Clinical trial NCT02851667: Promoting Family Health, Happiness, and Harmony Through a Community-based "Learning Family" Campaign
Official title: Promoting Family Health, Happiness, and Harmony Through a Community-based "Learning Family" Campaign
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Health Behavior
Lead sponsor: The University of Hong Kong
Sponsor class: OTHER
First posted: 2016-08-01
Enrollment: 980
Sex: ALL
Minimum age (years): 10
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: 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: 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).

Eligibility criteria: 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

Primary outcomes:
measure: Changes in family communication time from baseline to 6 weeks after intervention
timeFrame: Baseline and 6 weeks after intervention
measure: Changes in perceived communication adequacy from baseline to 6 weeks after intervention
timeFrame: Baseline and 6 weeks after intervention
measure: Changes in family harmony from baseline to 6 weeks after intervention
timeFrame: Baseline and 6 weeks after intervention
measure: Changes in family happiness from baseline to 6 weeks after intervention
timeFrame: Baseline and 6 weeks after intervention
measure: Changes in family health from baseline to 6 weeks after intervention
timeFrame: Baseline and 6 weeks after intervention
Secondary outcomes:
measure: Changes in neighborhood cohesion from baseline to 1 year after intervention
timeFrame: Baseline and 1 year after intervention
Other outcomes:
Locations:
city: Hong Kong
country: Hong Kong
facility: Christian Family Service Center
Study officials:
affiliation: The University of Hong Kong
name: Tai Hing Lam, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Berge JM, Mendenhall TJ, Doherty WJ. Using Community-based Participatory Research (CBPR) To Target Health Disparities in Families. Fam Relat. 2009 Oct 1;58(4):475-488. doi: 10.1111/j.1741-3729.2009.00567.x.
citation: Macaulay AC. Promoting participatory research by family physicians. Ann Fam Med. 2007 Nov-Dec;5(6):557-60. doi: 10.1370/afm.755.
citation: White GW, Suchowierska M, Campbell M. Developing and systematically implementing participatory action research. Arch Phys Med Rehabil. 2004 Apr;85(4 Suppl 2):S3-12. doi: 10.1016/j.apmr.2003.08.109.
citation: Lam WW, Fielding R, McDowell I, Johnston J, Chan S, Leung GM, Lam TH. Perspectives on family health, happiness and harmony (3H) among Hong Kong Chinese people: a qualitative study. Health Educ Res. 2012 Oct;27(5):767-79. doi: 10.1093/her/cys087. Epub 2012 Aug 20.
citation: Shen C, Wan A, Kwok LT, Pang S, Wang X, Stewart SM, Lam TH, Chan SSC. A Community-Based Intervention Program to Enhance Family Communication and Family Well-being: The Learning Families Project in Hong Kong. Front Public Health. 2017 Sep 29;5:257. doi: 10.3389/fpubh.2017.00257. eCollection 2017.
citation: Shen C, Wan A, Kwok LT, Pang S, Wang X, Stewart SM, Lam TH, Chan SS. A community based intervention program to enhance neighborhood cohesion: The Learning Families Project in Hong Kong. PLoS One. 2017 Aug 21;12(8):e0182722. doi: 10.1371/journal.pone.0182722. eCollection 2017.