Abstract
This paper describes a program of brief, universal, positive psychology-based interventions to increase targeted behaviors that enhance family relationships, developed and delivered to over 1500 participants using a community-based participatory approach. The cluster-randomized design combined interventions based on one of three themes (gratitude, hope, or open-mindedness) in one of two structures (intervention, or intervention with planning). The latter structure supplemented with materials and exercises derived from the Health Action Process Approach model of behavior change. Planning was more effective in increasing attitude and intention to perform behaviors, frequency of the targeted behaviors, and family health and happiness (Cohen’s ds: 0.10–0.16, p < 0.05), particularly in the theme targeting open-mindedness. Qualitative data supported effectiveness. This project was a first effort to develop a large-scale preventive psychological intervention in an understudied culture with the goal of maximizing acceptability and utilization by involving community stakeholders in every stage of the design.
Acknowledgments
This study was developed as a part of the project ‘FAMILY: a Jockey Club Initiative for a Harmonious Society. This work was supported by the Hong Kong Jockey Club Charities Trust. We are most grateful to our community collaborators (Sham Shui Po District Social Welfare Office of Social Welfare Department and 30 participating NGOs) and program participants.
Disclosure statement
No potential conflict of interest was reported by the authors.
Notes
This research was conducted at The School of Public Health, The University of Hong Kong, 5/F William MW Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong.