Project KING: To Strengthen Parent-child Relationship and Adaptation

NCT04917822 | Completed

• 1 other identifier: Project KING
• Study Type: interventional
• Target: 217
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims at improving the emotional regulation strategies, enhancing the parent-child relationship and preventing family conflict among newly arrived and cross-boundary families in Hong Kong. We will provide one of the interventions to the participants: (a) the emotion regulation arm, which aimed at improving the emotion management skill for parent and child; or (b) the information provision arm, which aimed at providing information about Hong Kong, such as education, community resources, medical care, employment, housing, and job-seeking. We aim to recruit 200 parent-child pairs to participate in the study. The participants will be randomly assigned into an emotion regulation arm or an information provision arm. The ratio of the two arms is 3:2. Specifically, 120 and 80 parent-child pairs will be assigned to the emotion regulation arm and the information provision arm, respectively. The two intervention arms will provide four 2-hour weekly sessions to the participants. Before the intervention (T1), immediately after the intervention (T2), and one month after completing the intervention (T3), the participants will finish the assessments to evaluate the effectiveness of the intervention.

Conditions

Emotions; Family Conflict; Adaptation

Keywords

new immigrants; cross-boundary family; parallel group intervention

Outcome Measures

Primary Outcomes (7)

• Change from Baseline in Emotional Management Strategy Questionnaire to Week 4 and to Week 8

  Emotional management strategy questionnaire is a 10-item scale assessing parents' and children's emotional management strategy. Possible scores range from 1 (not at all) to 6 (everyday). Higher scores indicate more frequent use of emotional management strategy.

  Baseline, week 4, and week 8

• Change from Baseline in Positive and Negative Affect Schedule to Week 4 and to Week 8

  Positive and negative affect schedule is a 10-item scale assessing parents' and children's positive and negative affect. Possible scores range from 1 (not at all) to 6 (everyday). Higher scores indicate more positive or negative affect.

  Baseline, week 4, and week 8

• Change from Baseline in Subjective Happiness Scale to Week 4 and to Week 8

  Subjective happiness scale is a 4-item scale assessing parents' and children's subjective happiness. Possible scores range from 1 (strongly disagree) to 6 (strongly agree). Higher scores indicate more subjective happiness.

  Baseline, week 4, and week 8

• Change from Baseline in Child-Parent Relationship Scale (Pianta) to Week 4 and to Week 8

  Child-parent relationship scale is a 4-item scale assessing the relationship between parents and children. Possible scores range from 1 (very dissatisfied) to 6 (very satisfied). Higher scores indicate better satisfaction with parents (or child).

  Baseline, week 4, and week 8

• Change from Baseline in Family Harmony Scale to Week 4 and to Week 8

  Family harmony scale is a 8-item scale assessing the family harmony. Possible scores range from 1 (strongly disagree) to 6 (strongly agree). Higher scores indicate better family harmony.

  Baseline, week 4, and week 8

• Change from Baseline in Adaptation Difficulties to Week 4 and to Week 8

  Adaptation difficulties is a 24-item scale assessing the adaptation difficulties after parents and children come to Hong Kong. Possible scores range from 1 (strongly disagree) to 6 (strongly agree). Higher scores indicate greater adaptation difficulties.

  Baseline, week 4, and week 8

• Change from Baseline in Self-developed Knowledge Questionnaire to Week 4 and to Week 8

  Knowledge questionnaire is a 18-item scale assessing how much parents and children know about Hong Kong (e.g., educaltional systems, community sevices). Possible scores include1 (right), 2 (wrong), and 3(don't know). Higher scores indicate greater knowledge about Hong Kong.

