Training to implement a community program has positive effects on health promoters: JC FAMILY Project

Lai, Agnes Yuen Kwan; Stewart, Sunita M.; Wan, Alice; Shen, Chen; Ng, Charles; Kwok, Lit Tung; Chan, Sophia Siu Chee; Ho, Sai Yin; Lam, Tai Hing

doi:10.1093/tbm/iby070

Cited by 6 publications

(11 citation statements)

References 38 publications

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“…More examples of ZTEx are shown in our YouTube videos (https://www.youtube.com/watch?v=ym3nGLGE4fg). Our pilot trials on ZTEx for lay health promoters ( n = 28) and individuals with insomnia ( n = 37) showed increased physical activity and perceived well‐being (Lai et al, ; Yeung et al, ). ZTEx uses a foot‐in‐the‐door approach to initiate simple behaviour change as the first step in behaviour and lifestyle changes.…”

Section: Introductionmentioning

confidence: 99%

Development and feasibility of a brief Zero‐time Exercise intervention to reduce sedentary behaviour and enhance physical activity: A pilot trial

Lai

Stewart

Wan

et al. 2019

Health Soc Care Community

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A brief intervention using Zero-time Exercise (ZTEx), a foot-in-the-door approach, was developed to reduce sedentary behaviour and increase physical activity. ZTEx refers to the integration of simple strength-and stamina-enhancing physical activity into daily life, which can be done anytime, anywhere and by anyone. This paper presents the development, feasibility, and preliminary evidence for the effectiveness of this intervention under the Hong Kong Jockey Club FAMILY Project. Needs assessments were conducted with social workers from the Christian Family Services Center(CFSC) and the Social Welfare Department (SWD). This single group prospective ZTEx intervention trial, guided by the Health Action Process Approach, included a 3-hr core session at baseline and a 1-hr booster session at 1-month follow-up. Fiftysix participants (social and service-related workers) from CFSC (n = 28) and SWD (n = 28) received the intervention and completed the self-administered questionnaires at baseline. Forty-nine and 43 participants completed the 1-month and 3month self-administered questionnaires, respectively. Fifteen participants attended the focus group interviews to share their feedback on ZTEx intervention after implementing their community-based ZTEx activities. Intention-to-treat analysis was conducted with missing data replaced by baseline values. Participants reported significant decreases in sitting time by 27 (2, 52) minutes (mean [95% confidence interval]) and 36 (0.2, 71) minutes on a weekday, increases in physical activity while seated by 0.7 (0.2, 1.4) days and 1.1 (0.6, 1.7) days in a week, and improvements in perceived knowledge, outcome expectancies and plan on doing ZTEx at the 1-month and 3month follow-up, respectively. Balance and muscle strength significantly improved at the 1-month follow-up. The effect ranged from small to large (Cohen's d: 0.27-1.05, all p < 0.05). The qualitative feedbacks support the quantitative findings. Our findings show early evidence that ZTEx effectively reduced sedentary behaviour and enhanced physical activity and fitness. Further trials on this simple and low-cost intervention as the first step to promote higher intensity exercise are warranted. K E Y W O R D S brief intervention, physical activity, sedentary behaviour, Zero-time Exercise e234 |

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Section: Introductionmentioning

confidence: 99%

Development and feasibility of a brief Zero‐time Exercise intervention to reduce sedentary behaviour and enhance physical activity: A pilot trial

Lai

Stewart

Wan

et al. 2019

Health Soc Care Community

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“…We encouraged the participants to actively participate in the session by getting involved in discussions and sharing their experiences, since an active approach has been shown to be more effective than a passive approach involving didactic educational talks (36). As a result, the participants gained confidence in becoming role models for their family members (25,31).…”

Section: Experimental Groupmentioning

confidence: 99%

“…More examples of ZTEx are shown in our YouTube videos (https://www.youtube.com/user/familyhk3h/videos). Our pilot trials on ZTEx for lay health promoters (n = 28), social service and related workers (n = 56), individuals with insomnia (n = 37) and the elderly (n = 151) showed increased physical activity and perceived well-being (22)(23)(24)(25)(26)(27).…”

Section: Introductionmentioning

confidence: 99%

A Community-Based Lifestyle-Integrated Physical Activity Intervention to Enhance Physical Activity, Positive Family Communication, and Perceived Health in Deprived Families: A Cluster Randomized Controlled Trial

