The Effectiveness of Mental Wellness Youth Hubs in Hong Kong
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: LevelMind@JC Mental Wellness Youth Hubs, New Life Psychiatric Rehabilitation Association electronic clinic for psychological service, Integrated Community Centres for Mental Wellness, General Practitioner.
- Who it may be relevant to
- Registry conditions: Mental Stress. Basic parameters: 12 years — 24 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Hong Kong
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
A Quasi-controlled Study on the Effectiveness of Mental Wellness Youth Hubs in Hong Kong
Overview
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.
Interventions
- Behavioral 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., bo - 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. - 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 re - Other General Practitioner
Services provided by genersl practitioner - Behavioral Hub Casework
Services provided during hub casework sessions
Primary outcome measures
- Change in Psychological Distress [Time frame: Baseline, 3-month, 6-month, and 12-month]
- Change in Well-being [Time frame: Baseline, 3-month, 6-month, and 12-month]
- Change in Quality of Life [Time frame: Baseline, 3-month, 6-month, and 12-month]
Secondary outcome measures (8)
- Change in Depressive, Anxiety, and Stress Levels [Time frame: Baseline, 3-month, 6-month, and 12-month]
- Change in Social and Occupational Functioning [Time frame: Baseline, 3-month, 6-month, and 12-month]
- Change in Sleep Quality [Time frame: Baseline, 3-month, 6-month, and 12-month]
- Change in Physical Exercise [Time frame: Baseline, 3-month, 6-month, and 12-month]
- Change in Self-Esteem Level [Time frame: Baseline, 3-month, 6-month, and 12-month]
- Change in Psychological Resilience [Time frame: Baseline, 3-month, 6-month, and 12-month]
- Change in Cognitive Function [Time frame: Baseline, 3-month, 6-month, and 12-month]
- Change in Health Economics [Time frame: Baseline, 3-month, 6-month, and 12-month]
Eligibility criteria
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)
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Non-randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Hong Kong · 1 center
- Community — Hong Kong
Identifiers
NCT: NCT06868303 · 20250221-005-000