Examining the Health Impact of and Promoting Sitting Light Volleyball in the Greater Bay Area
Revolutionizing Adapted Physical Activity for Individuals With Physical Disabilities: Examining the Health Impact of and Promoting Sitting Light Volleyball in the Greater Bay Area
1 other identifier
interventional
225
1 country
1
Brief Summary
The present study builds on the promising result of our SLVB pilot study with the aim to extend the works' impact by investigating the effectiveness of a SLVB intervention on the physical and psychological health outcomes in adults with physical disabilities in HKG by collecting quantitative and qualitative data in a larger sample (225 participants). The investigators hypothesize that the SLVB and Seated Dance (SD) interventions will improve physical and psychological health outcomes, and quality of life compared to the control group, with SLVB expected to be more effective than SD in enhancing health outcomes for PWPDs. Using the consolidated evidence on the benefits of SVLB from our research work, the investigators will promote SLVB in HKD and CHN by organizing i) train-the-trainer workshops (325 trainers trained), ii) SLVB classes (about 1270 PWPD in HKG and CHN) and iii) SLVB competitions in HKG and CHN (initial rounds of competition will be held across Hong Kong, Shenzhen and Guangzhou, with the finals to be held in Hong Kong, totaling to 408 participants). The investigators combine the evidenced benefits of SVLB with the Train-The-Trainer approach, suggested by the World Health Organization, to achieve community engagement and it is regarded as a solution to institutional barriers in promoting adapted physical activity. SLVB teaching aids will also be developed to promote the activities.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2026
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 15, 2025
CompletedFirst Posted
Study publicly available on registry
September 10, 2025
CompletedStudy Start
First participant enrolled
July 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2029
Study Completion
Last participant's last visit for all outcomes
December 31, 2029
September 10, 2025
September 1, 2025
3.5 years
August 15, 2025
September 9, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (8)
Physical fitness - Physical health outcome - Muscular Strength
The Brockport Physical Fitness Test will be used to assess multiple components of physical fitness in participants. This includes Upper Body Muscular Strength: Assessed using the Grip Test, reported in kilograms.
Collected pre-test, post-test after 16 week intervention program, at 3 months after intervention and at 6 months after intervention.
Physical fitness - Physical health outcome - Muscular Endurance
The Brockport Physical Fitness Test will be used to assess multiple components of physical fitness in participants. This includes Upper Body Muscular Endurance. it will be assessed using the Dumbbell Press Test, reported as number of repetitions.
Collected pre-test, post-test after 16 week intervention program, at 3 months after intervention and at 6 months after intervention.
Physical fitness - Physical health outcome - Body Composition - Body Mass Index
The Brockport Physical Fitness Test will be used to assess multiple components of physical fitness in participants. This includes Body Composition. Body Mass Index. Weight and height will be combined to report BMI in kg/m\^2.
Collected pre-test, post-test after 16 week intervention program, at 3 months after intervention and at 6 months after intervention.
Physical fitness - Physical health outcome -The Brockport Physical Fitness Test
The Brockport Physical Fitness Test will be assessed using the Skinfold Test (reported in millimeters)
Collected pre-test, post-test after 16 week intervention program, at 3 months after intervention and at 6 months after intervention.
Physical fitness - Physical health outcome - Flexibility
The Brockport Physical Fitness Test will be used to assess multiple components of physical fitness in participants. This includes flexibility, assessing using the Shoulder Stretch Test, reported as pass/fail based on reach criteria.
Collected pre-test, post-test after 16 week intervention program, at 3 months after intervention and at 6 months after intervention.
Physical fitness - Physical health outcome - Aerobic Endurance
The Brockport Physical Fitness Test will be used to assess multiple components of physical fitness in participants. This includes Aerobic Endurance. It will be assessed using the Submaximal Arm Ergometry Test and the Six-Minute Arm
Collected pre-test, post-test after 16 week intervention program, at 3 months after intervention and at 6 months after intervention.
