The effects of volunteering on loneliness among lonely older adults: the HEAL-HOA dual randomised controlled trial

The Lancet Healthy Longevity, Journal Year: 2025, Volume and Issue: 6(1), P. 100664 - 100664

Published: Jan. 1, 2025

Language: Английский

Layperson-Delivered Telephone-Based Behavioral Activation Among Low-Income Older Adults During the COVID-19 Pandemic

JAMA Network Open, Journal Year: 2024, Volume and Issue: 7(6), P. e2416767 - e2416767

Published: June 18, 2024

Importance Older adults are particularly vulnerable to loneliness and its physical psychosocial sequelae, but scalable interventions lacking, especially during disasters such as pandemics. Objective To compare the effects of layperson-delivered, telephone-based behavioral activation mindfulness vs befriending on among at-risk older adults. Design, Setting, Participants This assessor-blinded, 3-arm randomized clinical trial screened Chinese through household visits community referrals from April 1, 2021, 30, 2023, in Hong Kong. Eligible participants (≥65 years age) who were lonely, digitally excluded, living alone, below poverty line provided consent participate into activation, mindfulness, groups. Assessments conducted at baseline, 1 month, 3 months. Intervention As part Helping Alleviate Loneliness Kong Adults (HEAL-HOA) dual trial, 148 laypersons trained deliver a twice-weekly 30-minute intervention via telephone for 4 weeks. Main Outcomes Measures The primary outcome was measured by UCLA Scale (range, 20-80) De Jong Gierveld 0-6), with higher scores both scales indicating greater loneliness. Secondary outcomes depression, perceived stress, life satisfaction, psychological well-being, sleep quality, social support, network. Results A total 1151 (mean [SD] age, 76.6 [7.8] years; 843 [73.2%] female) (n = 335), 460) or 356) group. Most widowed divorced (932 [81.0%]), had education (782 [67.9%]), more chronic diseases (505 [43.9%]). Following intention-to-treat principles, linear mixed-effects regression model analyses showed that significantly reduced group difference [MD], −1.96 [95% CI, −3.16 −0.77] points; P < .001]) (MD, −1.49 −2.60 −0.37] .004) months compared befriending. not −0.06 −0.26 0.13] > .99]) 0.22 0.03 0.40] .01) In groups, quality improved befriending, stress increased. Psychological well-being support No statistically significant between-group differences observed Conclusion Relevance this delivered remotely appeared promising reducing later addressing pressing mental health challenges faced aging populations professional geriatric workforce shortages. Further research should explore ways maximize relevance cost-effectiveness these interventions. Trial Registration Clinical Registry Identifier: ChiCTR2300072909

Language: Английский

Study protocol of a sequential, multiple assignment, randomised trial using an adaptive intervention to reduce loneliness among Chinese older adults in Hong Kong

BMJ Open, Journal Year: 2024, Volume and Issue: 14(8), P. e087245 - e087245

Published: Aug. 1, 2024

Loneliness is a prevalent and alarming issue among older adults that requires effective interventions. While randomised controlled trials have been commonly undertaken to explore reduction in loneliness, there growing recognition comprehensive treatment strategy involving multiple interventions may yield better outcomes. Therefore, this study aims develop identify two-stage adaptive intervention combines telephone-delivered behavioural activation (Tele-BA) mindfulness techniques (Tele-MF) reduce loneliness Hong Kong.

Language: Английский