Knowledge, Attitudes, PracticeNCT05192096
Capacity Building and Service Enhancement in Integrated Home Care Services
An observational study of Knowledge, Attitudes, Practice, run by The University of Hong Kong at 1 site in Hong Kong.
Trial summary
As people live longer lives, the ageing population causes an unprecedented rise in healthcare and social services demand. Limited studies were to evaluate the effectiveness of risk management measures of home care service and the needs of service workers, which raised concerns about the needs of staff working in home… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Knowledge, Attitudes, Practice
- What is being tested?
- Train-the-trainer workshop
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 170 participants
- Where
- 1 siteHong Kong
- Study dates
- 1 Dec 2021to 31 Mar 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 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: Staff of AKA under the division of IHCS or lay volunteers of Aberdeen Kai-fong Welfare Association volunteer group
Who may be able to join
- Staff of Aberdeen Kai-fong Welfare Association under the division of Integrated Home Care Services
- Staff of AKA under the division of IHCS or lay volunteers of Aberdeen Kai-fong Welfare Association volunteer group
Who cannot join
- Subjects refuse to answer this questionnaire
- Subjects who are unable to read and understand Chinese
- Part 2: Train-the-trainer workshops
- Subjects refuse to answer this questionnaire
- Subjects who are unable to read and understand Chinese
Trial locations and contacts
1 site in 1 country.
Hong Kong1 site, 1 recruiting
- Recruiting
Abedreen Kai-fong Association
Hong Kong, 852
Mabel Kwok, BSW, 35505566, mablekwok.cw@aka.org.hk
Alice Wan, MBA, 35505566, director@akak.org.hk
About this study
Official title: Capacity Building and Service Enhancement of Integrated Home Care Services During COVID-19
As people live longer lives, the ageing population causes an unprecedented rise in healthcare and social services demand. Limited studies were to evaluate the effectiveness of risk management measures of home care service and the needs of service workers, which raised concerns about the needs of staff working in home care settings and how service organizations continuously dealt with those challenges in this ongoing pandemic.
This study includes two parts: Part 1, Needs assessment, a survey to collect feedback from staff and understand their needs.; Part 2, Train-the-trainer workshops for staff and volunteers as lay health promoters to build workforce capacity and enhance trainees' competence and performance in delivering brief health-related information to their service users during COVID-19. It includes quantitative questionnaire assessment and qualitative focus group interview.
Read the detailed description
With modern medicine and technological advancements, the global life expectancy has increased over the last century. As people live longer lives, the ageing population causes an unprecedented rise in demand for healthcare and social services. Integrated Home Care Services (IHCS) provides care and community support services to elderly persons and people with disabilities according to their individual and social needs, to enable them to continue living in the community. This approach helps maintain a sense of attachment and feelings of security and familiarity in relation to both homes and communities and reduces the overload of nursing homes.
The Aberdeen Kai-fong Welfare Association Social Service (AKA) is one of the 61 non-government organisations (NGO) under the IHCS. AKA provides a wide range of services which include home care, nursing and rehabilitation services for elders, people with disabilities and families in need (service users) in the Southern District of Hong Kong.
The pandemic of COVID-19 has brought significant challenges globally and locally. With the safety and distancing measures from the government, the scope of Integrated Home Care Services was restricted to essential services during the early stage of the pandemic. Apart from the suspension of services, other major challenges of home care service providers faced were an insufficient supply of personal protective equipment, an insufficient workforce, inadequate training. These problems have all led to infection control concerns for home care institutions and their staff. To combat the spread of the virus and maintain the continuity of services, IHCS providers applied a series of risk management measures throughout the pandemic.
The train-the-trainer (TTT) model is gaining increasing attention as an effective strategy to build a community workforce for health promotion and disease prevention. Training for participants from the same community they serve as lay health promoters (volunteers), can help build knowledge at the local level. Lay health promoters with training and supervision were shown to have significant impacts on community-based interventions. The training of lay health promoters and reliance on community resources simultaneously reduce the demand on time, resources and manpower from financially strapped and understaffed professional social health services in the community.
