Practice-based Intervention Studies

Project Title

Principal Investigator

Year

Progress

Brief description: A quasi-experimental design to see if a mixed mode of service of Enhanced Home & Community Care Service is more therapeutic to maintaining or improving the physical and cognitive functioning, quality of life and self efficacy of users as compared to the single home visit service mode. Sample included existing users and the newly admitted in HKFWS Shun Li Estate (Choi Hung) and Cheong Shan Estate (Tsuen Wan). All participants were screened with MMSE (≧10), BI (≧60), and MFAC (Category IV or above). Experimental subjects will be put through a one-time-a-week group treatment in Day Care Center (4 hours each time, of nursing and excise programs) over the span of 6 months. Observer-rated scales for physcial functioning (Five Time Sit to Stand Test; Hand Grip Power; Time Up and Go Test; Sollerman Hand Function Test), cognitive functioning (MMSE; DRS), psychological functioning (GDS), activity of daily living (BI), Quality of Life (HKQoLEs) and Self Efficacy (GSES) are used, ground staff are also recording for participants’ functioning and their interaction among group mates to see if corresponding changes were evident.

Brief description: As commissioned by Hong Kong Housing Society (HKHS), we are undertaking a focus group study on the two elderly housing projects of HKHS. Through series of focus group discussion, engaging people of different ages, backgrounds and professions, they study shoulder the objective to reveal the vision of affordable elders on the two projects. The result of the pilot study is expected in February 2009, whereas formal administration will begin in March 2009.

CHAN C.M.A.
NG M.W.D.
TANG P.Y.P

February 2008 to 2009

Completed

Brief description:  The quality of elderly homes varies and the current bought place scheme has been introduced over a decade. This study is to propose a policy idea for money-follow-the-elderly in residential care and explore how best the proposed scheme could match the needs of the elders.

CHAN C.M.A.
CHEUNG K.W.K.

February 2008 to June 2008

Completed

Brief description:  Invited the panelists to view the draft webpage and get the recommendations to the website for the future development and improvement.

CHAN C.M.A.
TANG P.Y.P.

October 2007 to December 2008

Completed

Brief description:  An index will be developed based on this 2-stages study. The first stage is an in-depth interview with key policy makers from all relevant policy bureaus (over 20) for refining an instrument (i.e. questionnaire containing items related to demographic and other outcome indicators reflecting older resident’s life quality in Macao. The second stage involves a validation study to validate the same instrument in preparation for a country-wide survey to bench mark the life quality of these residents living in Macao.

CHAN C.M.A.
LO L.F.
CHEUNG K.W.K.

2007

Completed

Brief description:  The objectives of the evaluation study were to evaluation the Senior Citizen Residences Scheme (SEN) in terms of the satisfaction of its participants (tenants and their family) and also to provide empirical data and findings to the HK Housing Society regarding the future of the scheme. Both qualitative and quantitative approaches were adopted in the evaluation study. A total of 500 residents (out of all about 1,000) were successfully interviewed.

CHAN C.M.A.
LO L.F.
CHEUNG K.W.K.

2007 to 2008

Completed

Brief description:  The project is to develop a computerized service quality/ information system for residential care homes in Hong Kong and to evaluate the impacts of computerized management on service quality. Moreover, the research suggests implementation strategies for a better management information system (MIS) for residential care homes.

CHAN C.M.A.
FUNG Y.Y.

September 2005 to June 2008

Completed

Brief description:  The project is an action research designing for whole person development programme guided by liberal art and moral education themes. Targets included pre-school and primary school children to senior secondary school students. The project would involve 60 teachers (kindergarten, primary and secondary) and through the magic, dance and drama for teaching the educators to promote the moral and liberal art education. Older persons will be involved as teaching assistants as well. The estimated benefits students would be over 500 people. Indicators for performance will be developed.

CHAN C.M.A.
MA H.K.C.
FONG M.S.F.
LAU W.N.H.

May 2004 to August 2005

Completed

Brief description:  To promote inter-generational solidarity and encourage a life-long commitment to community services and through a series of training workshops, delivery of services, conducting group projects, attending seminars, refection meetings and visiting tours etc. Students will build up their competence on health care knowledge, communication and organization skills, and culture understandings. The scheme also attempts to develop an innovative mode of learning and curriculum, which benefits the community as a whole.

CHAN C.M.A.

October 2003 to September 2006

Completed

Brief description:  To promote the development of social capitals by adopting the Social Participation, Self-help and Mutual-help as well as Networking approach. The performance indicators include the output and outcome standards of each programme and the development of Social Capital is evaluated in qualitative and quantitative approach.

CHAN C.M.A.
LAU W.N.H.

