Collaborative Stepped-Care and Productive Ageing Program for Older People With Depressive Symptoms
NCT ID: NCT04863300
Last Updated: 2025-03-26
Study Results
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Basic Information
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COMPLETED
NA
5239 participants
INTERVENTIONAL
2020-01-01
2024-06-30
Brief Summary
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Detailed Description
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Specific goals of the programmes through the above three elements include:
1. To implement JC JoyAge clinical protocol and guidelines to coordinate care among community mental health and aged care services centres for elderly mental wellness in 18 districts;
2. To engage vulnerable and at-risk older adults in the community through productive ageing activities and mental wellbeing self-management training;
3. To enhance the capacity of social service staff in handling elderly depression through specialized and infusion training and knowledge exchange;
4. To raise public awareness and elderly mental health literacy among family members, neighbours, community stakeholders, and the general public to encourage early detection/help-seeking on depressive risk of older adults; and
5. To establish evidence of the effectiveness and cost-effectiveness of JC JoyAge Phase II model.
Conditions
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Study Design
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NA
SINGLE_GROUP
PREVENTION
NONE
Study Groups
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Intervention group
Participants in the intervention group will receive a collaborative stepped care programme provided by registered social workers and trained Peer Supporters from aged care service units - the Districts Elderly Community Centres (DECC), and mental health service units - the Integrated Community Centre on Mental Wellness (ICCMW), all are local NGOs. In the collaborative stepped care model (see attachment Table 1), older persons are matched to the intervention module that most suits their current needs. The person does not have to start at the lowest level of intervention to progress to the next level of intervention. Rather, they enter the service with the intervention level aligned to their needs, e.g., level of risks, symptom severity (measured by the Patient Health Questionnaire, PHQ-9), and intervention response. Home visits or other format of contact will be delivered by trained Peer Supporters employed by the NGOs to detect and engage hidden cases.
Collaborative stepped care and peer support
Case identification will be done through open referral and outreach activities such as street booth, talks, and home visits.
For older adults with mild depressive symptoms (PHQ-9 score 5-9), 6-8 weeks of indicated prevention with psychoeducation or low-intensity psychotherapy would be provided by the project social workers in DECC. For participants with moderate depressive symptoms (PHQ-9 score 10-14), 6-8 weeks high-intensity clinical intervention, mainly group cognitive behavioral therapy (CBT), would be provided by project social workers from DECC and ICCMW. For those with moderately severe depressive symptoms (PHQ-9 score 15-19), 8-10 weeks individual CBT or group CBT at higher frequency would be provided by the project social workers from ICCMW.
In the progress review when a client is assessed to meet the discharge criteria, a 2-month exit plan involving a Peer Supporter follow-up is invoked.
Interventions
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Collaborative stepped care and peer support
Case identification will be done through open referral and outreach activities such as street booth, talks, and home visits.
For older adults with mild depressive symptoms (PHQ-9 score 5-9), 6-8 weeks of indicated prevention with psychoeducation or low-intensity psychotherapy would be provided by the project social workers in DECC. For participants with moderate depressive symptoms (PHQ-9 score 10-14), 6-8 weeks high-intensity clinical intervention, mainly group cognitive behavioral therapy (CBT), would be provided by project social workers from DECC and ICCMW. For those with moderately severe depressive symptoms (PHQ-9 score 15-19), 8-10 weeks individual CBT or group CBT at higher frequency would be provided by the project social workers from ICCMW.
In the progress review when a client is assessed to meet the discharge criteria, a 2-month exit plan involving a Peer Supporter follow-up is invoked.