Limited studies were to evaluate the effectiveness of risk management measures of home care service and the needs of service workers, which raised concerns about the needs of staff working in home care settings and how service organizations continuously dealt with those challenges in this ongoing pandemic. Besides, the lack of training programs was systematically evaluated.
This proposed study includes two parts: Part 1, Need assessment, a survey to collect feedback from staff and understand their needs.; Part 2, Train-the-trainer workshops for staff and volunteers as lay health promoters to build workforce capacity and enhance trainees' competence and performance in delivering brief health-related information to their service users during COVID-19. Questionnaire assessments will be conducted at baseline, immediately after each session, one- and three-month follow up. Focus-group interviews will be conducted at the end of the study (completion of all train-the-trainer workshops and assessments).
- Conditions
- Knowledge, Attitudes, Practice
- Being tested
- Train-the-trainer workshop
- Keywords
- COVID-19, risk management, service enhancement, capability building
- Medical subject headings
- Behavior, COVID-19
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Train-the-trainer workshopBehavioural
To deliver health-related information to trainees, which facilitate improving their knowledge, confidence, and ability to share and discuss health-related information with others, including service users, families and friends.
| Study group | Role | What they receive |
|---|---|---|
| Intervention group | It includes two 1-hour health-related information sessions. Receives: Behavioral: Train-the-trainer workshop |
What is being measured
The primary outcome is the main question the study is designed to answer.
Perceived usefulness on institutional risk management
Measured by 15 outcome-based questions. Score of each question ranges from 1 to 6. The highest scores the better the outcomes.
Measured: Baseline
Change from baseline competence in delivering health-related information and service to service users
Measured by 4 outcome-based questions. Score of each question ranges from 0 to 10. The highest scores the better the outcomes.
Measured: Baseline, immediate after workshop
Secondary outcomes (4)
Change in baseline competence in delivering health-related information at month1
Measured by 4 outcome-based questions. Score of each question ranges from 0 to 10.
Measured: Baseline, month 1
Change in baseline competence in delivering health-related information at month 3
Measured by 4 outcome-based questions. Score of each question ranges from 0 to 10.
Measured: Baseline, month 3
Change in baseline practice in delivering health-related information at month1
Measured by a outcome-based question. Score of each question ranges from 0 to 10.
Measured: Baseline, month 1
Change in baseline practice in delivering health-related information at month 3
Measured by a outcome-based question. Score of each question ranges from 0 to 10.
Measured: Baseline, month 3
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jan 2022
- Study start1 Dec 2021
- Primary completion31 Dec 2022 (estimated)
- Study completion31 Mar 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for Knowledge, Attitudes, PracticeStudies 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
- 170 participants (estimated)
Sponsor and investigators
- Lead sponsor
- The University of Hong Kong
- Sponsor type
- University, hospital or other
- Collaborators
- Aberdeen Kai-fong Welfare Association
- Responsible party
- Principal investigator, Dr. Agnes Yuen-Kwan Lai, The University of Hong Kong
- Investigators
- Agnes YK Lai, PhD, Principal investigator, The University of Hong Kong
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05192096
- Sponsor's protocol ID
- UW21-781
- Status last verified
- Apr 2022
- First submitted
- 29 Dec 2021
- Last updated
- 12 Apr 2022
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Need to obtain consent from participants before agreeing to share individual participants data.
Publications
Rowe TA, Patel M, O'Conor R, McMackin S, Hoak V, Lindquist LA. COVID-19 exposures and infection control among home care agencies. Arch Gerontol Geriatr. 2020 Nov/Dec;91:104214. doi: 10.1016/j.archger.2020.104214. Epub 2020 Jul 30.
