The Effectiveness of Mental Wellness Youth Hubs in Hong Kong

Официальное название

A Quasi-controlled Study on the Effectiveness of Mental Wellness Youth Hubs in Hong Kong

Обзор

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.

Вмешательства

• Поведенческое 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
• Поведенческое 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.
• Поведенческое 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
• Другое General Practitioner
  Services provided by genersl practitioner
• Поведенческое Hub Casework
  Services provided during hub casework sessions

Первичные конечные точки

• Change in Psychological Distress [Срок оценки: Baseline, 3-month, 6-month, and 12-month]
• Change in Well-being [Срок оценки: Baseline, 3-month, 6-month, and 12-month]
• Change in Quality of Life [Срок оценки: Baseline, 3-month, 6-month, and 12-month]

Вторичные конечные точки (8)

• Change in Depressive, Anxiety, and Stress Levels [Срок оценки: Baseline, 3-month, 6-month, and 12-month]
• Change in Social and Occupational Functioning [Срок оценки: Baseline, 3-month, 6-month, and 12-month]
• Change in Sleep Quality [Срок оценки: Baseline, 3-month, 6-month, and 12-month]
• Change in Physical Exercise [Срок оценки: Baseline, 3-month, 6-month, and 12-month]
• Change in Self-Esteem Level [Срок оценки: Baseline, 3-month, 6-month, and 12-month]
• Change in Psychological Resilience [Срок оценки: Baseline, 3-month, 6-month, and 12-month]
• Change in Cognitive Function [Срок оценки: Baseline, 3-month, 6-month, and 12-month]
• Change in Health Economics [Срок оценки: Baseline, 3-month, 6-month, and 12-month]

Критерии участия

Критерии включения

• 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.

Критерии исключения

• 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)

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

Гонконг · 1 центр

• Community — Гонконг

Идентификаторы

NCT: NCT06868303 · 20250221-005-000

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