NCT07164508

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

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
225

participants targeted

Target at P75+ for not_applicable

Timeline
43mo left

Started Jul 2026

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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

Completed
26 days until next milestone

First Posted

Study publicly available on registry

September 10, 2025

Completed
10 months until next milestone

Study Start

First participant enrolled

July 1, 2026

Expected
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2029

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2029

Last Updated

September 10, 2025

Status Verified

September 1, 2025

Enrollment Period

3.5 years

First QC Date

August 15, 2025

Last Update Submit

September 9, 2025

Conditions

Keywords

Physical ImpairmentsAdapted SportsAdultsHong KongMainland China

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 COMPARATOR

75 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.

Behavioral: Sitting Light Volleyball Intervention

Group Seated Dance Intervention Group

ACTIVE COMPARATOR

75 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.

Behavioral: Group Seated Dance Intervention

Control Group

NO INTERVENTION

75 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.

Sitting Light Volleyball Intervention Group

16-week intervention program for adults with physical disabilities centered around para dance in a group setting of various dance styles.

Group Seated Dance Intervention Group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Location

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.

    RESULT
  • Alvarez K, Salas E, Garofano C. An integrated model of training evaluation and effectiveness. Hum Resour Dev Rev. 2004;3(4):385-416.

    RESULT
  • Lamontagne 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.

    RESULT
  • Wong MYC. Translation and validation of the Mindful Self-Care Scale-Chinese Version: a pilot study. Psych. 2020;2(4):338-346.

    RESULT
  • Winnick JP, Short FX. Conceptual framework for the Brockport Physical Fitness Test. Adapt Phys Activ Q. 2005;22(4):323-332.

    RESULT
  • Leung 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.

    RESULT
  • Leung 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.

  • Leung 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.

    RESULT
  • Zhou 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.

  • Marks 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.

  • Damschroder 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.

  • Leung 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.

  • Picorelli 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.

  • Chung 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.

  • Lam 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.

  • Nettleton 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.

  • Katz-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.

  • Hol 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.

  • Berg 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.

  • Folstein 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.

  • Leung 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.

  • Bishop 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.

  • Buffart 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.

  • Jung 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.

Related Links

Study Officials

  • 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

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Ka Man LEUNG, PhD

CONTACT

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

Locations