Lai

Lam²,

Fabrizo

et al. 2020

Front. Public Health

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Background: Zero-time exercise (ZTEx) is an approach integrating simple strength-and stamina-enhancing physical activity into daily life. The study evaluated the effectiveness of a community-based lifestyle-integrated physical activity intervention using ZTEx to enhance participants' physical activity, family communication, perceived health and happiness, and family harmony. Methods: A parallel group, cluster randomized controlled trial was conducted in a sample of 673 participants from eight Integrated Family Service Centers in Hong Kong. The experimental group (n = 316) received a physical activity intervention. The control group (n = 357) received information on healthy eating. Both groups received three face-to-face intervention sessions (totalling 6 h and 30 min) and 16 text messages. The primary outcome was the change in days spent engaged in ZTEx. Secondary outcomes included changes in sitting time, days engaged in moderate or vigorous physical activities, family communication (encouraging and engaging family members in ZTEx), dietary habits, perceived health and happiness, and family harmony. Self-administered questionnaires were used at baseline and at 3, 6, and 12 months. Mixed effects models with intention-to-treat analysis was used. Results: Compared with the control group at 3 months, the experimental group showed significantly greater increases of 1.3 days spent doing ZTEx (Cohen's d: 0.60), 0.3 days spent doing moderate physical activity (Cohen's d: 0.08), 0.3 days encouraging family members to do ZTEx (Cohen's d: 0.16), and 0.7 days doing ZTEx with family members (Cohen's d: 0.39) during the 7 days prior. At 3 months, the experimental group also showed a significantly greater improvement in perceived health, by a score of 0.2 (Cohen's d: 0.14). The effect sizes ranged from small to medium, with similar intervention effects at the 6-month and 1-year assessments. Compared with the experimental Lai et al. Positive Lifestyle-Integrated Physical Activity Intervention group, the control group showed a significantly greater reduction of 0.4 days on which sweetened beverages were consumed (95% CI: 0.01, 0.9, p < 0.05, Cohen's d: 0.28). The qualitative results supported the quantitative findings. Conclusions: Our findings show that a community-based lifestyle-integrated physical activity (PA) intervention can enhance physical activity, family communication, and perceived health in deprived families in Hong Kong.

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“…and "Do you think that you are happy?" [7]. Perceived family well-being was assessed by asking three questions: "Do you think that your family is healthy?…”

Section: Perceived Well-beingmentioning

confidence: 99%

“…More examples of ZTEx are shown in our YouTube videos (https://www.youtube.com/ watch?v=ym3nGLGE4fg). Our pilot trials on ZTEx for lay health promoters (n = 28), social service and related workers (n = 56) and individuals with insomnia (n = 37) showed increased physical activity and perceived well-being [5,7,8]. The foot-in-the-door approach is a compliance tactic, which offers the easiest first step to start with, the idea being that small demands are easier to meet [9].…”

Section: Introductionmentioning

confidence: 99%

JC FAMILY Project: Development and feasibility of a pilot trial of a 15-minute Zero-time exercise community-based intervention to reduce sedentary behaviour and enhance physical activity and family communication in older people

2019

Ageing Sci Ment Health Stud

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Objectives: We developed and tested a very brief Zero-time exercise (ZTEx) community-based intervention to reduce sedentary behaviour and enhance physical activity and family communication in older people. ZTEx uses a foot-in-the-door approach to integrate simple strength-and stamina-enhancing physical activity into daily life at anytime, anywhere, and by anybody.Methods: A 15-minute ZTEx intervention mini workshop with demonstrations by interventionists and practice by participants was conducted in each of the 18 districts in Hong Kong for a total of 556 public housing estate residents from 2015 to 2016. 141 participants (87% female, 73% aged ≥ 50 years) completed the evaluation. Primary outcome: intention to increase physical activity. Secondary outcomes: perceived knowledge, attitude (intention and self-efficacy) and practice regarding simple strength-and stamina-enhancing physical activity (i.e. ZTEx), days spent engaged in >= 10-minute moderate or vigorous physical activities and family communication (encouraging and engaging family members in ZTEx), and sitting time.Results: Participants were enthusiastic and enjoyed the workshops. Perceived knowledge and attitude regarding sedentary behaviour, ZTEx, and family communication significantly increased immediately after the workshops (Cohen's d = 0.20 to 0.30, all p < 0.05). At the 2-week follow-up, doing ZTEx and encouraging family members to do ZTEx significantly increased by 0.7 days and 0.4 days (Cohen's d = 0.18 and 0.26, p < 0.05) respectively. Conclusion:Our findings show early evidence that a brief ZTEx community-based intervention is an innovative, enjoyable and effective approach to improve perceived knowledge, attitude, practice, and family communication regarding simple strength-and stamina-enhancing physical activity in older people.

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Training to implement a community program has positive effects on health promoters: JC FAMILY Project

Cited by 6 publications

References 38 publications

Development and feasibility of a brief Zero‐time Exercise intervention to reduce sedentary behaviour and enhance physical activity: A pilot trial

Development and feasibility of a brief Zero‐time Exercise intervention to reduce sedentary behaviour and enhance physical activity: A pilot trial

A Community-Based Lifestyle-Integrated Physical Activity Intervention to Enhance Physical Activity, Positive Family Communication, and Perceived Health in Deprived Families: A Cluster Randomized Controlled Trial

JC FAMILY Project: Development and feasibility of a pilot trial of a 15-minute Zero-time exercise community-based intervention to reduce sedentary behaviour and enhance physical activity and family communication in older people

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