PubMed 32768800Pearce J, Mann MK, Jones C, van Buschbach S, Olff M, Bisson JI. The most effective way of delivering a train-the-trainers program: a systematic review. J Contin Educ Health Prof. 2012 Summer;32(3):215-226. doi: 10.1002/chp.21148.
PubMed 23173243Quandt SA, Grzywacz JG, Talton JW, Trejo G, Tapia J, D'Agostino RB Jr, Mirabelli MC, Arcury TA. Evaluating the effectiveness of a lay health promoter-led, community-based participatory pesticide safety intervention with farmworker families. Health Promot Pract. 2013 May;14(3):425-32. doi: 10.1177/1524839912459652. Epub 2012 Oct 17.
PubMed 23075501Ayala GX, Vaz L, Earp JA, Elder JP, Cherrington A. Outcome effectiveness of the lay health advisor model among Latinos in the United States: an examination by role. Health Educ Res. 2010 Oct;25(5):815-40. doi: 10.1093/her/cyq035. Epub 2010 Jul 5.
PubMed 20603384Shiber S, D'Lugoff M. A win-win model for an academic nursing center: community partnership faculty practice. Public Health Nurs. 2002 Mar-Apr;19(2):81-5. doi: 10.1046/j.1525-1446.2002.19202.x.
PubMed 11860592Josiah Willock R, Mayberry RM, Yan F, Daniels P. Peer training of community health workers to improve heart health among African American women. Health Promot Pract. 2015 Jan;16(1):63-71. doi: 10.1177/1524839914535775. Epub 2014 Jun 2.
PubMed 24891525Tobias CR, Downes A, Eddens S, Ruiz J. Building blocks for peer success: lessons learned from a train-the-trainer program. AIDS Patient Care STDS. 2012 Jan;26(1):53-9. doi: 10.1089/apc.2011.0224. Epub 2011 Nov 21.
PubMed 22103430Layne JE, Sampson SE, Mallio CJ, Hibberd PL, Griffith JL, Das SK, Flanagan WJ, Castaneda-Sceppa C. Successful dissemination of a community-based strength training program for older adults by peer and professional leaders: the people exercising program. J Am Geriatr Soc. 2008 Dec;56(12):2323-9. doi: 10.1111/j.1532-5415.2008.02010.x.
PubMed 19112654Milburn K. A critical review of peer education with young people with special reference to sexual health. Health Educ Res. 1995 Dec;10(4):407-20. doi: 10.1093/her/10.4.407.
PubMed 10159674
Study at a glance
From the registry record, last updated by the sponsor on 12 Apr 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Capacity Building and Service Enhancement of Integrated Home Care Services During COVID-19
- ClinicalTrials.gov ID
- NCT05192096
- Acronym / sponsor ID
- UW21-781
- Conditions
- Knowledge, Attitudes, Practice
- Keywords
- COVID-19, risk management, service enhancement, capability building
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 170 participants (estimated)
- Lead sponsor
- The University of Hong KongUniversity, hospital or other
- Collaborators
- Aberdeen Kai-fong Welfare Association
- Study start
- 1 Dec 2021 (actual)
- Primary completion
- 31 Dec 2022 (estimated)
- Study completion
- 31 Mar 2023 (estimated)
- First posted
- 14 Jan 2022 (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.
As people live longer lives, the ageing population causes an unprecedented rise in healthcare and social services demand. Limited studies were to evaluate the effectiveness of risk management measures of home care service and the needs of service workers, which raised concerns about the needs of staff working in home care settings and how service organizations continuously dealt with those challenges in this ongoing pandemic.
This study includes two parts: Part 1, Needs assessment, a survey to collect feedback from staff and understand their needs.; Part 2, Train-the-trainer workshops for staff and volunteers as lay health promoters to build workforce capacity and enhance trainees' competence and performance in delivering brief health-related information to their service users during COVID-19. It includes quantitative questionnaire assessment and qualitative focus group interview.
