A General-health-promotion-approach to Promoting Healthier Lives Among Discharged Emergency Department Attendees: A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 572
- 试验地点
- 1
- 主要终点
- Abstinence from at least 1 health-risk behaviour at 6 months
研究概览
简要总结
Aim To examine the effectiveness of a general-health-promotion-approach to help ED attendees change their health-risk behaviours and lead healthier lives.
Hypotheses to be tested The investigators hypothesise that compared with those in the control group, the participants in the intervention group will experience significantly greater success in changing their health-risk behaviours and will have a better health-related quality of life at 6 months follow-up.
详细描述
Study design A RCT with a two-group pre-test and repeated post-test between- subjects design will be conducted.
Setting:
The setting is the ED of the United Christen Hospital (UCH), one of the major acute care hospitals in Kowloon East cluster in Hong Kong.
Conceptual and theoretical framework:
The proposed intervention is guided by the foot-in-the-door technique, and self-determination theory.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •(1) age 18 - 65 years old
- •(2) triage as semi-urgent (level 4) or non-urgent (level 5) and will be discharged home after seeking medical attention
- •(3) the presence of at least one health risk behaviour (tobacco use, harmful use of alcohol, unhealthy diet and physical inactivity)
- •(4) able to communicate in Chinese
排除标准
- •(1) poor cognitive state or mental illness
- •(2) diagnosed with NCDs and have regular follow-up in outpatient clinics
- •(3) participation in another related study
研究组 & 干预措施
Intervention group
The participants will be given a Practical Resource Hub for Healthy Life leaflet containing information on various applications. the research assistant will ask about the priority the participants place on engagement in desirable health-related lifestyle practices identified in the completed behavioural risk factor survey. The participants will also be asked to choose the goal that they consider easiest to achieve. The participants will be encouraged to quit health-risk behaviours (or adopt a healthy lifestyle) sequentially, but they will also be able to choose to quit them simultaneously if they are confident in doing so. For the first 6 months of the study period, the research assistant will deliver WhatsApp/WeChat messages about once per week. Follow-up assessment of behavioural changes at 3, 6, and 12 months
干预措施: foot-in-the-door technique and self-determination theory (Other)
Intervention group
The participants will be given a Practical Resource Hub for Healthy Life leaflet containing information on various applications. the research assistant will ask about the priority the participants place on engagement in desirable health-related lifestyle practices identified in the completed behavioural risk factor survey. The participants will also be asked to choose the goal that they consider easiest to achieve. The participants will be encouraged to quit health-risk behaviours (or adopt a healthy lifestyle) sequentially, but they will also be able to choose to quit them simultaneously if they are confident in doing so. For the first 6 months of the study period, the research assistant will deliver WhatsApp/WeChat messages about once per week. Follow-up assessment of behavioural changes at 3, 6, and 12 months
干预措施: Follow-up booster intervention (Other)
Control group
The participants will be given a Practical Resource Hub for Healthy Life leaflet containing information on various applications.The control group participants will receive a brief telephone intervention based on the AWARD model and delivered by the trained research assistant, similar to that delivered to the intervention group. However, the research assistant will simply advise the participants to change their health-risk behaviours and/or adopt a healthy lifestyle practice. The participants will also receive follow-up for outcome assessments with the same schedule as those in the intervention group.
干预措施: Control group (Other)
结局指标
主要结局
Abstinence from at least 1 health-risk behaviour at 6 months
时间窗: 6 months
Abstinence from at least 1 health-risk behaviour between baseline and 6-month follow-up assessed by using a behavioural health-risk factor survey.
次要结局
- improved health-related quality of life at 6 months(6 months)
- improved health-related quality of life at 12 months(12 months)
- Abstinence from at least 1 health-risk behaviour at 12 month(12 months)
- improved health-related quality of life at 6 months(6 months)
- improved health-related quality of life at 12 months(12 months)
研究者
Li Ho Cheung William
Professor
Chinese University of Hong Kong