Family ResearchNCT04702438
Zentangle to Promote Family Well-being in Hong Kong
An observational study of Family Research, run by The University of Hong Kong at 1 site in Hong Kong.
Trial summary
In the past few decades, Information and Communications Technology (ICT) have rapidly developed as effective, and probably the most cost-effective tools to connect most aspects of family lives. Read more about this study
- Who is it for?
- Ages 18 to 100 yearsHealthy volunteers can take part
- Conditions the study is for
- Family Research
- What is being tested?
- ICT activities
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 100 participants
- Where
- 1 siteHong Kong
- Study dates
- Sep 2022to 31 Dec 2023
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 100 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: Social service users
Who may be able to join
- Family service users
- Chinese-speaking
- Aged 18 years and above
- Able to complete the questionnaire
Who cannot join
- Subjects who fail to meet the inclusion criteria
Trial locations and contacts
1 site in 1 country.
Hong Kong1 site, 1 recruiting
- Recruiting
The University of Hong Kong
Hong Kong, Hong Kong Island
Tai-hing Lam, MD, 28315261, hrmrlth@hku.hk
Shirley Sit, MPH, 28315273, shirsit@hku.hk
About this study
Official title: SMART Family-Link Project: Zentangle to Promote Family Well-being in Hong Kong
In the past few decades, Information and Communications Technology (ICT) have rapidly developed as effective, and probably the most cost-effective tools to connect most aspects of family lives. Alongside the growth in popularity of ICTs and its role in promoting family well-being, there is also an increasing appreciation that ICTs such as internet-enabled devices and web-based applications can offer many advantages compared to traditional face-to-face approaches when delivering behaviour change programmes.
To gain more understanding of the potential new avenues of using ICT in programme implementation, The Hong Kong Jockey Club Charities Trust has initiated the Jockey Club SMART Family-Link Project in collaboration with The University of Hong Kong (HKU) and non-governmental organizations (NGOs). This project aimed at helping 26 NGO-operated Integrated Family Service Centres and Integrated Service Centres (Centres), making effective use of information and communications technology (ICT) and data analytics, to enhance the quality and efficiency of their family service. The present study aims to supplement the existing services and interventions delivered by the FRU, FSU and FCU, a series of brief ICT-based family interventions that promote family communication, cohesion, support and well-being and improve the efficiency and effectiveness of ICT-based interventions.
Read the detailed description
With the increasing use of ICT, family information can be easily accessed. According to the findings from FHinTs 2016, ICT was increasingly used as a method of family information seeking: 66.7% of respondents sought family information from online websites, compared with 53.6% in 2009. About 30.9% sought family information from social media such as Facebook, and 22.8% sought family information from instant messaging platforms such as WhatsApp. Family information such as recreation (46.6%), family health (22.9%) and elderly-related topics (17.9%) was most commonly sought. Also, family information seeking was associated with higher levels of family health, happiness, harmony, and overall family well-being. The associations were observed regardless of the type of sharing methods, such as face-to-face sharing or sharing via ICT means.
Alongside the growth in popularity of ICTs and its role in promoting family well-being, there is also a growing appreciation that ICTs such as internet-enabled devices and web-based applications can offer many advantages compared to traditional face-to-face approaches when delivering behaviour change programmes.
Family services in Hong Kong In light of the review on family services in Hong Kong in 2000, pilot projects on the Integrated Family Service Centre (IFSC) service mode were conducted in 2002. Having received positive feedback from the community on the pilot projects, 61 IFSCs were established in 2004 to provide public-funded family services in Hong Kong. These IFSCs comprise three important components, including the family resource unit (FRU), family support unit (FSU), and family counselling unit (FCU) to provide preventive, supportive, and remedial services respectively. They are operated by the Social Welfare Department and subvented non-governmental organizations to support and strengthen individuals and families, particularly single parents, new arrivals, ethnic minorities, and deprived families receiving Comprehensive Social Security Assistance (CSSA), in the community.
Jockey Club SMART Family-Link Project Family well-being is the cornerstone of a harmonious society, and early support for families in need will avert a crisis. The Hong Kong Jockey Club Charities Trust has funded to a four-year (2018-2021) "Jockey Club SMART Family-Link Project" to advance the use of Information and Communications Technology ("ICT") in family services. Interventions leveraging ICT (i-Action) is one of the project components, which leverage ICT to help social workers offer ICT-based interventions in their work to add to their face-to-face interventions. ICT tools and mobile apps will be designed and interactive games will be provided to engage children and young family service users through e-platforms. Social workers will also be able to connect with service users between face-to-face sessions using these e-platforms.
The present study aims to reduce stress, enhance resilience and promote personal and family well-being through Zentangle. We will conduct quantitative and qualitative evaluation.
