Skip to main content
Top
Published in: Trials 1/2016

Open Access 01-12-2016 | Research

Happy Family Kitchen II: a cluster randomized controlled trial of a community-based positive psychology family intervention for subjective happiness and health-related quality of life in Hong Kong

Authors: Henry C. Y. Ho, Moses Mui, Alice Wan, Yin-lam Ng, Sunita M. Stewart, Carol Yew, Tai Hing Lam, Sophia S. Chan

Published in: Trials | Issue 1/2016

Login to get access

Abstract

Background

Most positive psychology interventions conducted in the West have been focused on the individual. Family relationships are highly valued in the Chinese collectivist culture, and it is of interest to know whether family-focused interventions can improve the well-being of Chinese people. We have previously reported the effectiveness of a positive psychology family intervention in terms of family well-being. Based on the data derived from the Happy Family Kitchen II project, this paper examines the effectiveness of a community-based positive psychology family intervention on subjective happiness and health-related quality of life.

Methods

Thirty-one social service units and schools organized intervention programs for 2070 participants in Hong Kong. In a cluster randomized controlled trial, participants were randomly assigned on the basis of computer-generated numbers into the intervention group or the control group. The intervention programs emphasized one of five positive psychology themes: joy, gratitude, flow, savoring, and listening. The control group engaged in activities unrelated to the intervention, such as arts and crafts workshops. Subjective happiness and mental and physical quality of life were assessed at baseline and at 4 weeks and 12 weeks postintervention.

Results

Data of 1261 participants were analyzed. The results showed that the intervention was more effective than the control condition in improving subjective happiness, with a small effect size, at 12 weeks postintervention (β = .15, p = .020, Cohen’s d = .16). However, there were no improvements in mental and physical quality of life in the intervention group compared with the control group at 4 weeks (β = .39, p = .494, d = .05; β = −.10, p = 1.000, d = −.01, respectively) and 12 weeks postintervention (β = .71, p = .233, d = .08; β = −.05, p = 1.000, d = −.01, respectively). Furthermore, the booster session was no more effective than the tea gathering session in improving subjective happiness (β = .00, p = .990, d = .00) or mental (β = 1.20, p = 1.000, d = −.04) and physical quality of life (β = .15, p = 1.000, d = −.01).

Conclusions

The analyses extend previous findings of salutary effects on family well-being by showing that positive psychology family interventions can improve subjective happiness. Suggestions for future research are proposed.

