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Efficacy of Mountain Craft Training at Enhancing the Resilience and Physio-psychological Well-being of Children From Low-income Families

Not Applicable
Recruiting
Conditions
Resilience
Children
Well-being
Interventions
Other: Intervention
Other: Placebo
Registration Number
NCT06286787
Lead Sponsor
The Hong Kong Polytechnic University
Brief Summary

It is imperative to offer adequate community resources and psychosocial support, with a particular focus on enhancing resilience for children from low-income families. This study aims to determine the feasibility, acceptability, and preliminary efficacy of mountain craft training in enhancing resilience and self-esteem, reducing depressive symptoms, and improving the physical health of children from low-income families.

Detailed Description

It is imperative to offer adequate community resources and psychosocial support, with a particular focus on enhancing resilience for children from low-income families. This study aims to determine the feasibility, acceptability, and preliminary efficacy of mountain craft training in enhancing resilience and self-esteem, reducing depressive symptoms, and improving the physical health of children from low-income families. This will be a pilot RCT using a two-group pre- and post-test within-subject design. The investigators plan to recruit 40 children in the Kwai Tsing District to participate in this study via the Asbury Methodist Social Service. Participants in the intervention group will be invited to join the mountain craft training programme. The research team will work with Mountain \& Stream (https://www.mtandstream.com/) to offer a tailor-made hiking training programme for Form 1 students. Participants will be invited to join a control intervention that mimics the time and attention received by participants in the intervention group but will be designed to have no specific effect on the outcome variables. The investigators hypothesise that participants who receive mountain craft training (six sessions) over 3 months will report significant improvements in: (i) resilience, (ii) self-esteem; (iii) depressive symptoms, and (iv) physical well-being compared with those in the placebo control group at the 6-month follow-up assessment.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Form 1 students
  • able to speak Cantonese and read Chinese, and
  • from low-income families (with a half-median monthly household income or the recipients of Comprehensive Social Security Assistance)
Exclusion Criteria
  • Children with identified cognitive or learning problems, chronic illness, or physical disabilities

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intervention groupInterventionParticipants in the intervention group will be invited to join the mountain craft training programme.
Placebo control groupPlaceboParticipants will be invited to join a control intervention that mimics the time and attention received by participants in the intervention group but will be designed to have no specific effect on the outcome variables.
Primary Outcome Measures
NameTimeMethod
Resilience Scale-14 (RS-14)baseline, 3-month, and 6-month

The RS-14 will be used to measure participants' resilience. The RS-14 measures two factors: personal competence and acceptance of self and life.24 Each item is answered on a 7-point Likert scale from 'strongly disagree' to 'strongly agree', with total scores ranging from 14 to 98. Higher scores indicate higher levels of resilience. The RS-14 has been translated into Chinese and used to measure children's resilience in a previous study.25 The psychometric properties of the Chinese version of the RS-14 have been tested, with a test-retest reliability of .84 and internal consistency (Cronbach's α) of .86.

Secondary Outcome Measures
NameTimeMethod
Chinese version of the Center for Epidemiologic Studies Depression Scale for Children (CES-DC)baseline, 3-month, and 6-month

Participants' depressive symptoms will be evaluated using the CES-DC, which contains 20 completely standardized items to assess depressive symptoms. All items are scored on a 4-point self-report scale ranging from 0 to 3 corresponding to their occurrence in the previous week. Total scores range from 0 to 60, with higher scores indicating more prominent symptomatology. The psychometric properties of the Chinese version of the CES-DC have been tested; the version has a high content legitimacy (content legitimacy index = 95%) and satisfactory internal consistency reliability (r = 0.82).

Chinese version of Rosenberg's Self-Esteem Scale (RSES)baseline, 3-month, and 6-month

Participants' self-esteem will be evaluated using the RSES, which contains includes 10 items intended to evaluate the self-esteem of children and adolescents worldwide. Each item is scored on a 4-point Likert scale ranging from 1 to 4, with total scores ranging from 10 to 40. Higher scores demonstrate higher levels of self-esteem. The Chinese version of the RSES has recently been used in Chinese children, and has shown sufficient internal reliability (r = 0.84).

The children's peak expiratory flow ratebaseline, 3-month, and 6-month

A miniWright Standard Handheld peak flow meter will be used for measuring peak expiratory flow rate.

Trial Locations

Locations (1)

The Asbury Methodist Social Service

🇨🇳

Hong Kong, China

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