- Conditions
- Family Research
- Being tested
- ICT activities
- Keywords
- Family Well-being
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ICT activitiesBehavioural
Family interventions using ICT to promote family communication, sharing happiness with family members, and well-being in the community.
What is being measured
The primary outcome is the main question the study is designed to answer.
Satisfaction to the Zentangle programme
Outcome-based questions will be used to assess the level of satisfaction toward the general performance of the community activities. The score for each question ranges from 1 to 5. Higher scores indicate higher satisfaction.
Measured: Immediately after the activities
Secondary outcomes (12)
Change in Family communication
Outcome based question will be used to assess the communication with family members. The score for each question ranges from 0 to 10. Higher scores indicate better family communication.
Measured: Baseline, 1-month and 2-month follow up
Change in Family relationship
Outcome based question will be used to assess the relationship with family members. The score for each question ranges from 0 to 10. Higher scores indicate better family relationship.
Measured: Baseline, 1-month and 2-month follow up
Change in Family support and care
Outcome based question will be used to assess the family support and care. The score for question ranges from 0 to 10. Higher scores indicate more family support and care.
Measured: Baseline, 1-month and 2-month follow up
Change in Resilience
Outcome based question will be used to assess resilience. The score for question ranges from 0 to 10. Higher scores indicate higher resilience.
Measured: Baseline, 1-month and 2-month follow up
Change in Healthy living habits
Outcome based question will be used to assess healthy living. The score for question ranges from 0 to 10. Higher scores indicate healthier living.
Measured: Baseline, 1-month and 2-month follow up
Change in Personal happiness
Outcome based question will be used to assess personal happiness. The score for question ranges from 0 to 10. Higher scores indicate more personal happiness.
Measured: Baseline, 1-month and 2-month follow up
Change in Stress level
Change assessed by the Perceived Stress Scale (PSS). A higher score means a worse outcome.
Measured: Baseline, 1-month and 2-month follow up
Change in Negative emotions
Change assessed by the Patient Health Questionnaire-4. A higher score means a worse outcome.
Measured: Baseline, 1-month and 2-month follow up
Change in Family well-being
Change assessed by a 3-item Family well-being scale. A higher score means a better outcome.
Measured: Baseline, 1-month and 2-month follow up
Change in Self-efficacy in managing stress
Outcome-based questions will be used to assess self-efficacy in managing stress. Higher score indicates higher self-efficacy.
Measured: Baseline, 1-month and 2-month follow up
Change in Knowledge and attitudes towards and practice of Zentangle
Change assessed by outcome-based questions. A score of each question ranges from 1-5. A higher score a better outcome.
Measured: Baseline, 1-month and 2-month follow up
Perceived benefits of Zentangle
Assessed by outcome-based questions with categorical choices
Measured: 1-month and 2-month follow up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jan 2021
- Study startSep 2022 (estimated)
- Primary completion31 Dec 2022 (estimated)
- Study completion31 Dec 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Family ResearchStudies of the same condition, open and under way.
- More trials run by The University of Hong KongThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- The University of Hong Kong
- Sponsor type
- University, hospital or other
- Collaborators
- The Hong Kong Jockey Club Charities Trust
- Responsible party
- Sponsor
- Investigators
- Agnes Lai, PhD, Principal investigator, The University of Hong Kong
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04702438
- Sponsor's protocol ID
- UW 19-489-1
- Status last verified
- Jan 2021
- First submitted
- 7 Jan 2021
- Last updated
- 30 Nov 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Breitenstein SM, Gross D, Christophersen R. Digital delivery methods of parenting training interventions: a systematic review. Worldviews Evid Based Nurs. 2014 Jun;11(3):168-76. doi: 10.1111/wvn.12040. Epub 2014 May 19.
PubMed 24842341Enebrink P, Hogstrom J, Forster M, Ghaderi A. Internet-based parent management training: a randomized controlled study. Behav Res Ther. 2012 Apr;50(4):240-9. doi: 10.1016/j.brat.2012.01.006. Epub 2012 Jan 30.
PubMed 22398153Gross D, Johnson T, Ridge A, Garvey C, Julion W, Treysman AB, Breitenstein S, Fogg L. Cost-effectiveness of childcare discounts on parent participation in preventive parent training in low-income communities. J Prim Prev. 2011 Dec;32(5-6):283-98. doi: 10.1007/s10935-011-0255-7.
PubMed 22134677Kingston D, Janes-Kelley S, Tyrrell J, Clark L, Hamza D, Holmes P, Parkes C, Moyo N, McDonald S, Austin MP. An integrated web-based mental health intervention of assessment-referral-care to reduce stress, anxiety, and depression in hospitalized pregnant women with medically high-risk pregnancies: a feasibility study protocol of hospital-based implementation. JMIR Res Protoc. 2015 Jan 16;4(1):e9. doi: 10.2196/resprot.4037.
PubMed 25595167Bert SC, Farris JR, Borkowski JG. Parent training: implementation strategies for adventures in parenting. J Prim Prev. 2008 May;29(3):243-61. doi: 10.1007/s10935-008-0135-y.
PubMed 18446440Treisman GJ, Jayaram G, Margolis RL, Pearlson GD, Schmidt CW, Mihelish GL, Kennedy A, Howson A, Rasulnia M, Misiuta IE. Perspectives on the Use of eHealth in the Management of Patients With Schizophrenia. J Nerv Ment Dis. 2016 Aug;204(8):620-9. doi: 10.1097/NMD.0000000000000471.
PubMed 26828911Proudfoot J. The future is in our hands: the role of mobile phones in the prevention and management of mental disorders. Aust N Z J Psychiatry. 2013 Feb;47(2):111-3. doi: 10.1177/0004867412471441. No abstract available.
PubMed 23382507
Study at a glance
From the registry record, last updated by the sponsor on 30 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- SMART Family-Link Project: Zentangle to Promote Family Well-being in Hong Kong
- ClinicalTrials.gov ID
- NCT04702438
- Acronym / sponsor ID
- UW 19-489-1
- Conditions
- Family Research
- Keywords
- Family Well-being
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 100 participants (estimated)
- Lead sponsor
- The University of Hong KongUniversity, hospital or other
- Collaborators
- The Hong Kong Jockey Club Charities Trust
- Study start
- Sep 2022 (estimated)
- Primary completion
- 31 Dec 2022 (estimated)
- Study completion
- 31 Dec 2023 (estimated)
- First posted
- 8 Jan 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In the past few decades, Information and Communications Technology (ICT) have rapidly developed as effective, and probably the most cost-effective tools to connect most aspects of family lives. Alongside the growth in popularity of ICTs and its role in promoting family well-being, there is also an increasing appreciation that ICTs such as internet-enabled devices and web-based applications can offer many advantages compared to traditional face-to-face approaches when delivering behaviour change programmes.
To gain more understanding of the potential new avenues of using ICT in programme implementation, The Hong Kong Jockey Club Charities Trust has initiated the Jockey Club SMART Family-Link Project in collaboration with The University of Hong Kong (HKU) and non-governmental organizations (NGOs). This project aimed at helping 26 NGO-operated Integrated Family Service Centres and Integrated Service Centres (Centres), making effective use of information and communications technology (ICT) and data analytics, to enhance the quality and efficiency of their family service. The present study aims to supplement the existing services and interventions delivered by the FRU, FSU and FCU, a series of brief ICT-based family interventions that promote family communication, cohesion, support and well-being and improve the efficiency and effectiveness of ICT-based interventions.
Detailed description
With the increasing use of ICT, family information can be easily accessed. According to the findings from FHinTs 2016, ICT was increasingly used as a method of family information seeking: 66.7% of respondents sought family information from online websites, compared with 53.6% in 2009. About 30.9% sought family information from social media such as Facebook, and 22.8% sought family information from instant messaging platforms such as WhatsApp. Family information such as recreation (46.6%), family health (22.9%) and elderly-related topics (17.9%) was most commonly sought. Also, family information seeking was associated with higher levels of family health, happiness, harmony, and overall family well-being. The associations were observed regardless of the type of sharing methods, such as face-to-face sharing or sharing via ICT means.
Alongside the growth in popularity of ICTs and its role in promoting family well-being, there is also a growing appreciation that ICTs such as internet-enabled devices and web-based applications can offer many advantages compared to traditional face-to-face approaches when delivering behaviour change programmes.
Family services in Hong Kong In light of the review on family services in Hong Kong in 2000, pilot projects on the Integrated Family Service Centre (IFSC) service mode were conducted in 2002. Having received positive feedback from the community on the pilot projects, 61 IFSCs were established in 2004 to provide public-funded family services in Hong Kong. These IFSCs comprise three important components, including the family resource unit (FRU), family support unit (FSU), and family counselling unit (FCU) to provide preventive, supportive, and remedial services respectively. They are operated by the Social Welfare Department and subvented non-governmental organizations to support and strengthen individuals and families, particularly single parents, new arrivals, ethnic minorities, and deprived families receiving Comprehensive Social Security Assistance (CSSA), in the community.
Jockey Club SMART Family-Link Project Family well-being is the cornerstone of a harmonious society, and early support for families in need will avert a crisis. The Hong Kong Jockey Club Charities Trust has funded to a four-year (2018-2021) "Jockey Club SMART Family-Link Project" to advance the use of Information and Communications Technology ("ICT") in family services. Interventions leveraging ICT (i-Action) is one of the project components, which leverage ICT to help social workers offer ICT-based interventions in their work to add to their face-to-face interventions. ICT tools and mobile apps will be designed and interactive games will be provided to engage children and young family service users through e-platforms. Social workers will also be able to connect with service users between face-to-face sessions using these e-platforms.
