Alleviating Loneliness in Older Adults Living in Poverty: A Multi-level Intervention
Education University of Hong Kong
1,344 participants
Apr 1, 2026
INTERVENTIONAL
Conditions
Summary
The study aims to reduce loneliness among Hong Kong Chinese older adults living in poverty with a multi-level intervention involving components at the individual, interpersonal, and community levels.
Eligibility
Inclusion Criteria4
- aged 65 years or older
- living in poverty (defined: inability to afford at least 5 items on the material deprivation index)
- proficiency in spoken Cantonese
- experiencing loneliness (defined: score of ≥ 6 on the 3-item UCLA Loneliness Scale)
Exclusion Criteria3
- cognitive impairments, psychiatric disorders, learning disabilities, or active suicidal ideation
- actively participating in other psychotherapy or psychosocial interventions in the past 1 year
- \-
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Interventions
A 8-weekly, 1hour telephone-delivered sessions using mindfulness and SOLUS-D program. Key contents include: introduction to mindfulness - Body awareness and present moment experiences, emotional awareness and mind-body labeling, relaxation techniques and sensory discrimination, deepening awareness and accepting feelings, personal values, interconnection between thought patterns and emotions, identifying and analyzing of thought traps, and challenging thoughts and future planning. Maintenance sessions which focus on embedding mindfulness practices and SOLUS-D program among older adults as a persistent habit will be conducted.
A 8 weekly, 1hr sessions through telephone or Zoom using the Group 4 Health. Key contents include: understanding the benefits of social connections, exploring self and community, community and action, support and breakthrough, summary and moving forward. Maintenance sessions which focus on continuous practice of support and community will be conducted.
A 4 weekly, 2hour in-person sessions through (1) strengthening collective efficacy via neighbor identification with the community. Key contents include: building neighbourhood connections, getting to know each other, health aging, neighbourhood care, vibrant exploration, thriving community, connecting the dots.
Monthly monthly messages via text, graphics or voice recordings will be sent over a period of 6 months. Key content includes: healthy diet tips, recognizing warning signs of health, understanding dementia, fall prevention tips, health message, and anti-fraud tips.
Locations(1)
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NCT07123064