June 2004 to June 2005

Completed

Brief description:  An action-evaluation project in measuring the effects (including spilt over effect) of a smoking prevention initiative. The project included a series of exhibitions and health talks to youth centres and secondary schools hosted by two older and four younger smoking prevention ambassadors.

CHAN C.M.A.

2004

Completed

Brief description: 

CHAN C.M.A.

2004

Completed

Brief description: 

CHAN C.M.A.

2004 to 2005

Completed

Brief description:  A multiple baselines quasi-experimental design to see if mahjong is therapeutic to maintaining or improving cognitive functioning. Sample included all those residents who could contemplate and willing to play mahjong from the 10 nursing homes managed under the Yanchai Hospital Social Services. All participants were screened with mild or moderate dementia, put through an intensive schedule of mahjong playings (two or four times a week, 1-2 hours in each play). Observer-rated scales for cognitive functioning (MMSE), memories (Digit-span), depression (GDS) and positive affect (happiness) were used, home staff were also recording for participants’ daily functioning t6o see if corresponding changes were evident.

CHAN C.M.A.
PHILLIPS D.R.
FONG M.S.F.

2004 to 2006

Completed

Brief description:  The study explored the tripartite relationships between the formal carer, the informal carer (family carer) and the caree (i.e. the elderly person receiving care). The dynamic relationships will be revealed through in-depth study on 6 three-person groups (each interviewed for three times).

CHAN C.M.A.
FONG M.S.F.

October 2002 to October 2004

Completed

Brief description:  The design involved a protocol for a central evaluation of all projects funded under the CitiSuccess Scheme (40 projects). A questionnaire containing core domains of expected outcomes was developed and used for the allocation of funds.

CHAN C.M.A.

June 2004 to June 2005

Completed

Brief description:  This is an action research in looking at the feasibility of training both the elderly people (N=20) and secondary pupils (N=20) as anti-smoking campaign workers. They would be trained through a series of workshops in preparing for public speaking and presentations, and publicity material. Their improvements

CHAN C.M.A.
LUK K.L.

June 2003 to June 2004

Completed

Brief description:  This again is an action research looking at developing a model of smoking prevention. Use of elderly (N=20) people (who were smokers before) to teach the secondary school students (N=20) not to smoke. These experiential sessions would be developed into educational material for the group (both students and elderly people) to present in local schools and community centers.

CHAN C.M.A.
FONG.M.S.F

2003 to 2004

Completed

Brief description:  The study involved an auditing of services provided to a selected group of elderly people who were members of the Yanchai social services. Some twenty service centres were involved providing services to over 1,000 elderly members through a donation. Service quality, members’ participation, and cost-effectness were looked at and reported.

CHAN C.M.A.

2002 to 2003

Completed

Brief description:  This is two-staged study involving reviewing existing smoking prevention programmes to develop a standardized measurement tool for the effectiveness of these programmes

CHAN C.M.A.

2002 to 2003

Completed

Brief description:  This is two-staged study involving reviewing existing smoking prevention programmes to develop a standardized measurement tool for the effectiveness of these programmes

CHAN C.M.A.

2002

Completed

Brief description: 

CHAN C.M.A.

2001 to 2004

Completed

Brief description:  An action research project involving the programme workers in developing an instrument to measure effectiveness of their smoking prevention programmes, which included mass publicity, groups and case interventions. Guidelines and advices to conduct the evaluation were issued and discussed in a steering committee set up for this project, while programme workers acted like research assistants in data collection. This is a ‘skill transfer’ arrangement – in the sense that research and evaluation skills were taught to programme staff in doing this project.

CHAN C.M.A.

2001 to 2002

Completed

Brief description:  The study employed a grounded theory approach to investigate what were expected from the enhanced home care services (EHCS) from different stake-holders’ perspectives. Initial criteria for recruits were frailty (limited mobility and very frail), age (65-74, and 75+), primary carers and front line EHCS providers. The initial results showed that the EHCS were not exactly matched with those expected by the users (elderly persons and their primary carers).

CHAN C.M.A.
PHILLIPS D.R.
LEUNG K.F.

2001 to 2002

Completed

Brief description:  The study aimed at explore the applicability of a Chinese version of the WHOQoL (Old) with four purposively selected groups: healthy and young-old, frail and young old, healthy and old-old, and frail and old-old. Preliminary results showed that the instrument was valid.

CHAN C.M.A.
PHILLIPS D.R.
YU C.S.

2001 to 2002

Completed

Brief description:  The original SHORT-CARE instrument was translated into Chinese and back translated into English. A total of 67 cases were captured over a 18 months period. Each went through a thorough observer-rated assessment using the SHORT-CARE (Chinese) instrument. Results showed that the scoring structure and other performance of the instrument were comparable to the original qualities.