Trial registration

ClinicalTrials.gov NCT01796275. Retrospectively registered 19 February 2013.
Appendix
Available only for authorised users
Literature
1.
go back to reference Lizano EL, Hsiao HY, Barak MEM, Casper LM. Support in the workplace: buffering the deleterious effects of work–family conflict on child welfare workers’ well-being and job burnout. J Soc Serv Res. 2014;40(2):178–88. http://dx.doi.org/10.1080/01488376.2013.875093.CrossRef Lizano EL, Hsiao HY, Barak MEM, Casper LM. Support in the workplace: buffering the deleterious effects of work–family conflict on child welfare workers’ well-being and job burnout. J Soc Serv Res. 2014;40(2):178–88. http://​dx.​doi.​org/​10.​1080/​01488376.​2013.​875093.CrossRef
3.
go back to reference Schrodt P, Witt PL, Messersmith AS. A meta-analytical review of family communication patterns and their associations with information processing, behavioral, and psychosocial outcomes. Commun Monogr. 2008;75(3):248–69. http://dx.doi.org/10.1080/03637750802256318.CrossRef Schrodt P, Witt PL, Messersmith AS. A meta-analytical review of family communication patterns and their associations with information processing, behavioral, and psychosocial outcomes. Commun Monogr. 2008;75(3):248–69. http://​dx.​doi.​org/​10.​1080/​0363775080225631​8.CrossRef
4.
go back to reference Ho HCY, Mui M, Wan A, Ng YL, Stewart SM, Yew C, et al. Happy Family Kitchen: a community-based research for enhancing family communication and well-being in Hong Kong. J Fam Psychol. In press. Ho HCY, Mui M, Wan A, Ng YL, Stewart SM, Yew C, et al. Happy Family Kitchen: a community-based research for enhancing family communication and well-being in Hong Kong. J Fam Psychol. In press.
5.
go back to reference Ho HCY, Mui M, Wan A, Ng YL, Stewart SM, Yew C, et al. Happy Family Kitchen II: a cluster randomized controlled trial of a community-based family intervention for enhancing family communication and well-being in Hong Kong. Front Psychol. 2016;7:638. doi:10.3389/fpsyg.2016.00638.PubMedPubMedCentral Ho HCY, Mui M, Wan A, Ng YL, Stewart SM, Yew C, et al. Happy Family Kitchen II: a cluster randomized controlled trial of a community-based family intervention for enhancing family communication and well-being in Hong Kong. Front Psychol. 2016;7:638. doi:10.​3389/​fpsyg.​2016.​00638.PubMedPubMedCentral
6.
go back to reference Carson J, Muir M, Clark S, Wakely E, Chander A. Piloting a gratitude intervention in a community mental health team. Groupwork. 2010;20(3):73–87. http://dx.doi.org/10.1921/095182410X576868.CrossRef Carson J, Muir M, Clark S, Wakely E, Chander A. Piloting a gratitude intervention in a community mental health team. Groupwork. 2010;20(3):73–87. http://​dx.​doi.​org/​10.​1921/​095182410X576868​.CrossRef
7.
go back to reference Meyer PS, Johnson DP, Parks A, Iwanski C, Penn DL. Positive living: a pilot study of group positive psychotherapy for people with schizophrenia. J Posit Psychol. 2012;7(3):239–48. http://dx.doi.org/10.1080/17439760.2012.677467.CrossRef Meyer PS, Johnson DP, Parks A, Iwanski C, Penn DL. Positive living: a pilot study of group positive psychotherapy for people with schizophrenia. J Posit Psychol. 2012;7(3):239–48. http://​dx.​doi.​org/​10.​1080/​17439760.​2012.​677467.CrossRef
8.
go back to reference Odou N, Vella-Brodrick DA. The efficacy of positive psychology interventions to increase well-being and the role of mental imagery ability. Soc Indic Res. 2013;110(1):111–29. http://dx.doi.org/10.1007/s11205-011-9919-1.CrossRef Odou N, Vella-Brodrick DA. The efficacy of positive psychology interventions to increase well-being and the role of mental imagery ability. Soc Indic Res. 2013;110(1):111–29. http://​dx.​doi.​org/​10.​1007/​s11205-011-9919-1.CrossRef
9.
go back to reference Pietrowsky R, Mikutta J. Effects of positive psychology interventions in depressive patients—a randomized control study. Psychology. 2012;3(12):1067–73.CrossRef Pietrowsky R, Mikutta J. Effects of positive psychology interventions in depressive patients—a randomized control study. Psychology. 2012;3(12):1067–73.CrossRef
12.
