Clinical trial NCT07021872: Reducing Loneliness Among Older Adults Through Enhancing Positive Affect
Official title: Reducing Loneliness Among Older Adults Through Enhancing Positive Affect: A Randomized Controlled Trial With Ecological Momentary Assessments
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Positive Affect
Behavioral Activation
Friendly Visit
Keywords: Loneliness
Older Adults
Positive Affect
Behavioral Activation
Randomized Controlled Trials
Lead sponsor: Education University of Hong Kong
Sponsor class: OTHER
Collaborators: name: CHOU Kee Lee, Chair Professor, Department of Social Sciences and Policy Studies, The Education University of Hong Kong
name: YEUNG Dannii, Professor, Department of Social and Behavioral Sciences, City University of Hong Kong
name: CHOI Namkee, Professor and Louis and Ann Wolens Centennial Chair in Gerontology, The University of Texas at Austin
First posted: 2025-06-15
Enrollment: 276
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: A three-armed randomized controlled trial
Primary purpose: PREVENTION

Brief summary: This study aims to evaluate the effectiveness of two psychosocial interventions-Tele-Positive Affect (Tele-PA) and Tele-Behavioral Activation (Tele-BA)-compared to active control (telephone-delivered friendly visit, Tele-FV) in reducing loneliness among older adults in Hong Kong.


Eligibility criteria: Inclusion Criteria:

* 1) aged 65 years or older; 2) proficiency in Cantonese (over telephone); 3) experiencing loneliness (defined as a score of ≥ 6 on the 3-item UCLA Loneliness Scale)

Exclusion Criteria:

* 1) cognitive impairments; 2) psychiatric disorders, learning disabilities, or active suicidal ideation; 3) currently participating in other psychotherapy or psychosocial interventions aimed at enhancing well-being

Primary outcomes:
measure: Loneliness measured by the UCLA Loneliness Scale
timeFrame: Baseline, 3-month, and 6-month
measure: Loneliness measured by De Jong Gierveld Loneliness Scale
timeFrame: Baseline, 3-month, and 6-month
measure: Real-time Experiences on Ecological Momentary Assessment
timeFrame: Baseline and 2-week
Secondary outcomes:
measure: Psychological Well-being on 6-point Psychological Well-being Scale
timeFrame: Baseline, 3-month, and 6-month
measure: Perceived Stress on 5-point Chinese Version of the Perceived Stress Scale
timeFrame: Baseline, 3-month, and 6-month
measure: Symptoms of Depression on 4-point Chinese Version of Patient Health Questionnaire-9 (PHQ-9)
timeFrame: Baseline, 3-month, and 6-month
measure: Symptoms of Anxiety on 4-point Chinese Version of the Generalized Anxiety Disorder Scale
timeFrame: Baseline, 3-month, and 6-month
measure: Cognitive Functioning on the Hong Kong Version of Montreal Cognitive Assessment
timeFrame: Baseline, 3-month, and 6-month
measure: Perceived Social Support on 7-point Multidimensional Scale of Perceived Social Support
timeFrame: Baseline, 3-month, and 6-month
measure: Social Network on Lubben Social Network Scale at Month 3 and Month 6
timeFrame: Baseline, 3-month, and 6-month
Other outcomes:
measure: Affective Experience over the Past Week on 30-item Affect Valuation Index (actual affect) (AVI)
timeFrame: Baseline, 3-month, and 6-month
measure: Social Network Characteristics on 10-point Social Network Characteristics Scale
timeFrame: Baseline, 3-month, and 6-month
measure: Meaning of Life on 7-point Meaning in Life Questionnaire (MLQ)
timeFrame: Baseline, 3-month, and 6-month
measure: Gratitude on 7-point Gratitude Scale Questionnaire-Six Item Form (GQ-6)
timeFrame: Baseline, 3-month, and 6-month
measure: Cognitive Reappraisal on 7-point Emotional Regulation Questionnaire (ERQ)
timeFrame: Baseline, 3-month, and 6-month
measure: Self-Efficacy on 4-point General Self-Efficacy Scale (GSE)
timeFrame: Baseline, 3-month, and 6-month
measure: Mindfulness on 5-point Five Facet Mindfulness Questionnaire
timeFrame: Baseline, 3-month, and 6-month
Locations:
city: Hong Kong
country: Hong Kong
facility: The Education University of Hong Kong
Study officials:
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