project is developed based on the strong foundation of the Learning Families Project in the previous years. In view of the health challenges locally and globally, the new phase of FAMILY project will put more emphasis on health in the upcoming three years. Following the themes on FAMILY health, happiness and harmony (3Hs), the Fitter Families Project focuses on family holistic health with emphasis on the interaction and integration of both physical and psychosocial health. As an initial step of this project, the investigators conducted a need assessments before designing and conducting a train-the-trainer program. The train-the-trainer program aimed to prepare the staff and lay volunteers to conduct and or assist to implement a series of community-based activities and interventions for the participants of Fitter Families Project. Focus group interviews were conducted to obtain feedback and opinion from the trainees . Questionnaire assessments were conducted before, immediately after finishing the training, three months after training.

Official Title
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Training Program for Community Health Campaign: Fitter Families Project

Conditions
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Motor Activity

Intervention / Treatment
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* Behavioral: Training group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Chinese speaking able to complete assessments Exclusion Criteria: not fit the inclusion criteria

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 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
Interventional Model Description: A four-session training workshop is provided to the trainees in order to enhance their competence and performance for conducing and/or assisting the implementation of community -based interventions and activities.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Training group<br>Four two-hour training sessions were conducted at baseline, and one week, one month and three months after the first session. | Behavioral: Training group<br>* The training workshop includes four two-hour sessions: Session one - a knowledge, self-efficacy, and motivation enhancement session at baseline; Session two - an interpersonal communication and leadership skills session at one week; Session three - a motivation enhancement session at one month Session four - an experience sharing session at three months<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in trainees' learning | Assessed by outcome-based questionnaire | baseline, immediately after first session up to 30 min, one month and three months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Trainees' reactions to training content | Assessed by outcome-based questionnaire | Immediately after the training workshop | 
| Trainees' changes in the frequency and amount on performing physical exercise adn Zero Time Exercise | Assessed by outcome-based questionnaire on performing moderate exercise, vigorous exercise and Zero Time Exercise and walking | baseline, one month and three months | 
| Trainees' changes in grip strength (kg) | assessed by a hand grip dynamometer | baseline and one month | 
| Trainees' changes in chair stand (times) | baseline and one month | Assessed 30s Chair stand test ( a test counting number of times from sitting position to standing position in 30 seconds | 
| Trainees' changes in single-leg standing time (second) | baseline and one month | Assessed by a single-leg stance test ( a test measuring the longest duration of a single leg in 120 seconds) | 
| Trainees' changes in seat and reach (cm) | Assessed by a ruler | Baseline and one month | 
| Trainees' changes in body fat (%) | Assessed by a standard body fat and weight measuring scale | Baseline and one month | 
| Trainees' changes in body weight (kg) | Assessed by a standard body fat and weight measuring scale | Baseline and one month | 
| Trainees' changes in frequency and amount on performing physical activity and Zero Time Exercise) | Assessed by outcome-based questionnaire on performing moderate exercise, vigorous exercise and Zero Time Exercise and walking | baseline, one month and three months | 
| Trainees' changes in personal happiness | Assessed by outcome-based questionnaire | baseline, one month and three months | 
| Trainees' changes in personal health | Assessed by outcome-based questionnaire | baseline, one month and three months | 
| Trainees' changes in family health | Assessed by outcome-based questionnaire | baseline, one month and three months | 
| Trainees' changes in family happiness | Assessed by outcome-based questionnaire | baseline, one month and three months | 
| Trainees' changes in family harmony | Assessed by outcome-based questionnaire | baseline, one month and three months | 
| Trainees' changes in sharing health knowledge with family members in relation to physical activity | Assessed by outcome-based questionnaire | baseline, one month and three months | 
| Trainees' changes in doing physical activity and exercise with family | Assessed by outcome-based questionnaire | baseline, one month and three months | 
| Trainees' comments on the received electronic health messages | Assessed by outcome-based questionnaire | baseline, one month and three months | 
| Community participants' changes in family health | Assessed by outcome-based questionnaire | baseline, one month and three months | 
| Community participants' changes in family happiness | Assessed by outcome-based questionnaire | baseline, one month and three months | 
| Community participants' changes in family harmony | Assessed by outcome-based questionnaire | baseline, one month and three months |