Prevention of Non-communicable Diseases Through Screening and Educating Individuals on Health-risk Behaviours in the Community
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 330
- 试验地点
- 1
- 主要终点
- Abstain from health-risk behaviour
研究概览
简要总结
Aim: to prevent NCDs by screening and educating individuals in the community on health-risk behaviours. Specifically, we will use a mobile health and a brief self-determination theory-based intervention in helping individual change their health-risk behaviours.
Hypotheses to be tested: compared with those in the control group, the participants in the intervention group will experience significantly greater success in modifying their health-risk behaviours and will have a better health-related quality of life at 12 months follow-up.
Objectives
- To screen individuals for health-risk behaviours and identify risk factors that may contribute to NCDs
- To educate individuals on the importance of engaging in healthy lifestyles
- To develop a training programme - "Train the Trainers' Toolkit", with the goal to train student nurses (Years 2 to 5) as health ambassadors to implement the project on a long-term basis.
详细描述
Setting:
The project will be carried out in Kwai Chung Estate, one of the largest public housing estates with many low-income families in Hong Kong.
The project consists of four phases.
Phase I:
To invite 30 university nursing students (Year 2 to 5) to become health ambassadors for the prevention of NCDs in the community.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Chinese adults in Kwai Chung Estate:
- •age ≥18 years
- •the presence of at least one health risk behaviour (tobacco use, harmful use of alcohol, unhealthy diet and physical inactivity)
- •able to communicate in Cantonese
- •Nursing students:
- •age ≥18 years
- •Year 2 to 5
排除标准
- •poor cognitive state or mental illness
- •participation in another related study.
研究组 & 干预措施
Intervention group
The participants will also be given a Practical Resource Hub for Healthy Life leaflet containing information on various applications. The participants will receive a brief telephone intervention using the Ask, Warn, Advise, Refer and Do-it-again (AWARD) model. For the advice step, 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, such as quitting or reducing smoking, consuming more vegetables or less fatty foods or sugary drinks, performing more exercise or reducing alcohol consumption. 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.
干预措施: Theory of planned behaviour, foot-in-the-door technique, and self-determination theory intervention (Other)
Control group
The control group participants will also be given a Practical Resource Hub for Healthy Life leaflet containing information on various applications. However, the health ambassadors will simply advise the participants to modify 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: health-risk behaviors (Other)
结局指标
主要结局
Abstain from health-risk behaviour
时间窗: 12 months
About 10% of participants will successfully abstain from at least one health-risk behaviour at 12-month follow-up
次要结局
- Reduction in health-risk behaviours(12 months)
- Improvement in health-related quality of life(12 months)
- Improvement in body mass index(12 months)
- Ambassadors' knowledge and skill on providing professional health advice and support to participants about changing their health-risk behaviours(6 months)
- Improvement in blood pressure(12 months)
研究者
Li Ho Cheung William
Professor
Chinese University of Hong Kong