A Psychological Intervention to Enhance Resilience in Mainland New Immigrants to Hong Kong

NCT ID: NCT02986022

Last Updated: 2018-07-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

241 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-07

Study Completion Date

2018-03-31

Brief Summary

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Background:

Resilience is important for successful adaptation. The investigators' resilience intervention was effective in enhancing resilience, emotional functioning, and adaptation in Mainland immigrants. In the present proposal, the investigators will work with the International Social Service to scale up application of this intervention in immigrants, and develop the training infrastructure to ensure that the evidence-based intervention can be sustained despite turnover of interventionists.

Objectives:

1. We will conduct a randomized controlled trial to compare the resilience intervention with the resilience + information intervention (a compound module) among 200 new immigrants,
2. The resilience intervention will enhance participants' resilience by 5%, and decrease their depressive symptoms by 20% and adaptation difficulties by 10% after the completion of the intervention,
3. The resilience + information intervention will have higher increases in resilience and more decreases in depressive symptoms and adaptation difficulties compared to the resilience intervention, and
4. To establish a sustaining mechanism which ensures that these two interventions can continue to be used in routine services.

Project design:

Well-trained social workers will deliver the intervention. Participants will complete programme evaluation. A train-the-trainer workshop and training materials will be prepared to transfer knowledge to social workers who are future trainers.

Detailed Description

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The intervention programme has been developed, manualized, and rigorously tested in our previous study (1). This programme is largely a replica of our original programme. Two social workers will deliver the resilience intervention. One of the two interventionists who delivered the intervention in our empirical study is still available. One more social worker will be selected from recently trained interventionists to deliver this intervention.

This resilience intervention (see Supplement 2) consists of 4 sessions, each lasting for 2 hours, finished within two weeks. This intervention is built on the international and local evidence about positive characteristics that promote successful immigration and effective strategies that enhance psychological well-being.

We will promote this intervention programme in new immigrants, and recruit participants by open recruitment, contacting current service users of the community agency, referral and cold call. Orientation gatherings will be organized to screen for eligible immigrants.

The resilience + information intervention consists of 4 sessions, each lasting for 2.5 hours, finished within two weeks. In each session, the resilience section will last for 2 hours (identical to the resilience intervention), and the information intervention will be half an hour. Similar to our previous information intervention, this information section will cover transportation, housing, medical service, education, and employment, the important information helpful for the immigrants' adaptation.

Participants will receive four sessions, either the resilience intervention or the resilience + information intervention. Unlike most programmes that have not been developed in the community, we have identified some key strategies to reduce attrition during the intervention. Before each session, social workers will call participants to remind them of the coming session. During the intervention, we will provide child care upon participants' request. For those who are unable to attend a specific sessions, social workers will conduct a make-up on the content, and provide general encouragement that attendance of further sessions will bring important gains. During the follow-up period, social workers will send reminder postcards to participants. At the end of the intervention, participants will obtain a certificate in recognition of their participation in this programme. Evaluation will be conducted before the first session (pre-intervention) and immediately after the intervention (post-intervention).

Conditions

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Resilience

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Resilience

Participants will receive four sessions covering Resilience intervention content

Group Type EXPERIMENTAL

Resilience

Intervention Type BEHAVIORAL

Self-efficacy, optimism, altruism, goal setting

Resilience+Information

Participants will receive four sessions covering Resilience intervention and Information intervention contents.

Group Type ACTIVE_COMPARATOR

Resilience

Intervention Type BEHAVIORAL

Self-efficacy, optimism, altruism, goal setting

Information

Intervention Type BEHAVIORAL

Information and resources about education, medical care, housing, employment, and community facilities available in Hong Kong and Mainland China

Interventions

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Resilience

Self-efficacy, optimism, altruism, goal setting

Intervention Type BEHAVIORAL

Information

Information and resources about education, medical care, housing, employment, and community facilities available in Hong Kong and Mainland China

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Immigrants who arrived in Hong Kong from Mainland China less than 3 years ago
* have least a primary school education

Exclusion Criteria

* N/A
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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International Social Service Hong Kong Branch

UNKNOWN

Sponsor Role collaborator

City University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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Nancy Xiaonan Yu

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nancy Xiaonan Yu

Role: PRINCIPAL_INVESTIGATOR

City University of Hong Kong

Locations

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City University of Hong Kong

Hong Kong, , China

Site Status

Countries

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China

Other Identifiers

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HCPF2016

Identifier Type: -

Identifier Source: org_study_id

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