go back to reference Shapira LB, Mongrain M. The benefits of self-compassion and optimism exercises for individuals vulnerable to depression. J Posit Psychol. 2010;5(5):377–89. http://dx.doi.org/10.1080/17439760.2010.516763.CrossRef Shapira LB, Mongrain M. The benefits of self-compassion and optimism exercises for individuals vulnerable to depression. J Posit Psychol. 2010;5(5):377–89. http://​dx.​doi.​org/​10.​1080/​17439760.​2010.​516763.CrossRef
13.
go back to reference DuBois CM, Beach SR, Kashdan TB, Nyer MB, Park ER, Celano CM, et al. Positive psychological attributes and cardiac outcomes: associations, mechanisms, and interventions. Psychosomatics. 2012;53(4):303–18. http://dx.doi.org/10.1016/j.psym.2012.04.004.CrossRefPubMed DuBois CM, Beach SR, Kashdan TB, Nyer MB, Park ER, Celano CM, et al. Positive psychological attributes and cardiac outcomes: associations, mechanisms, and interventions. Psychosomatics. 2012;53(4):303–18. http://​dx.​doi.​org/​10.​1016/​j.​psym.​2012.​04.​004.CrossRefPubMed
14.
go back to reference Shek DTL. Chinese adolescents and their parents’ views on a happy family: implications for family therapy. Fam Ther. 2001;28(2):73–104. Shek DTL. Chinese adolescents and their parents’ views on a happy family: implications for family therapy. Fam Ther. 2001;28(2):73–104.
15.
17.
go back to reference Shek DTL. A longitudinal study of Hong Kong adolescents’ and parents’ perceptions of family functioning and well-being. J Genet Psychol. 1998;159(4):389–403. http://dx.doi.org/10.1080/00221329809596160.CrossRefPubMed Shek DTL. A longitudinal study of Hong Kong adolescents’ and parents’ perceptions of family functioning and well-being. J Genet Psychol. 1998;159(4):389–403. http://​dx.​doi.​org/​10.​1080/​0022132980959616​0.CrossRefPubMed
18.
go back to reference Weytens F, Luminet O, Verhofstadt LL, Mikolajczak M. An integrative theory-driven positive emotion regulation intervention. PLoS One. 2014;9(4):e95677.CrossRefPubMedPubMedCentral Weytens F, Luminet O, Verhofstadt LL, Mikolajczak M. An integrative theory-driven positive emotion regulation intervention. PLoS One. 2014;9(4):e95677.CrossRefPubMedPubMedCentral
20.
go back to reference Siu OL, Cooper CL, Phillips DR. Intervention studies on enhancing work well-being, reducing burnout, and improving recovery experiences among Hong Kong health care workers and teachers. Int J Stress Manag. 2014;21(1):69–84. http://dx.doi.org/10.1037/a0033291.CrossRef Siu OL, Cooper CL, Phillips DR. Intervention studies on enhancing work well-being, reducing burnout, and improving recovery experiences among Hong Kong health care workers and teachers. Int J Stress Manag. 2014;21(1):69–84. http://​dx.​doi.​org/​10.​1037/​a0033291.CrossRef
21.
go back to reference Farver-Vestergaard I, Jacobsen D, Zachariae R. Efficacy of psychosocial interventions on psychological and physical health outcomes in chronic obstructive pulmonary disease: a systematic review and meta-analysis. Psychother Psychosom. 2015;84(1):37–50. http://dx.doi.org/10.1159/000367635.CrossRefPubMed Farver-Vestergaard I, Jacobsen D, Zachariae R. Efficacy of psychosocial interventions on psychological and physical health outcomes in chronic obstructive pulmonary disease: a systematic review and meta-analysis. Psychother Psychosom. 2015;84(1):37–50. http://​dx.​doi.​org/​10.​1159/​000367635.CrossRefPubMed
22.
go back to reference Stanton AL, Luecken LJ, MacKinnon DP, Thompson EH. Mechanisms in psychosocial interventions for adults living with cancer: opportunity for integration of theory, research, and practice. J Consult Clin Psychol. 2013;81(2):318–35. http://dx.doi.org/10.1037/a0028833.CrossRefPubMed Stanton AL, Luecken LJ, MacKinnon DP, Thompson EH. Mechanisms in psychosocial interventions for adults living with cancer: opportunity for integration of theory, research, and practice. J Consult Clin Psychol. 2013;81(2):318–35. http://​dx.​doi.​org/​10.​1037/​a0028833.CrossRefPubMed
26.
go back to reference Lai‐Yeung TWL. Hong Kong parents’ perceptions of the transference of food preparation skills. Int J Consum Stud. 2015;39(2):117–24. http://dx.doi.org/10.1111/ijcs.12158.CrossRef Lai‐Yeung TWL. Hong Kong parents’ perceptions of the transference of food preparation skills. Int J Consum Stud. 2015;39(2):117–24. http://​dx.​doi.​org/​10.​1111/​ijcs.​12158.CrossRef
