Development and Two-Year Follow-Up Evaluation of a Training Workshop for the Large Preventive Positive Psychology Happy Family Kitchen Project in Hong Kong

Lai, Agnes Yuen Kwan; Mui, M; Wan, Alice; Stewart, Sunita M.; Yew, Carol; Lam, Tai Hing; Chan, Sophia

doi:10.1371/journal.pone.0147712

Cited by 8 publications

(21 citation statements)

References 49 publications

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“…The effect size was the greatest in the current study (Cohen’s d ranged from 0.39 to 1.43), compared with those of the HFK TTT (Cohen’s d ranged from 0.37 to 1.22) and the EFWB TTT (Cohen’s d ranged from 0.24 to 1.06) (26, 27). The greater effect size was possibly because the current workshop was the third one we designed in the FAMILY Project to teach social service sector workers to apply positive psychology constructs in family interventions.…”

Section: Discussioncontrasting

confidence: 46%

“…The aim of the FAMILY Project is to promote health, happiness, and harmony in Hong Kong (website: ) (25). In the first phase of the project, we conducted two TTTs for the Happy Family Kitchen Project (HFK) and the Enhancing Family Well-being Project (EFWB) to teach social service workers to develop community-based positive psychology family interventions (26, 27) leaving them with some freedom with regard to the specific content of their interventions. The second phase, the Happy Family Kitchen Project-II (HFK-II) aimed to increase public health impact by recruiting a larger sample of underprivileged families from different districts in Hong Kong and to respond to the expressed interest of frontline staff in the design and assessment of programs.…”

Section: Introductionmentioning

confidence: 99%

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An Evaluation of a Train-the-Trainer Workshop for Social Service Workers to Develop Community-Based Family Interventions

Lai

Stewart

Mui

et al. 2017

Front. Public Health

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IntroductionEvaluation studies on train-the-trainer workshops (TTTs) to develop family well-being interventions are limited in the literature. The Logic Model offers a framework to place some important concepts and tools of intervention science in the hands of frontline service providers. This paper reports on the evaluation of a TTT for a large community-based program to enhance family well-being in Hong Kong.MethodsThe 2-day TTT introduced positive psychology themes (relevant to the programs that the trainees would deliver) and the Logic Model (which provides a framework to guide intervention development and evaluation) for social service workers to guide their community-based family interventions. The effectiveness of the TTT was examined by self-administered questionnaires that assessed trainees’ changes in learning (perceived knowledge, self-efficacy, attitude, and intention), trainees’ reactions to training content, knowledge sharing, and benefits to their service organizations before and after the training and then 6 months and 1 year later. Missing data were replaced by baseline values in an intention-to-treat analysis. Focus group interviews were conducted approximately 6 months after training.ResultsFifty-six trainees (79% women) joined the TTT. Forty-four and 31 trainees completed the 6-month and 1-year questionnaires, respectively. The trainees indicated that the workshop was informative and well organized. The TTT-enhanced trainees’ perceived knowledge, self-efficacy, and attitudes toward the application of the Logic Model and positive psychology constructs in program design. These changes were present with small to large effect size that persisted to the 1 year follow-up. The skills learned were used to develop 31 family interventions that were delivered to about 1,000 families. Qualitative feedback supported the quantitative results.ConclusionThis TTT offers a practical example of academic-community partnerships that promote capacity among community social service workers. Goals included sharing basic tools of intervention development and evaluation, and the TTT offered, therefore, the potential of learning skills that extended beyond the lifetime of a single program.Clinical trial registrationThe research protocol was registered at the National Institutes of Health (identifier number: NCT01796275).

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Section: Discussioncontrasting

confidence: 46%

Section: Introductionmentioning

confidence: 99%

An Evaluation of a Train-the-Trainer Workshop for Social Service Workers to Develop Community-Based Family Interventions

Lai

Stewart

Mui

et al. 2017

Front. Public Health

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“…The training workshop was assessed systematically by a four-level model-based evaluation [ 20 ]. The findings showed that the perceived knowledge, self-efficacy and attitude towards the topics covered significantly improved after training, which were similar to the findings of our previous TTT workshops for social workers to implement family well-being programs [ 37 , 38 ]. The effects on knowledge and attitude towards practice were sustained to one year, but not the self-efficacy.…”