Detailed description
With modern medicine and technological advancements, the global life expectancy has increased over the last century. As people live longer lives, the ageing population causes an unprecedented rise in demand for healthcare and social services. Integrated Home Care Services (IHCS) provides care and community support services to elderly persons and people with disabilities according to their individual and social needs, to enable them to continue living in the community. This approach helps maintain a sense of attachment and feelings of security and familiarity in relation to both homes and communities and reduces the overload of nursing homes.
The Aberdeen Kai-fong Welfare Association Social Service (AKA) is one of the 61 non-government organisations (NGO) under the IHCS. AKA provides a wide range of services which include home care, nursing and rehabilitation services for elders, people with disabilities and families in need (service users) in the Southern District of Hong Kong.
The pandemic of COVID-19 has brought significant challenges globally and locally. With the safety and distancing measures from the government, the scope of Integrated Home Care Services was restricted to essential services during the early stage of the pandemic. Apart from the suspension of services, other major challenges of home care service providers faced were an insufficient supply of personal protective equipment, an insufficient workforce, inadequate training. These problems have all led to infection control concerns for home care institutions and their staff. To combat the spread of the virus and maintain the continuity of services, IHCS providers applied a series of risk management measures throughout the pandemic.
The train-the-trainer (TTT) model is gaining increasing attention as an effective strategy to build a community workforce for health promotion and disease prevention. Training for participants from the same community they serve as lay health promoters (volunteers), can help build knowledge at the local level. Lay health promoters with training and supervision were shown to have significant impacts on community-based interventions. The training of lay health promoters and reliance on community resources simultaneously reduce the demand on time, resources and manpower from financially strapped and understaffed professional social health services in the community.
Limited studies were to evaluate the effectiveness of risk management measures of home care service and the needs of service workers, which raised concerns about the needs of staff working in home care settings and how service organizations continuously dealt with those challenges in this ongoing pandemic. Besides, the lack of training programs was systematically evaluated.
This proposed study includes two parts: Part 1, Need assessment, a survey to collect feedback from staff and understand their needs.; Part 2, Train-the-trainer workshops for staff and volunteers as lay health promoters to build workforce capacity and enhance trainees' competence and performance in delivering brief health-related information to their service users during COVID-19. Questionnaire assessments will be conducted at baseline, immediately after each session, one- and three-month follow up. Focus-group interviews will be conducted at the end of the study (completion of all train-the-trainer workshops and assessments).
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Intervention group | – | Behavioral: Train-the-trainer workshopIt includes two 1-hour health-related information sessions. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- Staff of AKA under the division of IHCS or lay volunteers of Aberdeen Kai-fong Welfare Association volunteer group
Key inclusion criteria (2 listed)
- Staff of Aberdeen Kai-fong Welfare Association under the division of Integrated Home Care Services
- Staff of AKA under the division of IHCS or lay volunteers of Aberdeen Kai-fong Welfare Association volunteer group
Key exclusion criteria (5 listed)
- Subjects refuse to answer this questionnaire
- Subjects who are unable to read and understand Chinese
- Part 2: Train-the-trainer workshops
- Subjects refuse to answer this questionnaire
- Subjects who are unable to read and understand Chinese
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 |
|---|---|---|
| Train-the-trainer workshopTo deliver health-related information to trainees, which facilitate improving their knowledge, confidence, and ability to share and discuss health-related information with others, including service users, families and friends. | Behavioural | Intervention group |
Primary outcome
Perceived usefulness on institutional risk management
Time frame: Baseline
Measured by 15 outcome-based questions. Score of each question ranges from 1 to 6. The highest scores the better the outcomes.
Change from baseline competence in delivering health-related information and service to service users
Time frame: Baseline, immediate after workshop
Measured by 4 outcome-based questions. Score of each question ranges from 0 to 10. The highest scores the better the outcomes.
