About this trial
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
This trial accepts healthy volunteersQualifiers
aged 65 years or older
proficiency in Cantonese (over telephone)
experiencing loneliness (defined as a score of ≥ 6 on the 3-item UCLA Loneliness Scale)
Disqualifiers
cognitive impairments
psychiatric disorders, learning disabilities, or active suicidal ideation
currently participating in other psychotherapy or psychosocial interventions aimed at enhancing well-being
Trial design
Parallel
Treatments tested in this trial
Tele-Positive Affect Intervention
BehavioralA 4-week intervention consisting of eight skills aimed at enhancing positive affect, delivered via telephone by trained facilitators. Participants will learn skills such as gratitude, mindfulness, and positive reappraisal, with sessions held twice a week.
Tele-Behavioral Activation Intervention
BehavioralA 4-week intervention designed to promote engagement in meaningful activities, delivered through telephone by trained facilitators. The intervention will include behavior monitoring, activity planning, and social skills enhancement, with sessions held twice a week.
Tele-Friendly Visit
BehavioralAn active control condition consisting of telephone-delivered friendly visits. Participants will engage in social conversation and activities to provide companionship without any specific skills training aimed at reducing loneliness. The intervention will be held within 4-week.
Treatment groups
Trial outcomes
Primary outcomes
Loneliness measured by the UCLA Loneliness Scale
The UCLA Loneliness Scale is a reliable self-assessment tool designed to evaluate feelings of loneliness. Possible scores range from 1 (never) to 4 (always).
Loneliness measured by De Jong Gierveld Loneliness Scale
The De Jong Gierveld Loneliness Scale is a validated, self-reported instrument assessing loneliness. Possible scores range from 1 (yes) to 3 (no).
Real-time Experiences on Ecological Momentary Assessment
Ecological Momentary Assessment (EMA) is a research method used to collect data in real-time and in the participants' natural environments. It measures momentary loneliness, momentary actual affect examined by the short version of the AVI scale, current and expected locations (e.g., nature, home, public places), as well as details about their current and expected social interactions, including the type (i.e., alone, with spouse, family members), features (e.g., supportiveness, closeness, pleasantness, meaningfulness), and number (i.e., 0, 1, 2, 3, 4, 5, or more than 5). Participants will also report on their current and expected activities, specifying the type (e.g., physical activity, working, cognitive activities) and characteristics (e.g., pleasantness, meaningfulness) of these activities.
Secondary outcomes
Psychological Well-being on 6-point Psychological Well-being Scale
The Psychological Well-being Scale is a validated, self-reported instrument assessing Psychological Well-being. Possible scores range from 1 (strongly disagree) to 6 (strongly agree).
Perceived Stress on 5-point Chinese Version of the Perceived Stress Scale
The Chinese version of the Perceived Stress Scale is a validated self-report tool used to measure Perceived Stress levels. Possible scores range from 0 (never) to 4 (very often).
Symptoms of Depression on 4-point Chinese Version of Patient Health Questionnaire-9 (PHQ-9)
PHQ-9 is a reliable self-report measure designed to evaluate Symptoms of depression. Possible scores range from 0 (not at all) to 3 (nearly everyday).
Symptoms of Anxiety on 4-point Chinese Version of the Generalized Anxiety Disorder Scale
The Chinese version of the Generalized Anxiety Disorder Scale is a validated, self-reported instrument assessing Symptoms of depression. Possible scores range from 0 (not feeling at all) to 3 (most of the time).
Other outcomes
Affective Experience over the Past Week on 30-item Affect Valuation Index (actual affect) (AVI)
The Affect Valuation Index (AVI) is a validated, self-reported instrument assessing affective experiences over the past week. It evaluates both the actual emotions experienced and the ideal emotions valued by the individual. Possible scores for each emotion reflect the frequency of experience, typically ranging from 1 (very slightly or not at all) to 5 (extremely or all the time).
Social Network Characteristics on 10-point Social Network Characteristics Scale
The Social Network Characteristics Scale will assess the perceived supportiveness, closeness, pleasantness, and meaningfulness of participants' social partners over the past two weeks. Possible scores range from 1 (not at all) to 10 (extremely high). Additionally, participants will report the number of social partners they have engaged with during this same timeframe.
Meaning of Life on 7-point Meaning in Life Questionnaire (MLQ)
The MLQ is a reliable self-assessment tool that evaluates individuals' sense of meaning in life. This instrument comprises two subscales: Presence of Meaning and Search for Meaning, with each subscale containing five items. Each subscale has a minimum score of 5 and a maximum score of 35.
Gratitude on 7-point Gratitude Scale Questionnaire-Six Item Form (GQ-6)
The GQ-6 is a validated self-report measure that evaluates inclination to recognize, appreciate, and respond to life events with gratitude. Possible scores range from 1 (strongly disagree) to 7 (strongly agree).
Sponsors and contacts
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Education University of Hong Kong
Lead sponsor
University of Texas at Austin
Collaborator
City University of Hong Kong
Collaborator