Eligibility Criteria
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Inclusion Criteria
* have depressive symptoms of mild level or above; and
* able to give informed consent to participate
Exclusion Criteria
* difficulty in communication
60 Years
ALL
Yes
Sponsors
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Aberdeen Kai-fong Welfare Association
OTHER
Caritas Medical Centre, Hong Kong
OTHER
Christian Family Service Centre
OTHER
Haven of Hope Hospital
OTHER
Hong Kong Christian Service
OTHER
Hong Kong Sheng Kung Hui Lady MacLehose Centre
UNKNOWN
Hong Kong Sheng Kung Hui Welfare Council Limited
OTHER
Hong Kong Young Women's Christian Association
OTHER
New Life Psychiatric Rehabilitation Association
OTHER
St. James' Settlement
OTHER
The Hong Kong Society for the Aged
UNKNOWN
The Mental Health Association of Hong Kong
OTHER
Neighbourhood Advice-Action Council
OTHER
Tung Wah Group of Hospitals
OTHER
The University of Hong Kong
OTHER
Responsible Party
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Professor Terry Y.S. Lum
Professor
Principal Investigators
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Terry Lum, PhD
Role: PRINCIPAL_INVESTIGATOR
The University of Hong Kong
Locations
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Aberdeen Kaifong Welfare Association Services Centre
Hong Kong, , Hong Kong
Baptist Oi Kwan Social Service Integrated Community Centre for Mental Wellness (Kwai Tsing)
Hong Kong, , Hong Kong
Baptist Oi Kwan Social Service
Hong Kong, , Hong Kong
Caritas Cheng Shing Fung District Elderly Centre (Sham Shui Po)
Hong Kong, , Hong Kong
Caritas District Elderly Centre - Yuen Long(Tin Chak Centre)
Hong Kong, , Hong Kong
Caritas Wellness Link - North District
Hong Kong, , Hong Kong
Caritas Wellness Link Tsuen Wan
Hong Kong, , Hong Kong
Chan Tseng Hsi Kwai Chung District Elderly Community Centre
Hong Kong, , Hong Kong
Christian Family Service Centre (Kwun Tong)
Hong Kong, , Hong Kong
Christian Family Service Centre Wellness Zone - Integrated Community Centre for Mental Wellness
Hong Kong, , Hong Kong
Chuk Yuen Canon Martin District Elderly Community Centre_Wai Yuen House
Hong Kong, , Hong Kong
Ellen Li District Elderly Community Centre - Yung Shing Shopping Centre
Hong Kong, , Hong Kong
Fong Shu Chuen District Elderly Community Centre
Hong Kong, , Hong Kong
H.K.S.K.H. Lady MacLehose Centre Dr. Lam Chik Suen District Elderly Community Centre
Hong Kong, , Hong Kong
H.K.S.K.H. Lok Man Alice Kwok Integrated Service Centre
Hong Kong, , Hong Kong
H.K.S.K.H. Western District Elderly Community Centre - Integrated Home Care Services Team
Hong Kong, , Hong Kong
Haven of Hope Christian Service
Hong Kong, , Hong Kong
Hong Kong Christian Service Bliss District Elderly Community Centre
Hong Kong, , Hong Kong
Jockey Club Wong Chi Keung District Elderly Community Centre - Aberdeen
Hong Kong, , Hong Kong
Neighbourhood Advice-action Council (Shan King) Community Nursing Services (CNS) Centre
Hong Kong, , Hong Kong
New Life Psychiatric Rehabilitation Association (Sha Tin)
Hong Kong, , Hong Kong
New Life Psychiatric Rehabilitation Association (Tuen Mun)
Hong Kong, , Hong Kong
New Life Psychiatric Rehabilitation Association (Yau Tsim Mong)
Hong Kong, , Hong Kong
New Life Psychiatric Rehabilitation Association Islands District
Hong Kong, , Hong Kong
New Life Psychiatric Rehabilitation Association The Wellness Centre (Tin Shui Wai)
Hong Kong, , Hong Kong
S.K.H. Holy Carpenter Church District Elderly Community Centre (Kowloon)
Hong Kong, , Hong Kong
Sage Eastern District Elderly Community Centre
Hong Kong, , Hong Kong
Sage Tsuen Wan District Elderly Community Centre
Hong Kong, , Hong Kong
Shun On District Elderly Community Centre
Hong Kong, , Hong Kong
St. James' Settlement Central & Western District Elderly Community Centre
Hong Kong, , Hong Kong
St. James' Settlement Wan Chai District Elderly Community Centre
Hong Kong, , Hong Kong
The Mental Health Association of Hong Kong Amity Place
Hong Kong, , Hong Kong
The Mental Health Association of Hong Kong Tai Po District
Hong Kong, , Hong Kong
The Neighbourhood Advice-Action Council
Hong Kong, , Hong Kong
The Neighbourhood Advice-Action Counil Tung Chung Intergrated Service Centre
Hong Kong, , Hong Kong
The Salvation Army Tai Po Multi-service Centre for Senior Citizens
Hong Kong, , Hong Kong
The Society of Rehabilitation and Crime Prevention, Hong Kong
Hong Kong, , Hong Kong
The Wellness Centre, New Life Psychiatric Rehabilitation Association (Kwai Chung)
Hong Kong, , Hong Kong
Tseung Kwan O Aged Care Complex, Jockey Club District Elderly Community Centre cum Day Care Unit
Hong Kong, , Hong Kong
Tung Wah Group of Hospitals Wilson T.S. Wang District Elderly Community Centre
Hong Kong, , Hong Kong
TWGHs Lok Hong Integrated Community Centre for Mental Wellness
Hong Kong, , Hong Kong
Wong Cho Tong District Elderly Community Centre
Hong Kong, , Hong Kong
YWCA Ming Yue District Elderly Community Centre
Hong Kong, , Hong Kong
Countries
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References
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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.
Provided Documents
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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form
Other Identifiers
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EA2003001
Identifier Type: -
Identifier Source: org_study_id
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