Skip to content

Amazing Start Parenting Program

Having an Amazing Start? A Randomized Controlled Trial Evaluating the Effectiveness of a Parenting Intervention

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07403903
Enrollment
270
Registered
2026-02-11
Start date
2023-09-01
Completion date
2027-06-30
Last updated
2026-02-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Parenting Intervention

Keywords

Child development, Parenting, Well-being

Brief summary

Whether young children can develop healthily depends a lot on the family environment where they grow up in. Risk factors, such as low family income or health issues within the family, may pose threats to young children's development. To mitigate the effects of these risk factors, the research team has developed a community parenting program titled "Amazing Start", which aims to improve young children's well-being through the provision of parenting interventions to the families with known risk factors. The parenting interventions include one-to-one coaching on parent-child interactions as well as parent support groups that are led by social workers. This 2-year study aims to investigate the effectiveness and sustainability of the "Amazing Start" community parenting intervention program for at-risk families across three districts in Hong Kong using a randomized controlled trial. Participating families are randomized to either the experimental group, where parenting interventions are provided for a period of 9 months, or the wait-list control group, where no parenting intervention is provided during this 9-month period. Pre-test and post-test are conducted to assess the development of young children, as well as the parental stress, parental sense of competence, and parental satisfaction of the participating families. The wait-list control group receives the parenting intervention after the post-test.

Detailed description

There are strong relations between children's family background and their development. Infants and toddlers growing up in single-parent families, low-income families, and families with members having physical or mental health issues are less likely to meet developmental milestones at appropriate times compared to their peers who grow up in intact, well-off, and healthy families. The lack of parenting knowledge and skills is one of the potential factors that may explain the relation between children's family background and their development. Infants and toddlers growing up in at-risk families may face more stressors, and they may not have the means to acquire relevant parenting knowledge and skills that are important for children's development. Intervention programs that target parenting skills may help mitigate the negative effects of these risk factors on children's development. Observing this service gap, the research team has developed a parenting program titled "Amazing Start". The program aims to improve infants' and toddlers' development through improving parents' parenting skills and reducing their parental stress. These interventions involve one-to-one coaching on parent-child interactions as well as parent support groups that are led by social workers. The intervention is delivered to those who have 2 or more of the risk factors listed below: (1) single-parent family, (2) ethnic minority, (3) new parents, (4) low-income family, (5) families with newborn twins, (6) persistent family conflicts, and (7) family members suffering from long-term illness. A randomized controlled trial will be conducted to examine the effectiveness of the intervention. Families who are identified as having at least 2 risk factors will be randomly assigned to one of the two conditions. Families assigned to the experimental condition will receive the intervention for nine months, while families assigned to the wait-list control condition will not receive any services during this period. Pre-test and post-test will be conducted to assess the program's effectiveness in improving parental sense of competence, reducing parental stress, enhancing parents' satisfaction about parenting, as well as promoting infants' and toddlers' development. The wait-list control group will receive the parenting intervention after the post-test.

Interventions

BEHAVIORALAmazing start parenting intervention

* 14 session on Parent-child Play Group * 14 session on 1 on 1 Playdate cum Parent-child Play-based Coaching * 6 session on Mentorship \& Parents Social Network * 4-6 session on Parents' Wellness Program * 2 Amazing Start Boxes

Sponsors

The University of Hong Kong
Lead SponsorOTHER
Chow Tai Fook Charity Foundation
CollaboratorUNKNOWN
Lee Hysan Foundation
CollaboratorUNKNOWN

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
0 Months to 36 Months
Healthy volunteers
No

Inclusion criteria

* 1\. Families with infants and toddlers aged 0 to 36 months * 2\. Families residing in Kwun Tong, Yuen Long, and Yau Tsim Mong Districts * 3\. Families with at least 2 risk factors listed below 1. single-parent family, 2. ethnic minority, 3. new parents, 4. low-income family, 5. families with newborn twins, 6. persistent family conflicts, and 7. family members suffering from long-term illness

Exclusion criteria

* Families with fewer than 2 risk factors listed above

Design outcomes

Primary

MeasureTime frameDescription
Child development9 months after the start of the interventionAges and stages questionnaire - third edition (ASQ-3). The ASQ-3 is a brief screening tool for assessing young children's (aged 1 to 66 months) development in five different domains, namely communication, gross motor, fine motor, problem solving, and personal-social. There are 6 items in each domain. Each item involves a simple task in which the child needs to complete with the relevant materials. As the ASQ-3 consists of different items for children of different age, the number of domains reaching the appropriate developmental milestones will be used as an overall indicator of the child's development.

Secondary

MeasureTime frameDescription
Parenting sense of competence9 months after the start of the interventionParenting sense of competence scale (Gibaud-Wallston \& Wandersman, 1978; Ngai, et al., 2007). This is a 17-item 6-point Likert scale assessing parents' sense of competence. Total score is used in the analysis.
Parental stress9 months after the start of the interventionParental stress scale (Berry and Jones, 1995; translated to Chinese by Cheung, 2000). This is a 17-item 6-point Likert scale assessing parental stress. Total score is used in the analysis.
Parents' life satisfaction9 months after the start of the interventionSatisfaction level on different life aspects. This is a self-report life satisfaction questionnaire developed by the research team. It covers various aspects ranging from parent's attitude towards parent-child interactions, the mastery of parenting knowledge and skills, family interaction patterns, as well as self-control of emotions. Each domain is rated along a 11 point Likert scale, ranging from 0 (very unsatisfactory) to 10 (very satisfactory). Total score is used in the analysis.
Cost effectiveness48 months after the start of the interventionAfter the intervention, the research team will obtain information about the cost of service delivery in order to calculate the cost-effectiveness of the program. Cost-effectiveness of the parenting program versus control will be assessed and expressed in terms of incremental cost per one unit gain in effectiveness.

Countries

Hong Kong

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026