Abstract
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
Highlights
Development and results of a systematic evaluation of a training workshop for lay resident leaders to be lay health promoters of a public low rent housing estate in Hong Kong
We provided incentives of HK$1000 per program to the Mutual Aid Committees of the housing block for the trainees together with the committees organized community activities based on the guidance received in the workshop, and delivered them in their own housing blocks, with the post-training support from the research team and social workers
There was no significant difference in the characteristics of trainees who participated in the focus group interviews and those who did not, except a significant difference was noted for the duration of volunteer services in Hong Kong ( = 5 years) (p = 0.012) (S2 Appendix)
Summary
Development and results of a systematic evaluation of a training workshop for lay resident leaders to be lay health promoters of a public low rent housing estate in Hong Kong. The training was delivered in two two-hour sessions, which was shorter than many programs described in the literature and was less burdensome and cheaper. Our project is unusual in that the trainees were older and less educated (42% aged !60, and 41% had only elementary education or less). The trainees were taught both to implement with guidance and to assist social workers to conduct a series of community-based family wellbeing activities, under ‘The Learning Families Project’ in Hong Kong [1]. The Learning Families Project aimed to involve trained lay community volunteers to enhance the residents’ family well-being, and neighbourhood cohesion through a series of community activities
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