The present study aims to reduce stress, enhance resilience and promote personal and family well-being through Zentangle. We will conduct quantitative and qualitative evaluation.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 to 100 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- Social service users
Key inclusion criteria (4 listed)
- Family service users
- Chinese-speaking
- Aged 18 years and above
- Able to complete the questionnaire
Key exclusion criteria (1 listed)
- Subjects who fail to meet the inclusion criteria
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ICT activitiesFamily interventions using ICT to promote family communication, sharing happiness with family members, and well-being in the community. | Behavioural | – |
Primary outcome
Satisfaction to the Zentangle programme
Time frame: Immediately after the activities
Outcome-based questions will be used to assess the level of satisfaction toward the general performance of the community activities. The score for each question ranges from 1 to 5. Higher scores indicate higher satisfaction.
12 secondary outcomes
Change in Family communication
Time frame: Baseline, 1-month and 2-month follow up
Change in Family relationship
Time frame: Baseline, 1-month and 2-month follow up
Change in Family support and care
Time frame: Baseline, 1-month and 2-month follow up
Change in Resilience
Time frame: Baseline, 1-month and 2-month follow up
Change in Healthy living habits
Time frame: Baseline, 1-month and 2-month follow up
Change in Personal happiness
Time frame: Baseline, 1-month and 2-month follow up
Change in Stress level
Time frame: Baseline, 1-month and 2-month follow up
Change in Negative emotions
Time frame: Baseline, 1-month and 2-month follow up
Change in Family well-being
Time frame: Baseline, 1-month and 2-month follow up
Change in Self-efficacy in managing stress
Time frame: Baseline, 1-month and 2-month follow up
Change in Knowledge and attitudes towards and practice of Zentangle
Time frame: Baseline, 1-month and 2-month follow up
Perceived benefits of Zentangle
Time frame: 1-month and 2-month follow up
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Nov 2021.
- Background: PubMed 24842341Breitenstein SM, Gross D, Christophersen R. Digital delivery methods of parenting training interventions: a systematic review. Worldviews Evid Based Nurs. 2014 Jun;11(3):168-76. doi: 10.1111/wvn.12040. Epub 2014 May 19.
- Background: PubMed 22398153Enebrink P, Hogstrom J, Forster M, Ghaderi A. Internet-based parent management training: a randomized controlled study. Behav Res Ther. 2012 Apr;50(4):240-9. doi: 10.1016/j.brat.2012.01.006. Epub 2012 Jan 30.
- Background: PubMed 22134677Gross D, Johnson T, Ridge A, Garvey C, Julion W, Treysman AB, Breitenstein S, Fogg L. Cost-effectiveness of childcare discounts on parent participation in preventive parent training in low-income communities. J Prim Prev. 2011 Dec;32(5-6):283-98. doi: 10.1007/s10935-011-0255-7.
- Background: PubMed 25595167Kingston D, Janes-Kelley S, Tyrrell J, Clark L, Hamza D, Holmes P, Parkes C, Moyo N, McDonald S, Austin MP. An integrated web-based mental health intervention of assessment-referral-care to reduce stress, anxiety, and depression in hospitalized pregnant women with medically high-risk pregnancies: a feasibility study protocol of hospital-based implementation. JMIR Res Protoc. 2015 Jan 16;4(1):e9. doi: 10.2196/resprot.4037.
- Background: PubMed 18446440Bert SC, Farris JR, Borkowski JG. Parent training: implementation strategies for adventures in parenting. J Prim Prev. 2008 May;29(3):243-61. doi: 10.1007/s10935-008-0135-y.
- Background: PubMed 26828911Treisman GJ, Jayaram G, Margolis RL, Pearlson GD, Schmidt CW, Mihelish GL, Kennedy A, Howson A, Rasulnia M, Misiuta IE. Perspectives on the Use of eHealth in the Management of Patients With Schizophrenia. J Nerv Ment Dis. 2016 Aug;204(8):620-9. doi: 10.1097/NMD.0000000000000471.
- Background: PubMed 23382507Proudfoot J. The future is in our hands: the role of mobile phones in the prevention and management of mental disorders. Aust N Z J Psychiatry. 2013 Feb;47(2):111-3. doi: 10.1177/0004867412471441. No abstract available.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Agnes Lai, PhD principal investigator
The University of Hong Kong
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Family Research, run by The University of Hong Kong at 1 site in Hong Kong.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 30 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Hong Kong. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Tai-hing Lam, MD (39179287, hrmrlth@hku.hk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Satisfaction to the Zentangle programme (time frame: Immediately after the activities). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04702438, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Nov 2021.