An interventional study of Musical training in Resilience, sponsored by Chinese University of Hong Kong. Completed at 1 site in Hong Kong. Open to participants aged 8 Years to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-08-01.
Sponsored by Chinese University of Hong Kong · Not applicable, Interventional, and Supportive care
Child poverty is a prominent global health issue owing to its detrimental impact on a child's physical and psychosocial well-being. Nearly 356 million children lived in extreme poverty globally before the pandemic and this is estimated to worsen significantly. children growing up in poverty are more vulnerable to its effect and have an increased risk of psychosocial and developmental problems than children from affluent families. The impact of poverty is not only immediate during childhood but can persist into adulthood. Previous studies have shown that Chinese children from low-income families reported significantly higher levels of depressive symptoms, lower levels of self-esteem, quality of life, and life satisfaction than children from affluent families.
Recent studies have revealed the promising effects of musical training to promote psychological well-being among children and adolescents and paediatric brain tumour survivors, improving psychosocial skills of children with autism, to enhance the quality of life and psychological health by promoting positive emotions and cognitive and social development.
Promoting the psychological health of school-aged children from low-income families through enhancing their resilience has received limited research attention. Additionally, there is a lack of intervention studies to promote resilience in school-aged children from low-income families. This proposed research, therefore, aims to conduct a pilot randomised controlled trial to determine the feasibility, acceptability and preliminary effects of a musical training programme in enhancing resilience and self-esteem, reducing depressive symptoms and improving the quality of life among children from low-income families.
The findings from the study could inform the policymakers and healthcare professionals in health services design and the importance of advocating the psychological needs of children from low-income families by providing adequate community resources and support. If the programme demonstrates its effectiveness in promoting resilience and self-esteem among children from low-income families, further implementation could be done to maintain its sustainability in the community. Most importantly, the programme may potentially enhance the resilience of the vulnerable children from low-income families to combat poverty and hence break the intergenerational transmission of poverty.
Chinese University of Hong Kong is the lead sponsor of 1,419 studies on the registry; 487 are open to participants now.
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Exclusion Criteria:
Participants in the experimental group received a weekly 1-hour musical training lesson for 6 months delivered by professionally qualified musicians. The participants will be assigned a particular musical instrument to learn, and this is based on their interests as well as their capabilities (i.e., fine motor skills), The training will begin at the lowest level (hitting simple notes) and end at the highest level (able to play an entire song).
Behavioral: Musical training
To ensure equity of access to potentially effective intervention (i.e. musical training programme), participants in the wait-list control group will receive the same musical training programme as participants in the intervention group after the completion of all assessments.
Behavioral: Musical training
The musical training intervention comprised songs, rhythm and visual creativity to encourage the children to experience music-making as fun.
Resilience - Resilience Scale for Children
Children's resilience will be measured by the Resilience Scale for Children- 10 (RS10) which was developed based on the Resilience Scale originally developed by Wagnild and Young. Total scores ranging from 10 to 40, with higher scores indicate higher levels of resilience.
Time frame: 6-month follow-up
Level of self-esteem - Rosenberg self-esteem scale
Levels of self-esteem will be measured by the Chinese version of the Rosenberg self-esteem scale (RSES), which is a tool designed to measure the global self-esteem of children and adolescents. Total scores ranging from 10 to 40, with higher scores indicate higher levels of self-esteem.
Time frame: Baseline, and 6-month follow-up
Depressive symptoms - Center for Epidemiological Studies Depression Scale
The Chinese version of the Center for Epidemiological Studies Depression Scale for Children (CES-DC) will be used to assess the participants' depressive symptoms. Total scores ranging from 0 to 60, with higher scores indicate higher level of depressive symptoms.
Time frame: Baseline, and 6-month follow-up
Quality of life - Pediatric Quality of Life Inventory 4.0 Generic Core
The Chinese version of the Pediatric Quality of Life Inventory 4.0 Generic Core Scale (PedsQL 4.0) will be used to assess children's quality of life. Total scores ranging from 0 to 100, with higher scores represent better quality of life.
Time frame: Baseline, and 6-month follow-up
Acceptability and satisfaction
Acceptability and satisfaction will be determined upon the completion of the intervention using a short one-to-one semi-structured interview, which aims to explore the perception of the children and their parents towards the musical training programme; both children and parents will be asked to comment on their experience and feelings of the program; and to provide recommendation for improvement of the programme.
Time frame: 6-month follow-up
Plan to share: No
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This study is completed, as verified in Jul 2023. You cannot join it, but the record below documents what was studied.
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Chinese University of Hong Kong