Section: Discussionsupporting

confidence: 85%

Development and evaluation of a training workshop for lay health promoters to implement a community-based intervention program in a public low rent housing estate: The Learning Families Project in Hong Kong

et al. 2017

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This paper presents the development and evaluation of the train-the-trainer (TTT) workshop for lay resident leaders to be lay health promoters. The TTT workshop aimed to prepare the trainees to implement and/or assist in conducting a series of community-based family well-being activities for the residents in a public low rent housing estate, entitled “Learning Families Project”, under the FAMILY project. The four-hour TTT workshop was conducted for 32 trainees (72% women, 43% aged ≥ 60, 41% ≤ elementary school education). The workshop aimed to promote trainees’ knowledge, self-efficacy, attitude and practice of incorporating the positive psychology themes into their community activities and engaging the residents to join these activities and learn with their family members. Post-training support was provided. The effectiveness of the TTT was examined by self-administered questionnaires about trainees’ reactions to training content, changes in learning and practice at three time points (baseline, and immediately and one year after training), and the difference in residents’ survey results before and after participating in the community activities delivered by the trainees. The trainees’ learning about the general concepts of family well-being, learning family, leadership skills and planning skills increased significantly with medium to large effect sizes (Cohen’s d: 0.5–1.4) immediately after the training. The effects of perceived knowledge and attitude towards practice were sustained to one year (Cohen’s d: 0.4–0.6). The application of planning skills to implement community activities was higher at one year (Cohen’s d: 0.4), compared with baseline. At one year, the residents’ survey results showed significant increases in the practice of positive communication behaviours and better neighbour cohesions after joining the family well-being activities of LFP. Qualitative feedback supported the quantitative results. Our TTT workshop could serve as a practical example of development and evaluation of training programs for lay personnel to be lay health promoters.Trial registration: ClinicalTrials.gov NCT02844244

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“…This strategy enables low cost, preventive, and population-wide health promotion interventions ( 5 ). The academic and community collaborative approach ( 6 ) that drives the TTT has been shown to work well outside the West ( 7 ), but there are few studies that include rigorous evaluation of TTTs.…”

Section: Introductionmentioning

confidence: 99%

“…The workshop was delivered to 50 agency staff and was reported to successfully enhance agency staff’s competence and performance in applying positive psychology constructs in their family interventions. Following the workshop, the staff developed and implemented 23 interventions ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

Development and Evaluation of a Train-the-Trainer Workshop for Hong Kong Community Social Service Agency Staff

Zhou

Stewart

Wan

et al. 2017

Front. Public Health

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IntroductionCapacity building approaches are useful in large-scale community-based health promotion interventions. However, models to guide and evaluate capacity building among social service agency staff in community settings are rare in the literature. This paper describes the development and evaluation of a 1-day (7 h) train-the-trainer (TTT) workshop for the “Enhancing Family Well-Being Project”. The workshop aimed at equipping staff from different community agencies with the knowledge and skills to design, implement, and evaluate positive psychology-based interventions for their clients in Sham Shui Po, an over-crowded and low-income district in Hong Kong.MethodsThe current TTT extended and improved on our previous successful model by adding research and evaluation methods (including the Logic Model, process evaluation, and randomized controlled trial), which are important to plan and evaluate the community interventions. Evaluation of the TTT was guided by the Integrated Model of Training Evaluation and Effectiveness (IMTEE), with quantitative and qualitative methods. Quantitative data were collected from pretraining (T1), post-training (T2), and 6-month (T3) and 12-month (T4) follow-up surveys. Qualitative data were collected from four focus groups of agency staff after the intervention.ResultsNinety-three staff from 30 community agencies attended the training, and 90 completed the baseline survey. Eighty-eight, 63, and 57 staff performed the evaluations at T2, T3, and T4, respectively. Agency staff were satisfied with the TTT. Immediate enhancement of knowledge, self-efficacy, and positive attitudes toward the training content was found at T2 (Cohen’s d ranged from 0.24 to 1.22, all p < 0.05). Enhancement of knowledge of all training contents persisted at T3 and T4 (Cohen’s d ranged from 0.34 to 0.63, all p < 0.05). Enhancement of self-efficacy in the use of positive psychology in intervention design persisted at T3 (Cohen’s d = 0.22, p = 0.04). The skills learned were utilized to plan and develop subsequent interventions. Twenty-nine interventions were successfully designed and implemented by the agency staff, and delivered to 1,586 participants. The agency staff indicated their intention to utilize the skills they had learned for other interventions (score ≥4 out of 6) and to share these skills with their colleagues. Qualitative feedbacks from 23 agency staff supported the quantitative results.ConclusionOur brief TTT was effectively delivered to a large number of agency staff and showed effects that persisted up to 12 months. Our training and evaluation models may offer a template for capacity building among social service agency staff for community brief, universal family health promotion interventions in diverse settings.

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Development and Two-Year Follow-Up Evaluation of a Training Workshop for the Large Preventive Positive Psychology Happy Family Kitchen Project in Hong Kong

Cited by 8 publications

References 49 publications

An Evaluation of a Train-the-Trainer Workshop for Social Service Workers to Develop Community-Based Family Interventions

An Evaluation of a Train-the-Trainer Workshop for Social Service Workers to Develop Community-Based Family Interventions

Development and evaluation of a training workshop for lay health promoters to implement a community-based intervention program in a public low rent housing estate: The Learning Families Project in Hong Kong

Development and Evaluation of a Train-the-Trainer Workshop for Hong Kong Community Social Service Agency Staff

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