4 secondary outcomes
Change in baseline competence in delivering health-related information at month1
Time frame: Baseline, month 1
Change in baseline competence in delivering health-related information at month 3
Time frame: Baseline, month 3
Change in baseline practice in delivering health-related information at month1
Time frame: Baseline, month 1
Change in baseline practice in delivering health-related information at month 3
Time frame: Baseline, month 3
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Apr 2022.
- Background: PubMed 32768800Rowe TA, Patel M, O'Conor R, McMackin S, Hoak V, Lindquist LA. COVID-19 exposures and infection control among home care agencies. Arch Gerontol Geriatr. 2020 Nov/Dec;91:104214. doi: 10.1016/j.archger.2020.104214. Epub 2020 Jul 30.
- Background: PubMed 23173243Pearce J, Mann MK, Jones C, van Buschbach S, Olff M, Bisson JI. The most effective way of delivering a train-the-trainers program: a systematic review. J Contin Educ Health Prof. 2012 Summer;32(3):215-226. doi: 10.1002/chp.21148.
- Background: PubMed 23075501Quandt SA, Grzywacz JG, Talton JW, Trejo G, Tapia J, D'Agostino RB Jr, Mirabelli MC, Arcury TA. Evaluating the effectiveness of a lay health promoter-led, community-based participatory pesticide safety intervention with farmworker families. Health Promot Pract. 2013 May;14(3):425-32. doi: 10.1177/1524839912459652. Epub 2012 Oct 17.
- Background: PubMed 20603384Ayala GX, Vaz L, Earp JA, Elder JP, Cherrington A. Outcome effectiveness of the lay health advisor model among Latinos in the United States: an examination by role. Health Educ Res. 2010 Oct;25(5):815-40. doi: 10.1093/her/cyq035. Epub 2010 Jul 5.
- Background: PubMed 11860592Shiber S, D'Lugoff M. A win-win model for an academic nursing center: community partnership faculty practice. Public Health Nurs. 2002 Mar-Apr;19(2):81-5. doi: 10.1046/j.1525-1446.2002.19202.x.
- Background: PubMed 24891525Josiah Willock R, Mayberry RM, Yan F, Daniels P. Peer training of community health workers to improve heart health among African American women. Health Promot Pract. 2015 Jan;16(1):63-71. doi: 10.1177/1524839914535775. Epub 2014 Jun 2.
- Background: PubMed 22103430Tobias CR, Downes A, Eddens S, Ruiz J. Building blocks for peer success: lessons learned from a train-the-trainer program. AIDS Patient Care STDS. 2012 Jan;26(1):53-9. doi: 10.1089/apc.2011.0224. Epub 2011 Nov 21.
- Background: PubMed 19112654Layne JE, Sampson SE, Mallio CJ, Hibberd PL, Griffith JL, Das SK, Flanagan WJ, Castaneda-Sceppa C. Successful dissemination of a community-based strength training program for older adults by peer and professional leaders: the people exercising program. J Am Geriatr Soc. 2008 Dec;56(12):2323-9. doi: 10.1111/j.1532-5415.2008.02010.x.
- Background: PubMed 10159674Milburn K. A critical review of peer education with young people with special reference to sexual health. Health Educ Res. 1995 Dec;10(4):407-20. doi: 10.1093/her/10.4.407.
- Life expectancy at birth, total (years)- Hong Kong SAR, ChinaLink provided by the sponsor.
- Hospital discharges to home health reboundingLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Need to obtain consent from participants before agreeing to share individual participants data.
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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 YK 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 Knowledge, Attitudes, Practice, 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 2 inclusion and 5 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 12 Apr 2022. 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 Agnes YK Lai, PhD (852-3917-6328, agneslai@hku.hk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Perceived usefulness on institutional risk management (time frame: Baseline). The study lists 2 primary outcomes in all. 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 NCT05192096, which also lists 9 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 12 Apr 2022.