NCT03593889: JCJoyAge

Collaborative Stepped Care and Peer Support Programme for Older People At-Risk of or With Depression

Completed NA Last updated 29 July 2024

What this trial tests

NA trial testing Collaborative stepped care and peer support programme in Depressive Symptoms in 3,702 participants. Completed in 30 April 2022.

Timeline

1 October 2017

Primary endpoint
31 December 2020

30 April 2022

Quick facts

Lead sponsor	The University of Hong Kong
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	non randomized
Design	parallel
Masking	none
Primary purpose	prevention
Enrollment	3,702
Start date	1 October 2017
Primary completion	31 December 2020
Estimated completion	30 April 2022
Sites	8 locations across Hong Kong

Drugs / interventions tested

• Collaborative stepped care and peer support programme
• Treatment as usual

Conditions studied

• Depressive Symptoms — all drugs for Depressive Symptoms →

Sponsor

The University of Hong Kong

Who can join

60 and older, any sex, with Depressive Symptoms. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

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:

1. Evaluate the effectiveness of a collaborative stepped care and peer support programme in engaging older people at-risk of or with depression;
2. Evaluate the efficacy of the programme in reducing symptoms/risks and promoting wellbeing in older people at-risk of or with depression;
3. Investigate the impact of the programme on care resources utilization in these older adults.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

1. Adapting the UCLA 3-item loneliness scale for community-based depressive symptoms screening interview among older Chinese: a cross-sectional study.
   Liu T, Lu S, Leung DKY, Sze LCY, et al · · 2020 · cited 75× · PMID 33303463 · DOI 10.1136/bmjopen-2020-041921
2. Collaborative community mental health and aged care services with peer support to prevent late-life depression: study protocol for a non-randomised controlled trial.
   Liu T, Leung DKY, Lu S, Kwok WW, et al · · 2022 · cited 18× · PMID 35410292 · DOI 10.1186/s13063-022-06122-1
3. 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.
   Wong SMY, Leung DKY, Liu T, Ng ZLY, et al · · 2024 · cited 4× · PMID 39574082 · DOI 10.1186/s12888-024-06281-2
4. Comparison of networks of loneliness, depressive symptoms, and anxiety symptoms in at-risk community-dwelling older adults before and during COVID-19.
   Liu T, Wang YH, Ng ZLY, Zhang W, et al · · 2024 · cited 3× · PMID 38926445 · DOI 10.1038/s41598-024-65533-z
5. Sad Mood Bridges Depressive Symptoms and Cognitive Performance in Community-Dwelling Older Adults: A Network Approach.
   Zhang W, Liu T, Leung DKY, Chan S, et al · · 2024 · cited 3× · PMID 38351984 · DOI 10.1093/geroni/igad139
6. Differential Associations Between Depressive Symptom-Domains With Anxiety, Loneliness, and Cognition in a Sample of Community Older Chinese Adults: A Multiple Indicators Multiple Causes Approach.
   Liu T, Peng MM, Wong FHC, Leung DKY, et al · · 2023 · cited 2× · PMID 37727600 · DOI 10.1093/geroni/igad075
7. Program Abstracts from The GSA 2021 Annual Scientific Meeting, "Disruption to Transformation: Aging in the "New Normal"".
   · 2021 · cited 1× · PMID 34926835 · DOI 10.1093/geroni/igab046
8. Comparing Cognitive and Physical Limitations as Predictors of Depression Among Older Adults
   Scher C, Amano T, Nepomnyaschy L. · · 2021