CClinicalTrials.gg
Status unknownNCT05192096Updated Apr 12, 2022

Capacity Building and Service Enhancement in Integrated Home Care Services

An observational study in Knowledge, Attitudes, Practice, sponsored by The University of Hong Kong. Status unknown at 1 site in Hong Kong. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-04-12.

Sponsored by The University of Hong Kong · Observational

The sponsor has not verified this record recently (last verified Apr 2022), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
170
Ages
18 Years and older
Sex
All
01

Study 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.

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).

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Conditions studied

  • Knowledge, Attitudes, Practice

Keywords

  • COVID-19, risk management, service enhancement, capability building
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In context

Lead sponsor

The University of Hong Kong is the lead sponsor of 1,262 studies on the registry; 340 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Staff of AKA under the division of IHCS or lay volunteers of Aberdeen Kai-fong Welfare Association volunteer group

Eligibility criteria

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
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
170 participants (estimated)
Patient registry
No

Groups and cohorts

  • Intervention group

    It includes two 1-hour health-related information sessions.

    Behavioral: Train-the-trainer workshop

Interventions

  • BehavioralTrain-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.

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What researchers measure

Primary outcomes

  1. 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.

    Time frame: Baseline

  2. 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.

    Time frame: Baseline, immediate after workshop

Secondary outcomes

  1. 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.

    Time frame: Baseline, month 1

  2. 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.

    Time frame: Baseline, month 3

  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.

    Time frame: Baseline, month 1

  4. 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.

    Time frame: Baseline, month 3

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Study locations

1 of 1 sites recruiting
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References and documents

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 32768800 ↗
  • 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. doi: 10.1002/chp.21148. PubMed 23173243 ↗
  • 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. PubMed 23075501 ↗
  • 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. PubMed 20603384 ↗
  • 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. doi: 10.1046/j.1525-1446.2002.19202.x. PubMed 11860592 ↗
  • 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. PubMed 24891525 ↗
  • 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. PubMed 22103430 ↗
  • 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. doi: 10.1111/j.1532-5415.2008.02010.x. PubMed 19112654 ↗
  • 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. doi: 10.1093/her/10.4.407. PubMed 10159674 ↗

Individual participant data

Plan to share: Yes — Need to obtain consent from participants before agreeing to share individual participants data.

Supporting information: Study protocol

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 12, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05192096
Lead sponsor
The University of Hong Kong
Collaborators
Aberdeen Kai-fong Welfare Association Social Service
Responsible party
Dr. Agnes Yuen-Kwan Lai (Assistant professor, The University of Hong Kong) — Principal investigator
First posted
Jan 14, 2022
Start date
Dec 1, 2021
Primary completion
Dec 31, 2022 (estimated)
Completion
Mar 31, 2023 (estimated)
Last update
Apr 12, 2022

Study contacts

Agnes YK Lai, PhD
Contact
agneslai@hku.hk
852-3917-6328
Caroline Yang, Master
Contact
cwlyang@hku.hk
852-3917-9810
Agnes YK Lai, PhD
principal investigator · The University of Hong Kong

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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