Social Worker-led Mindfulness-based Intervention for Older People
NCT ID: NCT06528132
Last Updated: 2024-11-20
Study Results
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Basic Information
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RECRUITING
NA
207 participants
INTERVENTIONAL
2024-07-23
2026-03-16
Brief Summary
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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. Examine the effectiveness of incorporating peer supporters in social worker-led MBI compared to those without peer supporters;
3. To identify potential mechanisms of change in MBI for depressive symptoms.
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Detailed Description
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In a previous study conducted by the investigators, it was found that a task-shared approach with modified MBCT supported by social workers is effective in producing change in older adults' mental health and mindfulness. However, whether social workers are competent to lead a mindfulness-based intervention (MBI) informed by MBCT on their own and produce effective changes in outcome measures pertaining to mental health remains unclear.
Furthermore, the effects of incorporating peer supporters into mental health interventions are unclear. The uses and implementation of peer support across mental health contexts vary greatly and the effects are mixed. In a pilot study on men with advanced prostate cancer, it has been suggested that the presence of peer support in modified mindfulness-based cognitive therapy group intervention may reinforce intervention effects. Furthermore, in an online intervention for older adults with elevated depressive symptoms, peer support has been found to improve engagement and adherence to the intervention. However, in a systematic review and meta-analysis, it has been found that while incorporating one-to-one peer support in mental health services has a modest positive impact on self-reported psychosocial outcomes such as self-rated recovery and empowerment, there is no evidence for improvement in clinical outcomes.
With the growing older people population and a need for greater social welfare capacity to promote older adults' well-being, the current study aims to examine the effectiveness of social worker-led MBI informed by MBCT in improving depression in older adults with mild to moderate depressive symptoms. In addition, the effectiveness of incorporating peer supporters into the intervention will be examined.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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social worker-led MBI (enhanced with peer supporters)
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.
Mindfulness-based intervention (MBI) (enhanced with peer supporters)
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 (without peer supporters)
Participants in the social-worker led modified MBI group will receive mindfulness training from social workers.
Experimental: social worker-led MBI (without peer supporters)
Mindfulness-based intervention combines mindfulness meditation with cognitive behavioural therapy (CBT) elements to reduce or prevent recurrent major depressive disorders.
Care as usual group
The care as usual group will receive usual service provided in District Elderly Community Centres (DECC) and Integrated Community Centre for Mental Wellness (ICCMW).
No interventions assigned to this group
Interventions
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Mindfulness-based intervention (MBI) (enhanced with peer supporters)
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.
Experimental: social worker-led MBI (without peer supporters)
Mindfulness-based intervention combines mindfulness meditation with cognitive behavioural therapy (CBT) elements to reduce or prevent recurrent major depressive disorders.
Eligibility Criteria
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Inclusion Criteria
* have depressive symptoms of mild level or above, as indicated by scoring 5-14 on PHQ-9
* can give informed consent to participate
Exclusion Criteria
* current abuse of drugs or alcohol
* difficulty in communication
* imminent suicidal risk
* timing or training is unsuitable for the participant
60 Years
ALL
No
Sponsors
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The Hong Kong Jockey Club Charities Trust
OTHER
Christian Family Service Centre
OTHER
The Mental Health Association of Hong Kong
OTHER
The Salvation Army, Hong Kong and Macau Command
OTHER
Haven of Hope Hospital
OTHER
Hong Kong Sheng Kung Hui
UNKNOWN
Tung Wah Group of Hospitals
OTHER
Aberdeen Kai-fong Welfare Association
OTHER
Hong Kong Society for the Aged
UNKNOWN
Neighbourhood Advice-Action Council
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 YS Lum, PhD
Role: PRINCIPAL_INVESTIGATOR
Department of Social Work and Social Administration, The University of Hong Kong
Locations
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Hong Kong Society for the Aged
Eastern District, , Hong Kong
HKSKH Lok Man Alice Kwok Integrated Service Centre
Kowloon City, , Hong Kong
SKH Holy Carpenter Church
Kowloon City, , Hong Kong
The Mental Health Association of Hong Kong
Kwun Tong, , Hong Kong
Haven of Hope District Elderly Community Service
Sai Kung, , Hong Kong
Wellness Zone - Integrated Community Centre for Mental Wellness
Sai Kung, , Hong Kong
HKSKH Western District Elderly Community Centre
Sai Wan, , Hong Kong
TWGHs Lok Hong Integrated Community Centre for Mental Wellness
Sai Wan, , Hong Kong
Wilson T.S. Ｗang District Elderly Community Centre
Shatin, , Hong Kong
Aberdeen Kai-fong Welfare Association
Southern District, , Hong Kong
The Salvation Army Taipo Multi-Service Centre for Senior Citizens
Tai Po, , Hong Kong
The Neighbourhood Advice-Action Council
Tuenmen, , Hong Kong
SKH Wong Tai Sin District Elderly Community Centre
Wong Tai Sin, , Hong Kong
Countries
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Central Contacts
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Facility Contacts
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References
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Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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EA220105A
Identifier Type: -
Identifier Source: org_study_id
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