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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05192096
Other study ID # UW21-781
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date December 1, 2021
Est. completion date March 31, 2023

Study information

Verified date April 2022
Source The University of Hong Kong
Contact Agnes YK Lai, PhD
Phone 852-3917-6328
Email agneslai@hku.hk
Is FDA regulated No
Health authority
Study type Observational

Clinical 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 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.


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).


Recruitment information / eligibility

Status Recruiting
Enrollment 170
Est. completion date March 31, 2023
Est. primary completion date December 31, 2022
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Part 1: Needs assessment Inclusion criteria • Staff of Aberdeen Kai-fong Welfare Association under the division of Integrated Home Care Services Exclusion criteria - Subjects refuse to answer this questionnaire - Subjects who are unable to read and understand Chinese Part 2: Train-the-trainer workshops Inclusion criteria • Staff of AKA under the division of IHCS or lay volunteers of Aberdeen Kai-fong Welfare Association volunteer group Exclusion criteria - Subjects refuse to answer this questionnaire - Subjects who are unable to read and understand Chinese

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Train-the-trainer workshop
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.

Locations

Country Name City State
Hong Kong Abedreen Kai-fong Association Hong Kong

Sponsors (2)

Lead Sponsor Collaborator
The University of Hong Kong Aberdeen Kai-fong Welfare Association Social Service

Country where clinical trial is conducted

Hong Kong, 

References & Publications (9)

Ayala 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. Review. — View Citation

Josiah 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. — View Citation

Layne 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. — View Citation

Milburn 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. Review. — View Citation

Pearce 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. Review. — View Citation

Quandt 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. — View Citation

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 Jul 30;91:104214. doi: 10.1016/j.archger.2020.104214. [Epub ahead of print] — View Citation

Shiber 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. — View Citation

Tobias 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. Review. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary 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. Baseline
Primary 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. Baseline, immediate after workshop
Secondary 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. Baseline, month 1
Secondary 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. Baseline, month 3
Secondary 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. Baseline, month 1
Secondary 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. Baseline, month 3
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