27.
go back to reference Seligman MEP. Authentic happiness: using the new positive psychology to realize your potential for lasting fulfillment. New York: Free Press; 2002. Seligman MEP. Authentic happiness: using the new positive psychology to realize your potential for lasting fulfillment. New York: Free Press; 2002.
28.
go back to reference Peterson C, Seligman MEP. Character strengths and virtues: a handbook and classification. Washington, DC: American Psychological Association/Oxford University Press; 2004. Peterson C, Seligman MEP. Character strengths and virtues: a handbook and classification. Washington, DC: American Psychological Association/Oxford University Press; 2004.
29.
go back to reference Csikszentmihalyi M. Finding flow: the psychology of engagement with everyday life. The masterminds series. New York: Basic Books; 1997. Csikszentmihalyi M. Finding flow: the psychology of engagement with everyday life. The masterminds series. New York: Basic Books; 1997.
30.
go back to reference Seligman MEP, Park N, Peterson C. The Values In Action (VIA) classification of character strengths. Ric Psicol. 2004;27(1):63–78. Seligman MEP, Park N, Peterson C. The Values In Action (VIA) classification of character strengths. Ric Psicol. 2004;27(1):63–78.
31.
go back to reference Hemming K, Girling A, Sitch A, Marsh J, Lilford R. Sample size calculations for cluster randomised controlled trials with a fixed number of clusters. BMC Med Res Methodol. 2011;11:102.CrossRefPubMedPubMedCentral Hemming K, Girling A, Sitch A, Marsh J, Lilford R. Sample size calculations for cluster randomised controlled trials with a fixed number of clusters. BMC Med Res Methodol. 2011;11:102.CrossRefPubMedPubMedCentral
33.
go back to reference Kauffman C, Silberman J. Finding and fostering the positive in relationships: positive interventions in couples therapy. J Clin Psychol. 2009;65(5):520–31. http://dx.doi.org/10.1002/jclp.20594.CrossRefPubMed Kauffman C, Silberman J. Finding and fostering the positive in relationships: positive interventions in couples therapy. J Clin Psychol. 2009;65(5):520–31. http://​dx.​doi.​org/​10.​1002/​jclp.​20594.CrossRefPubMed
35.
go back to reference Sheridan SM, Warnes ED, Cowan RJ, Schemm AV, Clarke BL. Family-centered positive psychology: focusing on strengths to build student success. Psychol Sch. 2004;41(1):7–17.CrossRef Sheridan SM, Warnes ED, Cowan RJ, Schemm AV, Clarke BL. Family-centered positive psychology: focusing on strengths to build student success. Psychol Sch. 2004;41(1):7–17.CrossRef
36.
go back to reference Lyubomirsky S, Lepper HS. A measure of subjective happiness: preliminary reliability and construct validation. Soc Indic Res. 1999;46(2):137–55. http://dx.doi.org/10.1023/A:1006824100041.CrossRef Lyubomirsky S, Lepper HS. A measure of subjective happiness: preliminary reliability and construct validation. Soc Indic Res. 1999;46(2):137–55. http://​dx.​doi.​org/​10.​1023/​A:​1006824100041.CrossRef
38.
go back to reference Lam CL, Tse EY, Gandek B. Is the standard SF-12 health survey valid and equivalent for a Chinese population? Qual Life Res. 2005;14(2):539–47.CrossRefPubMed Lam CL, Tse EY, Gandek B. Is the standard SF-12 health survey valid and equivalent for a Chinese population? Qual Life Res. 2005;14(2):539–47.CrossRefPubMed
39.
go back to reference Ware JE, Kosinski M, Turner-Bowker DM, Grandek B. How to score version 2 of the SF-12 Health Survey (with a supplement documenting version 1). Lincoln, RI: QualityMetric Incorporated; 2005. Ware JE, Kosinski M, Turner-Bowker DM, Grandek B. How to score version 2 of the SF-12 Health Survey (with a supplement documenting version 1). Lincoln, RI: QualityMetric Incorporated; 2005.
40.
go back to reference Lam CL, Gandek B, Ren XS, Chan MS. Tests of scaling assumptions and construct validity of the Chinese (HK) version of the SF-36 Health Survey. J Clin Epidemiol. 1998;51(11):1139–47.CrossRefPubMed Lam CL, Gandek B, Ren XS, Chan MS. Tests of scaling assumptions and construct validity of the Chinese (HK) version of the SF-36 Health Survey. J Clin Epidemiol. 1998;51(11):1139–47.CrossRefPubMed
42.