Anticipation time - Physical health outcome
A Bassin Anticipation Timer (BAT, Lafayette Instrument Company, Model 35575) will measure the participant's visual acuity related to eye-hand coordination and anticipation (in milliseconds.). Using BAT devices, participants will be instructed to press a button to coincide with light arrival at the target.
Collected pre-test, post-test after 16 week intervention program, at 3 months after intervention and at 6 months after intervention.
Sitting balance - Physical health outcome
A modified Functional Reach Test will be used to assess limits of stability by measuring the maximum distance that an individual can reach forward and laterally while sitting in a fixed position. Its reliability and validity have been supported for adults with disabilities.
Collected pre-test, post-test after 16 week intervention program, at 3 months after intervention and at 6 months after intervention.
Secondary Outcomes (3)
Quality of life - Psychological health outcome
Collected pre-test, post-test after 16 week intervention program, at 3 months after intervention and at 6 months after intervention.
Physical Activity Enjoyment - Psychological health outcome
Collected pre-test, post-test after 16 week intervention program, at 3 months after intervention and at 6 months after intervention.
Mindful self-care - Psychological health outcome
Collected pre-test, post-test after 16 week intervention program, at 3 months after intervention and at 6 months after intervention.
Study Arms (3)
Sitting Light Volleyball Intervention Group
ACTIVE COMPARATOR75 randomly selected participants within the demographic of adults with physical disabilities who will undergo a 16-week Sitting Light Volleyball intervention, comprised of 32 training sessions with 2 x 75-minute sessions per week, according to the World Health Organization recommendations. This intervention plan is based on the research team's previous Sitting Light Volleyball program designed for people with physical disabilities, and will cover basic Sitting Light Volleyball skills and posture, team tactics, as well as rules and regulations.
Group Seated Dance Intervention Group
ACTIVE COMPARATOR75 randomly selected participants within the demographic of adults with physical disabilities who will undergo a 16-week group Seated Dance intervention, comprised of 32 training sessions with 2 x 75-minute sessions per week, according to the World Health Organization recommendations. Participants in this group will learn freestyle para-dance in a group setting, including hip-hop and Latin dance. They will practice step sequences of increasing complexity whilst seated, and later, music will be added to their dance routines.
Control Group
NO INTERVENTION75 randomly assigned participants in this group will be instructed to maintain their normal daily activities, and will be asked to join monthly non-exercise social gatherings (e.g. health talks) to balance the psychosocial effects associated with the regular gatherings in the other groups.
Interventions
16-week intervention centered around Sitting Light Volleyball, an adaptive sport developed by the Project Coordinator specifically for adults with physical disabilities.
16-week intervention program for adults with physical disabilities centered around para dance in a group setting of various dance styles.
Eligibility Criteria
You may qualify if:
- People with disabilities registered in the Central Registry for Rehabilitation.
- Diagnosed with physical disabilities such as impaired muscle power, limb deficiency, or leg length difference, using the soft volleyball and Para dance classification of International Paralympic Committee.
- Has at least one functional arm.
- With a normal to mild grade intellectual disability.
- Have not participated in a structured physical activity program during the 6 months preceding the study.
- Can communicate in Chinese.
You may not qualify if:
- Having a recorded Mini-Mental State Examination score of 17 or below.
- Unable to sit unsupported, by recording a balance score at or below 2 on the Berg Balance Scale (indicating they are able to sit for a maximum of 30 seconds).
- Having a Body Mass Index of 27 or above.
- Have had orthopedic surgery 6 months (or less) prior to the study entry.
- Have a history of cardiovascular disease that hinders study participation.
- Have seeing and/or hearing difficulties.
- Have not been approved by his/her physician to participate in the study due to a limiting medical condition
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
23 Waterloo Rd, Yau Ma Tei
Kowloon, Hong Kong
Related Publications (24)
Home Affairs Bureau, SAR Government of Hong Kong. A consultancy study on sport for people with disabilities in Hong Kong. Hong Kong: Home Affairs Bureau, SAR Government; 2016.
RESULTAlvarez K, Salas E, Garofano C. An integrated model of training evaluation and effectiveness. Hum Resour Dev Rev. 2004;3(4):385-416.
RESULTLamontagne ME, Arbour-Nicitopoulos KP, Tomasone JR, Cummings I, Latimer-Cheung AE, Routhier F. Translating an evidence-based physical activity service from context to context: a single organizational case study. J Sports Med Ther. 2017;2:39-50.
RESULTWong MYC. Translation and validation of the Mindful Self-Care Scale-Chinese Version: a pilot study. Psych. 2020;2(4):338-346.
RESULTWinnick JP, Short FX. Conceptual framework for the Brockport Physical Fitness Test. Adapt Phys Activ Q. 2005;22(4):323-332.
RESULTLeung KM, Chu YM, Wong MY. People with Physical Disabilities playing Light Volleyball: A Qualitative Study in Hong Kong. Disability CBR & Inclusive Development. 2020; 31(3):138-150.
RESULTLeung KM, Chung PK, Chan AWK, Ransdell L, Siu PMF, Sun P, Yang J, Chen TC. Promoting healthy ageing through light volleyball intervention in Hong Kong: study protocol for a randomised controlled trial. BMC Sports Sci Med Rehabil. 2020 Jan 28;12:6. doi: 10.1186/s13102-019-0151-7. eCollection 2020.
PMID: 32002186RESULTLeung KM, Chung PK, Hagger MS. The effects of light volleyball intervention programme in improving selected physical and psychological attributes of older adults in Hong Kong. Int J Sport Exerc Psychol. 2018;18(1):1-12.
RESULTZhou Q, Stewart SM, Wan A, Leung CS, Lai AY, Lam TH, Chan SS. Development and Evaluation of a Train-the-Trainer Workshop for Hong Kong Community Social Service Agency Staff. Front Public Health. 2017 Feb 13;5:15. doi: 10.3389/fpubh.2017.00015. eCollection 2017.
PMID: 28243586RESULTMarks B, Sisirak J, Chang YC. Efficacy of the HealthMatters program train-the-trainer model. J Appl Res Intellect Disabil. 2013 Jul;26(4):319-34. doi: 10.1111/jar.12045. Epub 2013 Apr 16.
PMID: 23589506RESULTDamschroder LJ, Reardon CM, Widerquist MAO, Lowery J. The updated Consolidated Framework for Implementation Research based on user feedback. Implement Sci. 2022 Oct 29;17(1):75. doi: 10.1186/s13012-022-01245-0.
PMID: 36309746RESULTLeung KM, Chung PK, Chu W. Evaluation of a sitting light volleyball intervention to adults with physical impairments: qualitative study using social-ecological model. BMC Sports Sci Med Rehabil. 2020 Jul 8;12:41. doi: 10.1186/s13102-020-00187-8. eCollection 2020.
PMID: 32670590RESULTPicorelli AM, Pereira LS, Pereira DS, Felicio D, Sherrington C. Adherence to exercise programs for older people is influenced by program characteristics and personal factors: a systematic review. J Physiother. 2014 Sep;60(3):151-6. doi: 10.1016/j.jphys.2014.06.012. Epub 2014 Aug 3.
PMID: 25092418RESULTChung PK, Leung KM. Psychometric Properties of Eight-Item Physical Activity Enjoyment Scale in a Chinese Population. J Aging Phys Act. 2018 Oct 12:1-6. doi: 10.1123/japa.2017-0212. Online ahead of print.
PMID: 29722637RESULTLam CL, Tse EY, Gandek B. Is the standard SF-12 health survey valid and equivalent for a Chinese population? Qual Life Res. 2005 Mar;14(2):539-47. doi: 10.1007/s11136-004-0704-3.
PMID: 15892443RESULTNettleton B, Smith RG. An approach to the investigation of coincidence anticipation in ball-tracking skills. Percept Mot Skills. 1980 Apr;50(2):676-8. doi: 10.2466/pms.1980.50.2.676.
