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Completed

NCT Number: NCT03332823

SME Ambassadors Pilot Project Research Study

Aims: To enhance mental well-being of adults by creating a positive, happy and joyful environment in the community.

Targets: Adults aged 18-59 in Hong Kong.

Methods: SME Ambassadors Pilot Project will adopt the public health and family-focused approach, under the brand name of "Joyful@HK Campaign". Evidence-based and Evidence Generating approach with vigorous study design, both qualitative (e.g. focus groups) and quantitative (e.g. pre- and post- test), will be used to evaluate the overall programme effectiveness including follow-up of at least one month ("best science"). To ensure the practicability and sustainability of the community-based engagement project, we will engage community partners with strong track records of "best practice" to design, plan, and implement the intervention. This project will use innovative and integrated positive psychology and public health theories and methods to plan brief, simple, and cost-effective intervention.

Significance: By using "best science" in the design and evaluation of intervention programme, and the "best practice" of the partners' skills, experience and strong connection with service targets in the community, the intervention, if proven to be effective, for promoting sharing, mind and enjoyment and enhancing mental well-being can be further developed and widely disseminated to and adopted by the practitioners in the health and social service sectors for replication and improvement to benefit the whole population.

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Key information

Conditions

Mental Well-being Behavior Happiness Personal Satisfaction Psychological Well-Being

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The Hong Kong Council of Social Service

Hong Kong

About this study

SME Ambassadors Pilot Project is one of the six Community-based Mental Wellness Project for Adolescents and Adults, which aims at enhancing mental well-being of adolescents, adults and their families by creating a positive, happy and joyful environment in the community. The Project is funded by Health Care and Promotion Fund of Food and Health Bureau.

SME Ambassadors Pilot Project is organized by the Hong Kong Council of Social Service and led by School of Public Health, The University of Hong Kong(HKU). The project will organize two train-the-ambassador workshops to train 60-80 SME ambassadors on positive thinking and understanding of adult mental health problem (in particular the mixed anxiety and depressive disorder) and mental well-being.

The trained SME ambassadors will provide voluntary services and promote mental well-being messages to vulnerable groups, such as ex-mental illness people, new arrivals, etc.

The major subjects of the SME Ambassadors Pilot Project are 60-80 SME ambassadors who aged 18-59. 10-12 service providers from NGO service units (community partners) and 100-120 voluntary service recipients will also be involved in the study. Pre- and post-test evaluation will be used to evaluate the effectiveness of the intervention programme.

In the study, SME Ambassadors will be invited to complete questionnaires to measure their sharing, mind and enjoyment related behavioural indicators and invited to attend the focus group interviews to understand their experience during the programme; while community partners will be invited to attend individual interviews to collect their feedback and components on improving future community-based mental wellness programme.

Evaluation will be conducted during the programme implementation stage. The effectiveness of the intervention, as well as the level of participation and ratings for the intervention will also be evaluated.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • SME Ambassadors (major subjects):
  • Adults who aged 18-59
  • Chinese speaking
  • Able to complete study questionnaires/ focus groups (2) Service recipients (which may include children/adolescents)
  • Chinese speaking
  • Able to complete study questionnaires/ focus groups (3) Community partners
  • Service provider and participating NGO service units
  • Chinese speaking
  • Able to complete study questionnaires/ individual in-depth interviews

Exclusion criteria

  • Those who cannot read Chinese
  • Those who suffered from severe mental illness

Treatment and study plan

SME Ambassadors training & program

Behavioral
  • Two train-the-ambassador workshops: to train the ambassadors on positive thinking and understanding of adult mental health problem (in particular the mixed anxiety and depressive disorder) and mental well-being.
  • The trained SME ambassadors will provide voluntary services and promote mental well-being messages to vulnerable groups, such as ex-mental illness people, new arrivals, etc.

