Social Worker-led Mindfulness-based Intervention for Older People

NCT06528132 | Recruiting

• 1 other identifier: EA220105A
• Study Type: interventional
• Target: 207
• Locations: 1 country
• Sites: 13

Brief Summary

Preliminary findings from a previous study conducted by the investigators suggest that a task-shared approach with modified mindfulness-based cognitive therapy (MBCT) supported by social workers is beneficial in managing depressive symptoms and improving mindful non-reactivity among older adults. However, the possibility for social workers to lead a mindfulness-based intervention (MBI) independently to improve its scalability and service accessibility remains unclear. The project aims to:

1. 1.Evaluate the effectiveness of social worker-led MBI in improving depression in older adults with mild to moderate depressive symptoms as compared to care as usual;
2. 2.Examine the effectiveness of incorporating peer supporters in social worker-led MBI compared to those without peer supporters;
3. 3.To identify potential mechanisms of change in MBI for depressive symptoms.

Conditions

Depressive Symptoms

Keywords

Modified mindfulness-based intervention

Outcome Measures

Primary Outcomes (2)

• Change from baseline depression at Week 6 and Week 18

  Depression will be measured by the validated Chinese version of 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 Week 6, Week 18

• Change from baseline anxiety at Week 6 and Week 18

  Anxiety will be measured by the validated Chinese version of the Generalized Anxiety Disorder scale (GAD-7). The total score will be used, ranging from 0 to 21. Higher scores indicate higher levels of anxiety symptoms.

  Baseline and Week 6, Week 18

Other Outcomes (8)

• Change from baseline mindfulness at Week 6 and Week 18

  Baseline and Week 6, Week 18

• Change from baseline stress at Week 8 and Week 18

  Baseline and Week 6, Week 18

• Change from baseline quality of life at Week 6 and Week 18

  Baseline and Week 6, Week 18

Study Arms (3)

social worker-led MBI (enhanced with peer supporters)

EXPERIMENTAL

Participants in the social worker-led modified MBI group will receive mindfulness training from social workers. In addition, they will receive support from peer supporters.

Behavioral: Mindfulness-based intervention (MBI) (enhanced with peer supporters)

social worker-led MBI (without peer supporters)

EXPERIMENTAL

Participants in the social-worker led modified MBI group will receive mindfulness training from social workers.

Behavioral: Experimental: social worker-led MBI (without peer supporters)

Care as usual group

NO INTERVENTION

The care as usual group will receive usual service provided in District Elderly Community Centres (DECC) and Integrated Community Centre for Mental Wellness (ICCMW).

Interventions

Mindfulness-based intervention (MBI) (enhanced with peer supporters) BEHAVIORAL

Mindfulness-based intervention combines mindfulness meditation with cognitive behavioural therapy (CBT) elements to reduce or prevent recurrent major depressive disorders. On-site support and regular follow-up by peer supporters.

social worker-led MBI (enhanced with peer supporters)

Experimental: social worker-led MBI (without peer supporters) BEHAVIORAL

Mindfulness-based intervention combines mindfulness meditation with cognitive behavioural therapy (CBT) elements to reduce or prevent recurrent major depressive disorders.

social worker-led MBI (without peer supporters)

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years or older
• have depressive symptoms of mild level or above, as indicated by scoring 5-14 on PHQ-9
• can 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
• current abuse of drugs or alcohol
• difficulty in communication
• imminent suicidal risk
• timing or training is unsuitable for the participant

Sponsors & Collaborators

• The University of Hong Kong: lead
• The Hong Kong Jockey Club Charities Trust: collaborator
• Christian Family Service Centre: collaborator
• The Mental Health Association of Hong Kong: collaborator
• The Salvation Army, Hong Kong and Macau Command: collaborator
• Haven of Hope Hospital: collaborator
• Hong Kong Sheng Kung Hui: collaborator
• Tung Wah Group of Hospitals: collaborator
• Aberdeen Kai-fong Welfare Association: collaborator
• Hong Kong Society for the Aged: collaborator
• Neighbourhood Advice-Action Council: collaborator

Study Sites (13)

Hong Kong Society for the Aged

Eastern District, Hong Kong

RECRUITING

HKSKH Lok Man Alice Kwok Integrated Service Centre

Kowloon City, Hong Kong

RECRUITING

SKH Holy Carpenter Church

Kowloon City, Hong Kong

RECRUITING

The Mental Health Association of Hong Kong

Kwun Tong, Hong Kong

RECRUITING

Haven of Hope District Elderly Community Service

Sai Kung, Hong Kong

NOT YET RECRUITING

Wellness Zone - Integrated Community Centre for Mental Wellness

Sai Kung, Hong Kong

NOT YET RECRUITING

HKSKH Western District Elderly Community Centre

Sai Wan, Hong Kong

NOT YET RECRUITING

TWGHs Lok Hong Integrated Community Centre for Mental Wellness

Sai Wan, Hong Kong

RECRUITING

Wilson T.S. Ｗang District Elderly Community Centre

Shatin, Hong Kong

RECRUITING

Aberdeen Kai-fong Welfare Association

Southern District, Hong Kong

NOT YET RECRUITING

The Salvation Army Taipo Multi-Service Centre for Senior Citizens

Tai Po, Hong Kong

RECRUITING

The Neighbourhood Advice-Action Council

Tuenmen, Hong Kong

RECRUITING

SKH Wong Tai Sin District Elderly Community Centre

Wong Tai Sin, Hong Kong

NOT YET RECRUITING

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  PMID: 40544956 DERIVED

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Terry YS Lum, PhD

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

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Dara KY Leung, PhD

CONTACT

3917-0081; daralky@hku.hk

Zuna LY Ng

CONTACT

zunang@hku.hk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Participants in the intervention group will receive mindfulness-based intervention from social workers either with or without peer supporters involved. The care as usual group will receive usual service provided in District Elderly Community Centres (DECC) and Integrated Community Centre for Mental Wellness (ICCMW).

Study Record Dates

• First Submitted: July 25, 2024
• First Posted: July 30, 2024
• Study Start: July 23, 2024
• Primary Completion: March 16, 2026
• Study Completion: March 16, 2026
• Last Updated: November 20, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

HK (13)