PMID: 7375321RESULTKatz-Leurer M, Fisher I, Neeb M, Schwartz I, Carmeli E. Reliability and validity of the modified functional reach test at the sub-acute stage post-stroke. Disabil Rehabil. 2009;31(3):243-8. doi: 10.1080/09638280801927830.
PMID: 18608433RESULTHol AT, Eng JJ, Miller WC, Sproule S, Krassioukov AV. Reliability and validity of the six-minute arm test for the evaluation of cardiovascular fitness in people with spinal cord injury. Arch Phys Med Rehabil. 2007 Apr;88(4):489-95. doi: 10.1016/j.apmr.2006.12.044.
PMID: 17398251RESULTBerg K, Wood-Dauphinee S, Williams JI. The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995 Mar;27(1):27-36.
PMID: 7792547RESULTFolstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov;12(3):189-98. doi: 10.1016/0022-3956(75)90026-6. No abstract available.
PMID: 1202204RESULTLeung KM, Chung PK, Chu W, Ng K. Physical and psychological health outcomes of a sitting light volleyball intervention program on adults with physical disabilities: a non-randomized controlled pre-post study. BMC Sports Sci Med Rehabil. 2021 Aug 28;13(1):100. doi: 10.1186/s13102-021-00328-7.
PMID: 34454587RESULTBishop GM, Kavanagh AM, Disney G, Aitken Z. Trends in mental health inequalities for people with disability, Australia 2003 to 2020. Aust N Z J Psychiatry. 2023 Dec;57(12):1570-1579. doi: 10.1177/00048674231193881. Epub 2023 Aug 22.
PMID: 37606227RESULTBuffart LM, Roebroeck ME, Rol M, Stam HJ, van den Berg-Emons RJ; Transition Research Group South-West Netherlands. Triad of physical activity, aerobic fitness and obesity in adolescents and young adults with myelomeningocele. J Rehabil Med. 2008 Jan;40(1):70-5. doi: 10.2340/16501977-0135.
PMID: 18176740RESULTJung J, Leung W, Schram BM, Yun J. Meta-Analysis of Physical Activity Levels in Youth With and Without Disabilities. Adapt Phys Activ Q. 2018 Oct 1;35(4):381-402. doi: 10.1123/apaq.2017-0123. Epub 2018 Oct 30.
PMID: 30376716RESULT
Related Links
- Census and Statistics Department, SAR Government of Hong Kong. Persons with disabilities and chronic diseases in Hong Kong. Hong Kong: Census and Statistics Department; Accessed Feb 20, 2022.
- China Disabled Persons' Federation. Statistics on the development of persons with disabilities in 2023. Accessed Feb 20, 2022.
- World Health Organization. WHO guidelines on physical activity and sedentary behaviour: at a glance. Accessed Feb 20, 2022. Published 2020.
Study Officials
- PRINCIPAL INVESTIGATOR
Lynda Ransdell, Professor and Chair
Boise State University
- PRINCIPAL INVESTIGATOR
Che Hin CHAN, Vice President Chair Professor
Education University of Hong Kong
- PRINCIPAL INVESTIGATOR
Ng KWOK, Chief Scientist Professor
Lithuanian Sports University
- PRINCIPAL INVESTIGATOR
Wei Ping TU, Developmental Director
ParaVolley Asia Oceania
- PRINCIPAL INVESTIGATOR
Paul Lee Hong, Associate Professor
University of Southampton
- PRINCIPAL INVESTIGATOR
Claudia Wong Ming Yu, Assistant Professor
Education University of Hong Kong
- PRINCIPAL INVESTIGATOR
Patrick Yung Shu Hang, Professor, Chairman
Chinese University of Hong Kong
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Independent evaluators assessing participants' outcomes, and those involved in data entry and analysis will be blinded to group assignments.
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor, Principal Investigator
Study Record Dates
First Submitted
August 15, 2025
First Posted
September 10, 2025
Study Start (Estimated)
July 1, 2026
Primary Completion (Estimated)
December 31, 2029
Study Completion (Estimated)
December 31, 2029
Last Updated
September 10, 2025
Record last verified: 2025-09
Data Sharing
- IPD Sharing
- Will not share