Primary outcomes

  1. Changes in participants' frequency of performing the suggested Sharing, Mind and Enjoyment (SME) related behaviours

    Time frame: T1: baseline; T3: one-month follow-up after baseline; T4: three-month follow up after baseline

    The frequency of performing the SME (Sharing: share happy experience with others, help others, express care to others; Mind: recall the good memory, be grateful for what you already have, keep positive; Enjoyment: enjoy physical activity) related behaviours in the past 7 days will be assessed. The questions are rated 0-7 with 0 indicating none of this behavior happened in the past 7 days and 7 indicating this behavior happened every day in the past 7 days.

Secondary outcomes

  1. Changes in personal happiness from baseline to three-month after baseline

    Time frame: T1: baseline; T3: one-month follow-up after baseline; T4: three-month follow up after baseline

    Personal happiness will be assessed by Subjective Happiness Scale (SHS). SHS was rated on 7-point scale with 1 indicating no happiness at all and 7 indicating extreme happiness. To score the scale, the 4th item will be coded reversely and mean of the 4 items will be computed.

  2. Changes in mental well-being from baseline to three-month after baseline

    Time frame: T1: baseline; T3: one-month follow-up after baseline; T4: three-month follow up after baseline

    Mental well-being will be assessed by validated Chinese version of 7-item Warwick Edinburgh Well-being Scale. Each item ranges from 1 to 5 and the scale will be scored by first summing the score for each of the 7 items and then transforming the total score for each person according to a conversion table.

  3. Changes in family relationship from baseline to three-month after baseline

    Time frame: T1: baseline; T3: one-month follow-up after baseline; T4: three-month follow up after baseline

    Self-perceived understanding, intimacy, and family communication will be assessed by three questions (rated 0-10).

  4. Changes in individual and family health from baseline to three-month after baseline

    Time frame: T1: baseline; T3: one-month follow-up after baseline; T4: three-month follow up after baseline

    Self-perceived health, at the individual and family level will be assessed by two questions respectively (rated 0-10).

  5. Changes in family happiness from baseline to three-month after baseline

    Time frame: T1: baseline; T3: one-month follow-up after baseline; T4: three-month follow up after baseline

    Self-perceived happiness, at the individual and family level will be assessed by two questions respectively (rated 0-10).

  6. Changes in family harmony from baseline to three-month after baseline

    Time frame: T1: baseline; T3: one-month follow-up after baseline; T4: three-month follow up after baseline

    Self-perceived family harmony will be assessed by a single question (rated 0-10).

  7. Changes in knowledge and perception of mixed anxiety and depressive disorders

    Time frame: T1: baseline; T2: immediate post intervention; T3: one-month follow-up after baseline; T4: three-month follow up after baseline

    Knowledge and perception of mixed anxiety and depressive disorders will be assessed by 4 questions (2 questions about understanding of symptoms, 1 about the intention of help seeking, 1 about support seeking from families) rated 0-10.

  8. Satisfaction towards SME Ambassador Pilot Project

    Time frame: T2: immediate post intervention; T3: one-month follow-up after baseline; T4: three-month follow up after baseline

    Satisfaction towards programme will be assessed by conducting focus group and program evaluation measures (general satisfaction, self-perceived helpfulness and likely-to-recommend level) rated 0-10.

  9. The social impact of the community-based engagement project

    Time frame: Up to four months

    The social impact of the community-based engagement project will be evaluated by conducting community stakeholders' in-depth interviews.

  10. The process of community based intervention programme

    Time frame: Up to four months

    Assessed by a Process Evaluation on-site observation form, and a series of checklists including Resources input record sheet, Participants' attendance form, Programme rundown, Attendance record form, and NGOs' final report. The components of process evaluation, including context, reach, dose delivered, dose received, fidelity and recruitment will be assessed.

  11. Outcomes of community engagement process

    Time frame: Up to four months

    Outcomes of community engagement process will be assessed by a self-designed questionnaire survey.

Sponsors and collaborators

Lead sponsor

The University of Hong Kong

Other

Collaborators

  • The Hong Kong Council of Social Service

Registry information

Official study title

Community-based Mental Wellness Project for Adolescents and Adults: SME (Sharing, Mind, Enjoyment) Ambassadors Pilot Project

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
Nov 6, 2017
Registry last updated
Jan 23, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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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