Clinical trial NCT03146169: Training Program for Community Health Campaign: Fitter Families Project
Official title: Training Program for Community Health Campaign: Fitter Families Project
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Motor Activity
Lead sponsor: The University of Hong Kong
Sponsor class: OTHER
First posted: 2017-05-09
Enrollment: 28
Sex: ALL
Minimum age (years): 18
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention 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.
Primary purpose: PREVENTION

Brief summary: 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: 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.

Eligibility criteria: Inclusion Criteria:

* Chinese speaking
* able to complete assessments

Exclusion Criteria:

* not fit the inclusion criteria

Primary outcomes:
measure: Change in trainees' learning
timeFrame: baseline, immediately after first session "up to 30 min", one month and three months
Secondary outcomes:
measure: Trainees' reactions to training content
timeFrame: Immediately after the training workshop
measure: Trainees' changes in the frequency and amount on performing physical exercise adn Zero Time Exercise
timeFrame: baseline, one month and three months
measure: Trainees' changes in grip strength (kg)
timeFrame: baseline and one month
measure: Trainees' changes in chair stand (times)
timeFrame: Assessed 30s Chair stand test ( a test counting number of times from sitting position to standing position in 30 seconds
measure: Trainees' changes in single-leg standing time (second)
timeFrame: Assessed by a single-leg stance test ( a test measuring the longest duration of a single leg in 120 seconds)
measure: Trainees' changes in seat and reach (cm)
timeFrame: Baseline and one month
measure: Trainees' changes in body fat (%)
timeFrame: Baseline and one month
measure: Trainees' changes in body weight (kg)
timeFrame: Baseline and one month
measure: Trainees' changes in frequency and amount on performing physical activity and Zero Time Exercise)
timeFrame: baseline, one month and three months
measure: Trainees' changes in personal happiness
timeFrame: baseline, one month and three months
measure: Trainees' changes in personal health
timeFrame: baseline, one month and three months
measure: Trainees' changes in family health
timeFrame: baseline, one month and three months
measure: Trainees' changes in family happiness
timeFrame: baseline, one month and three months
measure: Trainees' changes in family harmony
timeFrame: baseline, one month and three months
measure: Trainees' changes in sharing health knowledge with family members in relation to physical activity
timeFrame: baseline, one month and three months
measure: Trainees' changes in doing physical activity and exercise with family
timeFrame: baseline, one month and three months
measure: Trainees' comments on the received electronic health messages
timeFrame: baseline, one month and three months
measure: Community participants' changes in family health
timeFrame: baseline, one month and three months
measure: Community participants' changes in family happiness
timeFrame: baseline, one month and three months
measure: Community participants' changes in family harmony
timeFrame: baseline, one month and three months
Other outcomes:
Locations:
city: Kwun Tong
country: Hong Kong
facility: Christian Family Service Centre
Study officials:
affiliation: The University of Hong Kong
name: Agnes YK Lai, PhD
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Lai AYK, Stewart SM, Wan ANT, Shen C, Ng CKK, Kwok LT, Chan SS, Ho DSY, Lam TH. Training to implement a community program has positive effects on health promoters: JC FAMILY Project. Transl Behav Med. 2018 Nov 21;8(6):838-850. doi: 10.1093/tbm/iby070.