NCT03593889

Brief Summary

To develop a viable and sustainable best practice model to promote elderly mental wellness and prevent elderly depression for Hong Kong, the Hong Kong Jockey Club Charities Trust has initiated a pilot holistic support project entitled "JC JoyAge: Holistic Support Project for Elderly Mental Wellness". Commenced in October 2016, this 3-year project will deliver six programmes: (1) social services staff training; (2) peer supporters certificate training; (3) outreach and engagement activities for at-risk older adults; (4) standardized prevention and early intervention service; (5) community education programmes; and (6) public awareness and public education activities in four pilot districts in Hong Kong, namely Kwun Tong, Sham Shui Po, Kwai Chung, and Tseung Kwan O. The project aims specifically to:

  1. 1.Evaluate the effectiveness of a collaborative stepped care and peer support programme in engaging older people at-risk of or with depression;
  2. 2.Evaluate the efficacy of the programme in reducing symptoms/risks and promoting wellbeing in older people at-risk of or with depression;
  3. 3.Investigate the impact of the programme on care resources utilization in these older adults.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
3,702

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2017

Longer than P75 for not_applicable

Geographic Reach
1 country

8 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2017

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

May 29, 2018

Completed
2 months until next milestone

First Posted

Study publicly available on registry

July 20, 2018

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2020

Completed
1.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2022

Completed
Last Updated

July 29, 2024

Status Verified

July 1, 2024

Enrollment Period

3.3 years

First QC Date

May 29, 2018

Last Update Submit

July 25, 2024

Conditions

Depressive Symptoms

Keywords

Collaborative stepped carePeer supportEarly identificationSelective preventionIndicated prevention

Outcome Measures

Primary Outcomes (1)

  • Change from baseline depression at 12 months

    Depression will be measured by the Patient Health Questionnaire (PHQ-9). The total score will be used, ranging from 0 to 27. Higher scores indicate higher levels of depressive symptoms.

    Baseline and 12-month follow-up

Secondary Outcomes (8)

  • Change from baseline loneliness at 12 months

    Baseline and 12-month follow-up

  • Change from baseline life engagement at 12 months

    Baseline and 12-month follow-up

  • Change from baseline self-harm risk at 12 months

    Baseline and 12-month follow-up

  • Change from baseline anxiety at 12 months

    Baseline and 12-month follow-up

  • Change from baseline cognitive function at 12 months

    Baseline and 12-month follow-up

  • +3 more secondary outcomes

Study Arms (2)

Intervention group

EXPERIMENTAL

The intervention group will receive a collaborative stepped care programme provided by registered social workers and trained peer supporters from elderly or mental health service units (NGOs) according to level of risks, symptom severity, and intervention response. Home visits or other format of contact will be delivered by trained peer supporters employed by NGOs to detect and engage hidden cases.

Behavioral: Collaborative stepped care and peer support programme

Control group

OTHER

The control group will receive treatment as usual, which will be determined by the responsible worker from NGO units.

Other: Treatment as usual

Interventions

Collaborative stepped care and peer support programmeBEHAVIORAL

For "at-risk" group, 4 weeks of "selective prevention" group sessions will be provided at the elderly service level by trained peer supporters with registered social worker supervision, on wellness topics tailored to the person's concern as entry point, packaged with mental health information, followed by a review. For mild group, 6-8 weeks of indicated prevention with psychoeducation or low-intensity psychotherapy would be provided. For moderate group, 6-8 weeks high-intensity cognitive behavioral therapy (CBT) would be provided. All intervention for depressed elderly would be conducted by registered social workers. The trained peer supporters will be matched to individual older adults to walk them through the process with regular follow-up for 1 year.

Intervention group
Treatment as usualOTHER

The control group will receive treatment as usual, which will be determined by the responsible workers from NGO units.

