- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03593889
Collaborative Stepped Care and Peer Support Programme for Older People At-Risk of or With Depression (JCJoyAge)
Jockey Club JoyAge: Holistic Support Project for Elderly Mental Wellness
To develop a viable and sustainable best practice model to promote elderly mental wellness and prevent elderly depression for Hong Kong, the Hong Kong Jockey Club Charities Trust has initiated a pilot holistic support project entitled "JC JoyAge: Holistic Support Project for Elderly Mental Wellness". Commenced in October 2016, this 3-year project will deliver six programmes: (1) social services staff training; (2) peer supporters certificate training; (3) outreach and engagement activities for at-risk older adults; (4) standardized prevention and early intervention service; (5) community education programmes; and (6) public awareness and public education activities in four pilot districts in Hong Kong, namely Kwun Tong, Sham Shui Po, Kwai Chung, and Tseung Kwan O. The project aims specifically to:
- Evaluate the effectiveness of a collaborative stepped care and peer support programme in engaging older people at-risk of or with depression;
- Evaluate the efficacy of the programme in reducing symptoms/risks and promoting wellbeing in older people at-risk of or with depression;
- Investigate the impact of the programme on care resources utilization in these older adults.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Kwai Chung, Hong Kong
- Hong Kong Sheng Kung Hui Lady MacLehose Centre
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Kwai Chung, Hong Kong
- New Life Psychiatric Rehabilitation Association
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Kwun Tong, Hong Kong
- Christian Family Service Centre
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Kwun Tong, Hong Kong
- The Mental Health Association of Hong Kong
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Sham Shui Po, Hong Kong
- Caritas Hong Kong
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Sham Shui Po, Hong Kong
- New Life Psychiatric Rehabilitation Association
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Tseung Kwan O, Hong Kong
- Christian Family Service Centre
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Tseung Kwan O, Hong Kong
- Haven of Hope Christian Service
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- residing in Kwun Tong, Kwai Chung, Tseung Kwan O, or Sham Shui Po; and
- have one or more known risk factor(s) for developing depression; and/or
- have depressive symptoms of mild level or above; and
- able to give informed consent to participate
Exclusion Criteria:
- known history of autism, intellectual disability, schizophrenia-spectrum disorder, bipolar disorder, Parkinson's disease, or dementia; and
- imminent suicidal risk; and
- difficulty in communication
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Intervention group
The intervention group will receive a collaborative stepped care programme provided by registered social workers and trained peer supporters from elderly or mental health service units (NGOs) according to level of risks, symptom severity, and intervention response.
Home visits or other format of contact will be delivered by trained peer supporters employed by NGOs to detect and engage hidden cases.
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For "at-risk" group, 4 weeks of "selective prevention" group sessions will be provided at the elderly service level by trained peer supporters with registered social worker supervision, on wellness topics tailored to the person's concern as entry point, packaged with mental health information, followed by a review. For mild group, 6-8 weeks of indicated prevention with psychoeducation or low-intensity psychotherapy would be provided. For moderate group, 6-8 weeks high-intensity cognitive behavioral therapy (CBT) would be provided. All intervention for depressed elderly would be conducted by registered social workers. The trained peer supporters will be matched to individual older adults to walk them through the process with regular follow-up for 1 year. |
OTHER: Control group
The control group will receive treatment as usual, which will be determined by the responsible worker from NGO units.
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The control group will receive treatment as usual, which will be determined by the responsible workers from NGO units.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline depression at 12 months
Time Frame: Baseline and 12-month follow-up
|
Depression will be measured by 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.
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Baseline and 12-month follow-up
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline loneliness at 12 months
Time Frame: Baseline and 12-month follow-up
|
Loneliness will be measured by the UCLA loneliness scale (UCLA-3).
The total score will be used, ranging from 0 to 9. Higher scores indicate greater loneliness.
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Baseline and 12-month follow-up
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Change from baseline life engagement at 12 months
Time Frame: Baseline and 12-month follow-up
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Life engagement will be assessed using the typical day interview - a semi-structured interview asking clients about their typical day activities
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Baseline and 12-month follow-up
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Change from baseline self-harm risk at 12 months
Time Frame: Baseline and 12-month follow-up
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Self-harm risk will be measured by the self-harm risk assessment checklist.
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Baseline and 12-month follow-up
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Change from baseline anxiety at 12 months
Time Frame: Baseline and 12-month follow-up
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Anxiety will be measured by 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.
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Baseline and 12-month follow-up
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Change from baseline cognitive function at 12 months
Time Frame: Baseline and 12-month follow-up
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Cognitive function will be measured by the Hong Kong Montreal Cognitive Assessment 5-Minute Protocol (HK-MoCA 5-Min).
The total score will be used, ranging from 0 to 30.
Higher scores indicate higher levels of cognitive function.
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Baseline and 12-month follow-up
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Change from baseline social capital at 12 months
Time Frame: Baseline and 12-month follow-up
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Participants will be asked to list out names of people who they would turn to when they feel down, and when they need help for trivial things.
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Baseline and 12-month follow-up
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Change from baseline health-related quality of life at 12 months
Time Frame: Baseline and 12-month follow-up
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Health-related quality of life will be measured by the EuroQoL 5 Dimensions 5 Levels (EQ-5D-5L).
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Baseline and 12-month follow-up
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Change from baseline service utilization at 12 months
Time Frame: Baseline and 12-month follow-up
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Service utilization will be measured by the Client Service Receipt Inventory (CSRI).
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Baseline and 12-month follow-up
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Terry Lum, PhD, Department of Social Work and Social Administration, The University of Hong Kong
Publications and helpful links
General Publications
- Liu T, Leung DKY, Lu S, Kwok WW, Sze LCY, Tse SSK, Ng SM, Wong PWC, Lou VWQ, Tang JYM, Wong DFK, Chan WC, Kwok RYK, Lum TYS, Wong GHY. Collaborative community mental health and aged care services with peer support to prevent late-life depression: study protocol for a non-randomised controlled trial. Trials. 2022 Apr 11;23(1):280. doi: 10.1186/s13063-022-06122-1.
- Liu T, Lu S, Leung DKY, Sze LCY, Kwok WW, Tang JYM, Luo H, Lum TYS, Wong GHY. Adapting the UCLA 3-item loneliness scale for community-based depressive symptoms screening interview among older Chinese: a cross-sectional study. BMJ Open. 2020 Dec 10;10(12):e041921. doi: 10.1136/bmjopen-2020-041921.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- EA1709021
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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