  Baseline, week 4, and week 8

Secondary Outcomes (8)

• Change from Baseline in Generalized Anxiety Disorder Questionnaire-7 to Week 4 and to Week 8

  Baseline, week 4, and week 8

• Change from Baseline in The Patient Health Questionnaire-9 to Week 4 and to Week 8

  Baseline, week 4, and week 8

• Change from Baseline in Mental Health Inventory-5 to Week 4 and to Week 8

  Baseline, week 4, and week 8

• Change from Baseline in 10-item Connor-Davidson Resilience Scale to Week 4 and to Week 8

  Baseline, week 4, and week 8

• Change from Baseline in Childhood Trauma Questionnaire to Week 4 and to Week 8

  Baseline, week 4, and week 8

Study Arms (2)

Emotion regulation arm

EXPERIMENTAL

The emotion regulation arm aims at improving emotional regulation skills among parents and children.

Behavioral: Emotion regulation

Information provision arm

ACTIVE COMPARATOR

The information provision arm aims at providing information about Hong Kong, such as education, community resources, medical care, employment, housing, and job-seeking among parents and children.

Behavioral: Information provision

Interventions

Emotion regulation BEHAVIORAL

Emotion regulation arm will provide the parents and children with four 2-hour weekly sessions. For the parents, the main topics include raising awareness of emotions (e.g., learning emotions theories), developing skills to manage emotions (e.g., attention deployment, cognitive changes, response modification), and facilitating parent-child relationship (e.g., gratitude). For children, the main topics are similar to that in parents' intervention. In this arm, we give more specific examples and simple explanations to the children.

Emotion regulation arm

Information provision BEHAVIORAL

Information provision arm will provide the parents and children with four 2-hour weekly sessions. For the parents, the main topics in these four sessions include learning the general information about Hong Kong such as education and medical care, housing condition, employment and training. For children, the main topics include learning the general information about Hong Kong, such as education, community facility, and learning method.

Information provision arm

Eligibility Criteria

• Age: 6 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• came to Hong Kong for less than three years (newly arrived only);
• provide care to at least one cross-boundary child (cross-boundary only);
• have a child aged between 6-14
• can participate in the group with the children at the same time;

You may not qualify if:

• have a history of severe psychotic symptoms;
• have previously participated in a similar intervention program.
• For children:
• are 6-14 years of age;
• have lived in mainland China for more than six months, and commuted daily between mainland China and Hong Kong (cross-boundary only);
• have been studing in Hong Kong.
• have a history of severe psychotic symptoms;
• have previously participated in a similar intervention program.

Sponsors & Collaborators

• City University of Hong Kong: lead
• International Social Services Hong Kong Branch: collaborator

Study Sites (1)

City University of Hong Kong

Hong Kong, China

Location

Related Publications (25)

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• Hu J, Bu H, Liu IKF, Yu NX. A Randomized Controlled Trial of Two Parent-Child Parallel Interventions to Enhance Positive Adaptation of Immigrant Families in Hong Kong: The Moderating Role of Depressive Symptoms. Behav Ther. 2024 Sep;55(5):1026-1042. doi: 10.1016/j.beth.2024.03.001. Epub 2024 Mar 20.

  PMID: 39174263 DERIVED

Related Links

• Home Affairs Department and Immigration Department statistics on new arrivals from the Mainland (Fourth quarter of 2019).
• Home Affairs Department and Immigration Department statistics on new arrivals from the Mainland (First quarter of 2020).

Study Officials

• Nancy YU, Dr.

  City University of Hong Kong

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: At the recruitment phase, the participants and the social workers who lead the intervention group will not know which intervention arm the participants will be assigned. A cluster of approximately 10 participants formed a group based on their attendance date in the intervention program. This group will be randomly assigned to one of the two intervention arms through pre-prepared randomization list calculated by random allocation software.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: Both parents and children will be included in the intervention. The research team will conduct parallel intevention to parents and children in separate groups at the same time.

Study Record Dates

• First Submitted: April 12, 2021
• First Posted: June 8, 2021
• Study Start: April 10, 2021
• Primary Completion: January 28, 2022
• Study Completion: February 17, 2022
• Last Updated: July 21, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)