Control group

Eligibility Criteria

Age60 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • residing in Kwun Tong, Kwai Chung, Tseung Kwan O, or Sham Shui Po; and
  • have one or more known risk factor(s) for developing depression; and/or
  • have depressive symptoms of mild level or above; and
  • able to give informed consent to participate

You may not qualify if:

  • known history of autism, intellectual disability, schizophrenia-spectrum disorder, bipolar disorder, Parkinson's disease, or dementia; and
  • imminent suicidal risk; and
  • difficulty in communication

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

Hong Kong Sheng Kung Hui Lady MacLehose Centre

Kwai Chung, Hong Kong

Location

New Life Psychiatric Rehabilitation Association

Kwai Chung, Hong Kong

Location

Christian Family Service Centre

Kwun Tong, Hong Kong

Location

The Mental Health Association of Hong Kong

Kwun Tong, Hong Kong

Location

Caritas Hong Kong

Sham Shui Po, Hong Kong

Location

New Life Psychiatric Rehabilitation Association

Sham Shui Po, Hong Kong

Location

Christian Family Service Centre

Tseung Kwan O, Hong Kong

Location

Haven of Hope Christian Service

Tseung Kwan O, Hong Kong

Location

Related Publications (4)

  • Wong SMY, Leung DKY, Liu T, Ng ZLY, Wong GHY, Chan WC, Lum TYS. Comorbid anxiety, loneliness, and chronic pain as predictors of intervention outcomes for subclinical depressive symptoms in older adults: evidence from a large community-based study in Hong Kong. BMC Psychiatry. 2024 Nov 21;24(1):839. doi: 10.1186/s12888-024-06281-2.

    PMID: 39574082DERIVED

  • Liu T, Peng MM, Wong FHC, Leung DKY, Zhang W, Wong GHY, Lum TYS. Differential Associations Between Depressive Symptom-Domains With Anxiety, Loneliness, and Cognition in a Sample of Community Older Chinese Adults: A Multiple Indicators Multiple Causes Approach. Innov Aging. 2023 Jul 19;7(7):igad075. doi: 10.1093/geroni/igad075. eCollection 2023.

    PMID: 37727600DERIVED

  • Liu T, Leung DKY, Lu S, Kwok WW, Sze LCY, Tse SSK, Ng SM, Wong PWC, Lou VWQ, Tang JYM, Wong DFK, Chan WC, Kwok RYK, Lum TYS, Wong GHY. Collaborative community mental health and aged care services with peer support to prevent late-life depression: study protocol for a non-randomised controlled trial. Trials. 2022 Apr 11;23(1):280. doi: 10.1186/s13063-022-06122-1.

    PMID: 35410292DERIVED

  • Liu T, Lu S, Leung DKY, Sze LCY, Kwok WW, Tang JYM, Luo H, Lum TYS, Wong GHY. Adapting the UCLA 3-item loneliness scale for community-based depressive symptoms screening interview among older Chinese: a cross-sectional study. BMJ Open. 2020 Dec 10;10(12):e041921. doi: 10.1136/bmjopen-2020-041921.

    PMID: 33303463DERIVED

MeSH Terms

Conditions

Depression

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehavior

Study Officials

  • Terry Lum, PhD

    Department of Social Work and Social Administration, The University of Hong Kong

    PRINCIPAL INVESTIGATOR

  • Gloria Wong, PhD

    Department of Social Work and Social Administration, The University of Hong Kong

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: The intervention group will receive a collaborative stepped care programme provided by registered social workers and trained peer supporters from elderly or mental health service units (NGOs) according to level of risks, symptom severity, and intervention response. Home visits or other format of contact will be delivered by trained peer supporters employed by NGOs to detect and engage hidden cases. The control group will receive treatment as usual, which will be determined by the responsible worker from NGO units.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

May 29, 2018

First Posted

July 20, 2018

Study Start

October 1, 2017

Primary Completion

December 31, 2020

Study Completion

April 30, 2022

Last Updated

July 29, 2024

Record last verified: 2024-07

Data Sharing

IPD Sharing
Will not share

Locations

HK(8)