The Jockey Club Institute of Healthcare, Hong Kong Metropolitan University
Hong Kong
NCT Number: NCT07826702
This pilot randomised controlled trial (RCT) aims to evaluate the feasibility, acceptability, and preliminary effects of combining a brief Nonviolent Communication (NVC) intervention with follow-up personalised AI-generated messages delivered daily via WhatsApp to improve child-parent relationships, parenting competence and family communication.
A total of 60 parents of middle school students experiencing difficulties in family communication or recurrent conflict with their children will be recruited in Hong Kong and randomly assigned (in a 1:1 allocation ratio) to an intervention group or an attention control group.
The intervention group will participate in two 2-hour NVC workshops, scheduled two weeks apart and delivered by the principal investigator, plus four weeks of personalised AI-generated NVC e-messages daily. The attention control group will receive weekly e-messages with healthy lifestyle tips for 6 weeks.
Assessments for participants will be conducted at baseline (T0), post-workshop (T1, after the second session/two weeks after T0), and 12 weeks after baseline (T2). A process evaluation featuring quantitative ratings and open-ended questions will be conducted to explore participants' perceived benefits and subjective experiences.
Trial opening soon.
Get Notified32 year–59 year
All sexes
Interventional
Not applicable
Hong Kong
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
The attention control group will receive an information pamphlet that encourages them to maintain a healthy diet, engage in regular physical activity, and practice weight control. Participants will receive weekly WhatsApp messages about healthy lifestyle tips for 6 weeks.
The intervention includes an introduction to NVC's four principles, the difference between observations and judgments, identifying and expressing feelings, taking responsibility for feelings and needs, and using positive action language when making requests.
The intervention workshops will be offered in rolling monthly cycles for approximately three rounds over three months (two rounds will be online, and one will be face-to-face). Participants who miss the second session may attend an equivalent session in the second or third cycle. Between and following the sessions, participants will receive AI-generated, tailored messages via WhatsApp daily for four weeks that provide concise NVC tips and guide parents through NVC-style conversations with their adolescents.
Time frame: Baseline (T0)
Recruitment rate is defined as the proportion of eligible or contacted candidates who actually agree to join the study (Number Enrolled / Number Eligible or Approached).
Time frame: 12-week assessment (T2, around 3 months after baseline)
Retention rate is defined as the percentage of randomised participants retained and assessed with valid primary outcome data.
Time frame: Baseline (T0), Post-workshop assessment (T1, 2 weeks after T0), and 12-week assessment (T2, around 3 months after T0).
The Child-Parent Relationship Scale (CPRS-SF) is a 15-item scale for evaluating two dimensions of the relationship between parents and children: conflict and closeness. Items are rated on a 5-point Likert scale ranging from 1 ("strongly disagree") to 5 ("strongly agree"). Scores for closeness and conflict are calculated separately, with higher closeness scores indicating a stronger emotional bond and a supportive relationship between parents and children (Driscoll & Pianta, 2011). Higher conflict scores indicate greater conflict between parents and children. The internal consistency reliabilities were adequate in a Chinese sample (Cronbach's alpha = 0.78 to 0.81) (Tan et al., 2023).
Time frame: Baseline (T0), Post-workshop assessment (T1, 2 weeks after T0), and 12-week assessment (T2, around 3 months after T0).
The Parenting Sense of Competence Scale (PSOC) (Ngai et al., 2007) is a 17-item scale to measure parents' perceived competence in the parenting role. Each item is rated on a 6-point Likert scale ranging from 1 (strongly disagree) to 6 (strongly agree). Higher scores indicate greater competence in parenting. Cronbach's alpha was 0.93 in a Chinese sample.
Time frame: Baseline (T0), Post-workshop assessment (T1, 2 weeks after T0), and 12-week assessment (T2, around 3 months after T0).
The Family Communication Scale (FCS) is a 10-item scale used to measure family communication (Guo et al., 2021). Items are rated on a 5-point Likert scale, ranging from 1 ("strongly disagree") to 5 ("strongly agree"). A higher total score (range 10-50) indicates a higher level of positive family communication. The Chinese version of FCS showed good internal consistency (Cronbach's alpha = 0.91) and was stable over 1 month (intraclass correlation coefficient = 0.69).
Time frame: Baseline (T0), Post-workshop assessment (T1, 2 weeks after T0), and 12-week assessment (T2, around 3 months after T0).
The Generalized Anxiety Disorder (GAD)-7 scale is a 7-item instrument to assess anxiety symptoms in the past two weeks (Spitzer et al., 2006; Tong et al., 2016). Each item is scored from 0 to 3. The seven item scores are summed to yield a total score ranging from 0 to 21, with higher scores indicating greater anxiety symptom severity.
Time frame: Post-workshop assessment (T1) and 12-week assessment (T2, around 3 months after T0)
Evaluated through process evaluation metrics assessing perceived benefits, subjective changes in personal mental health, and happiness. Participants rate overall satisfaction on a 0-10 scale, with 0 indicating "very dissatisfied" and 10 indicating "very satisfied". Open-ended questions will also collect participants' comments and suggestions.
Contact information is provided by the study sponsor or research team.
Hong Kong Metropolitan University
Other
A Rolling Two-session Nonviolent Communication Intervention Plus Personalised E-message in Improving Child-parent Relationship: a Pilot Randomised Controlled Trial
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View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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