The Effectiveness of Mental Wellness Youth Hubs in Hong Kong

NCT ID: NCT06868303

Last Updated: 2025-06-06

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

RECRUITING

Clinical Phase

NA

Total Enrollment

1300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-06

Study Completion Date

2028-04-01

Brief Summary

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This study sets out to evaluate (i) whether the model in phase two can improve symptoms, quality of life, functioning, and psychological outcomes in young people utilising the hub services (n = 600) compared to those in the community controls (n = 600), (ii) the mechanisms that may drive these improvements, and (iii) whether any particular subgroup(s) of youths (e.g., gender, socio-economic status, migrant status) may benefit more from this service model. The experiment group will include 600 hub users who are not currently using psychiatric medications and do not have a formal diagnosis at the time of enrolling in the hub activity. The control group will also comprise of 600 young people, recruited from a community cohort managed by the research team. The community cohort is accessible via the Youth Epidemiological Study Online platform (YES online), which recruits young people aged 12 to 24 years. Only YES online participants who are not using the service of LevelMind@JC and psychiatric medications will be recruited for this study. The two groups will be matched in age, gender, and baseline distress level measured by the 6-item Kessler Psychological Distress Scale (K6). There will also be a substudy assessing the effect of four service models: NLPRA eClinic, Integrated Community Centre for Mental Wellness (ICCMW) step-up care, general practitioners, and hub casework support service on symptom-based mental health outcome, comparing a cohort of young people receiving these four services respectively. A total of 252 participants will be recrruited. Another substudy will be conducted to investigate the extent to which participation in Tier 1 activities contributes to improvements in targeted outcome areas, assessing young people (n = 675) before and after their participation of Tier 1 activities. A consecutive sampling will be used, where a subject who meets the criteria of inclusion will be selected until this required sample size is achieved.

Detailed Description

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Conditions

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Mental Stress

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

The experiment group will include 600 hub users who are not currently using psychiatric medications and do not have a formal diagnosis at the time of enrolling in the hub activity. The control group will also comprise of 600 young people, recruited from a community cohort managed by the research team. For the substudy examining the impact of the service model, a total of 252 participants will be recruited, with 63 individuals selected from each of the following groups: those receiving services through NLPRA eClinic, accessing care via the Integrated Community Centre for Mental Wellness (ICCMW) step-up program, managed by general practitioners, and isupported by hub casework services. For the substudy evaluating the impact pf Tier 1 activities, young people experiencing Tier 1 distress levels (determined by K6 \< 11), who have participated only in Tier 1 activities, will be recruited.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Hub User Group

This group receives community-based mental wellness youth hub services for young people to enhance personal strengths and overall mental well-being.

Group Type EXPERIMENTAL

LevelMind@JC Mental Wellness Youth Hubs

Intervention Type BEHAVIORAL

Mental Wellness Youth Hubs Intervention aims to set up a series of community-based hubs for young people to enhance cognitive abilities, personal strengths and overall mental well-being. Among the experimental group participants (hub users), they are further divided into three tiers according to their psychological distress level. Tier 1 are youths with mild psychological distress level, who will be invited to participate in some innovative and interesting youth projects and activities (e.g., board game and floral artistry). Tier 2 are youths who have moderate level of psychological distress, or at risk for mental illness. Trained social workers will offer them with specific interventions (e.g., CBT, sleep intervention) according to their needs. Tier 3 are youths with severe level of psychological distress who are at risk for mental disorders. Diagnostic and medical assessment services will be delivered by psychiatrist or clinical psychologists.

Non-hub User Community Control Group

This group does not receive any youth services in the community.

Group Type NO_INTERVENTION

No interventions assigned to this group

eClinic User Group

This group receives the eClinic service provided by New Life Psychiatric Rehabilitation Association.

Group Type ACTIVE_COMPARATOR

New Life Psychiatric Rehabilitation Association electronic clinic for psychological service

Intervention Type BEHAVIORAL

The eClinic treatment spans eight to fourteen week and is designed for individuals with moderate to severe mental health issues. The service is provided in a hybrid format, incorporating an in-person initial screening using the Patient Health Questionnaire-9 and General Anxiety Disorder-7, followed by online self-learning resources and sessions with a therapist. Pre- and post-treatment assessments as well as follow-ups will be used to keep track of service users' progress.

ICCMW group

This group receives the eClinic service provided by Integrated Community Centre for Mental Wellness (ICCMW) step-up care.

Group Type ACTIVE_COMPARATOR

Integrated Community Centres for Mental Wellness

Intervention Type BEHAVIORAL

Integrated Community Centres for Mental Wellness (ICCMWs) are the main community-based mental health services in Hong Kong. However, their reach among young people is limited, as their broad target age range primarily focuses on middle-aged individuals. ICCMW offers comprehensive, district-based community support and social rehabilitation services, from early prevention to risk management, for people in mental recovery, those with suspected mental health issues, their families and carers, and residents within the service area, all accessible through a single-entry point.

GP group

This group receives services provided by general practitioners.

Group Type ACTIVE_COMPARATOR

General Practitioner

Intervention Type OTHER

Services provided by genersl practitioner

Hub Casework grpup

This group receives services from hub casework support, as well as from NLPRA eClinic, ICCMW, and general practitioners.

Group Type ACTIVE_COMPARATOR

New Life Psychiatric Rehabilitation Association electronic clinic for psychological service

Intervention Type BEHAVIORAL

The eClinic treatment spans eight to fourteen week and is designed for individuals with moderate to severe mental health issues. The service is provided in a hybrid format, incorporating an in-person initial screening using the Patient Health Questionnaire-9 and General Anxiety Disorder-7, followed by online self-learning resources and sessions with a therapist. Pre- and post-treatment assessments as well as follow-ups will be used to keep track of service users' progress.