go back to reference Fisher LD, Dixon DO, Herson J, Frankowski RK, Hearron MS, Peace KE. Intention to treat in clinical trials. In: Peace KE, editor. Statistical issues in drug research and development. New York: Marcel Dekker; 1990. Fisher LD, Dixon DO, Herson J, Frankowski RK, Hearron MS, Peace KE. Intention to treat in clinical trials. In: Peace KE, editor. Statistical issues in drug research and development. New York: Marcel Dekker; 1990.
44.
go back to reference Schafer JL, Graham JW. Missing data: our view of the state of the art. Psychol Methods. 2002;7(2):147–77.CrossRefPubMed Schafer JL, Graham JW. Missing data: our view of the state of the art. Psychol Methods. 2002;7(2):147–77.CrossRefPubMed
46.
go back to reference Dunson DB. Commentary: practical advantages of Bayesian analysis of epidemiologic data. Am J Epidemiol. 2001;153(12):1222–6.CrossRefPubMed Dunson DB. Commentary: practical advantages of Bayesian analysis of epidemiologic data. Am J Epidemiol. 2001;153(12):1222–6.CrossRefPubMed
47.
go back to reference Cohen J. Statistical power analysis for the behavioral sciences. Revth ed. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.; 1977. Cohen J. Statistical power analysis for the behavioral sciences. Revth ed. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.; 1977.
49.
go back to reference Mongrain M, Anselmo-Matthews T. Do positive psychology exercises work? A replication of Seligman et al. (2005). J Clin Psychol. 2012;68(4):382–9. http://dx.doi.org/10.1002/jclp.21839.CrossRefPubMed Mongrain M, Anselmo-Matthews T. Do positive psychology exercises work? A replication of Seligman et al. (2005). J Clin Psychol. 2012;68(4):382–9. http://​dx.​doi.​org/​10.​1002/​jclp.​21839.CrossRefPubMed
50.
go back to reference Proctor C, Maltby J, Linley PA. Strengths use as a predictor of well-being and health-related quality of life. J Happiness Stud. 2011;12(1):153–69. http://dx.doi.org/10.1007/s10902-009-9181-2.CrossRef Proctor C, Maltby J, Linley PA. Strengths use as a predictor of well-being and health-related quality of life. J Happiness Stud. 2011;12(1):153–69. http://​dx.​doi.​org/​10.​1007/​s10902-009-9181-2.CrossRef
51.
go back to reference Sin NL, Lyubomirsky S. Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: a practice-friendly meta-analysis. J Clin Psychol. 2009;65(5):467–87. http://dx.doi.org/10.1002/jclp.20593.CrossRefPubMed Sin NL, Lyubomirsky S. Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: a practice-friendly meta-analysis. J Clin Psychol. 2009;65(5):467–87. http://​dx.​doi.​org/​10.​1002/​jclp.​20593.CrossRefPubMed
53.
go back to reference Griffiths K. Going upstream: using low intensity CBT interventions to prevent mental health problems. In: Bennett-Levy J, Richards DA, Farrand P, Christensen H, Griffiths KM, Kavanagh DJ, et al., editors. The Oxford guide to low intensity CBT interventions. Oxford, UK: Oxford University Press; 2010. p. 367–71. Griffiths K. Going upstream: using low intensity CBT interventions to prevent mental health problems. In: Bennett-Levy J, Richards DA, Farrand P, Christensen H, Griffiths KM, Kavanagh DJ, et al., editors. The Oxford guide to low intensity CBT interventions. Oxford, UK: Oxford University Press; 2010. p. 367–71.
54.
go back to reference Spoth RL, Kavanagh KA, Dishion TJ. Family-centered preventive intervention science: toward benefits to larger populations of children, youth, and families. Prev Sci. 2002;3(3):145–52. http://dx.doi.org/10.1023/A:1019924615322.CrossRefPubMed Spoth RL, Kavanagh KA, Dishion TJ. Family-centered preventive intervention science: toward benefits to larger populations of children, youth, and families. Prev Sci. 2002;3(3):145–52. http://​dx.​doi.​org/​10.​1023/​A:​1019924615322.CrossRefPubMed
Metadata
Title
Happy Family Kitchen II: a cluster randomized controlled trial of a community-based positive psychology family intervention for subjective happiness and health-related quality of life in Hong Kong
Authors
Henry C. Y. Ho
Moses Mui
Alice Wan
Yin-lam Ng
Sunita M. Stewart
Carol Yew
Tai Hing Lam
Sophia S. Chan
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Trials / Issue 1/2016
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-016-1508-9

Other articles of this Issue 1/2016

Trials 1/2016 Go to the issue