Integrated Community Centres for Mental Wellness

Intervention Type BEHAVIORAL

Integrated Community Centres for Mental Wellness (ICCMWs) are the main community-based mental health services in Hong Kong. However, their reach among young people is limited, as their broad target age range primarily focuses on middle-aged individuals. ICCMW offers comprehensive, district-based community support and social rehabilitation services, from early prevention to risk management, for people in mental recovery, those with suspected mental health issues, their families and carers, and residents within the service area, all accessible through a single-entry point.

General Practitioner

Intervention Type OTHER

Services provided by genersl practitioner

Hub Casework

Intervention Type BEHAVIORAL

Services provided during hub casework sessions

Interventions

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LevelMind@JC Mental Wellness Youth Hubs

Mental Wellness Youth Hubs Intervention aims to set up a series of community-based hubs for young people to enhance cognitive abilities, personal strengths and overall mental well-being. Among the experimental group participants (hub users), they are further divided into three tiers according to their psychological distress level. Tier 1 are youths with mild psychological distress level, who will be invited to participate in some innovative and interesting youth projects and activities (e.g., board game and floral artistry). Tier 2 are youths who have moderate level of psychological distress, or at risk for mental illness. Trained social workers will offer them with specific interventions (e.g., CBT, sleep intervention) according to their needs. Tier 3 are youths with severe level of psychological distress who are at risk for mental disorders. Diagnostic and medical assessment services will be delivered by psychiatrist or clinical psychologists.

Intervention Type BEHAVIORAL

New Life Psychiatric Rehabilitation Association electronic clinic for psychological service

The eClinic treatment spans eight to fourteen week and is designed for individuals with moderate to severe mental health issues. The service is provided in a hybrid format, incorporating an in-person initial screening using the Patient Health Questionnaire-9 and General Anxiety Disorder-7, followed by online self-learning resources and sessions with a therapist. Pre- and post-treatment assessments as well as follow-ups will be used to keep track of service users' progress.

Intervention Type BEHAVIORAL

Integrated Community Centres for Mental Wellness

Integrated Community Centres for Mental Wellness (ICCMWs) are the main community-based mental health services in Hong Kong. However, their reach among young people is limited, as their broad target age range primarily focuses on middle-aged individuals. ICCMW offers comprehensive, district-based community support and social rehabilitation services, from early prevention to risk management, for people in mental recovery, those with suspected mental health issues, their families and carers, and residents within the service area, all accessible through a single-entry point.

Intervention Type BEHAVIORAL

General Practitioner

Services provided by genersl practitioner

Intervention Type OTHER

Hub Casework

Services provided during hub casework sessions

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* For hub user group: 12- to 24-year-old hub users who receive community-based mental wellness youth hub services for young people.
* For community control group: 12- to 24-year-old community youths who do not receive any youth services in the community.
* For eClinic user group: 12- to 24-year-old eClinic service users.

Exclusion Criteria

* Youths with known diagnosis of psychiatric disorders (including Depression, Generalized Anxiety Disorder, Panic Disorder, Phobia, Obsessive Compulsive Disorder, Bipolar Disorder, Eating Disorder, Personality Disorder, Post-Traumatic Stress Disorder and Psychotic Disorder)
* Youths who receive psychiatric medication (including antidepressants, antipsychotics and antiepileptic drugs)
Minimum Eligible Age

12 Years

Maximum Eligible Age

24 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The Hong Kong Jockey Club Charities Trust

OTHER

Sponsor Role collaborator

The Boys' and Girls' Clubs Association of Hong Kong

OTHER

Sponsor Role collaborator

Caritas Medical Centre, Hong Kong

OTHER

Sponsor Role collaborator

Hong Kong Christian Service

OTHER

Sponsor Role collaborator

Neighbourhood Advice-Action Council

OTHER

Sponsor Role collaborator

St. James' Settlement

OTHER

Sponsor Role collaborator

Tung Wah Group of Hospitals

OTHER

Sponsor Role collaborator

Hong Kong Young Women's Christian Association

OTHER

Sponsor Role collaborator

Yan Oi Tong

UNKNOWN

Sponsor Role collaborator

Chinese YMCA of Hong Kong

UNKNOWN

Sponsor Role collaborator

New Life Psychiatric Rehabilitation Association

OTHER

Sponsor Role collaborator

The Salvation Army, Hong Kong and Macau Command

OTHER

Sponsor Role collaborator

Hong Kong Playground Association (HKPA)

UNKNOWN

Sponsor Role collaborator

Hong Kong Sheng Kung Hui Welfare Council Limited

OTHER

Sponsor Role collaborator

Hong Kong Children and Youth Services (HKCYS)

UNKNOWN

Sponsor Role collaborator

Hong Kong Federation of Youth's Group (HKFYG)

OTHER

Sponsor Role collaborator

Chinese Young Men's Christian Association of Hong Kong

UNKNOWN

Sponsor Role collaborator

The University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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Dr. Christy Lai-ming Hui

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christy Lai Ming Hui, PhD

Role: PRINCIPAL_INVESTIGATOR

The University of Hong Kong

Locations

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Community

Hong Kong, , Hong Kong

Site Status RECRUITING

Countries

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Hong Kong

Central Contacts

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Christy Lai Ming Hui, PhD

Role: CONTACT

+852 2255 4486

Yi Nam Suen, PhD

Role: CONTACT

+852 3917 6612

Other Identifiers

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20250221-005-000

Identifier Type: -

Identifier Source: org_study_id

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