Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.11861/10555
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dc.contributor.authorJiang, Daen_US
dc.contributor.authorTang, Vivien Foong Yeeen_US
dc.contributor.authorKahlon, Maninderen_US
dc.contributor.authorProf. CHOW Oi-Wah, Estheren_US
dc.contributor.authorYeung, Dannii Yuen-lanen_US
dc.contributor.authorAubrey, Rhondaen_US
dc.contributor.authorChou, Kee-Leeen_US
dc.date.accessioned2024-10-29T08:13:07Z-
dc.date.available2024-10-29T08:13:07Z-
dc.date.issued2024-
dc.identifier.citationThe American Journal of Geriatric Psychiatry, 2024.en_US
dc.identifier.issn1064-7481-
dc.identifier.issn1545-7214-
dc.identifier.urihttp://hdl.handle.net/20.500.11861/10555-
dc.description.abstractObjective In this three-armed RCT, we tested the effects of a telephone-delivered wisdom enhancement narrative therapy-based intervention (Tele-NT) and a telephone-delivered empathy-focused intervention (Tele-EP) in reducing loneliness against an active control group that received regular call (ACG) at the 4-week follow-up assessment. Design, Setting, Intervention, and Participants To evaluate the effects of the interventions on loneliness, we randomized 287 older adults based in Hong Kong, ages 65 to 90, into Tele-NT (N = 97), Tele-EP (N = 95), or ACG (N = 95). Measurement The primary outcome was loneliness, calculated using the De Jong Gierveld Scale and the UCLA Loneliness Scale. Secondary outcomes were sleep quality, depressive symptoms, social network engagement, and perceived social support. Assessments were done before training and 4 weeks after the intervention period. Results Results from linear mixed models showed significant positive effects of Tele-NT on loneliness measured by the De Jong Gierveld Loneliness Scale compared to ACG. Compared to the ACG, the Tele-NT group significantly reduced loneliness at the 4-week follow-up (mean difference = −0.51, p = 0.019, Cohen's d = 0.60). However, the difference between Tele-EP and the ACG at the 4-week follow-up was not significant (MD = −0.34, p = 0.179, Cohen's d = 0.49). Tele-NT and Tele-EP did not show significant effects on the secondary outcomes, compared to the ACG. Conclusions In this randomized clinical trial, we found that a 4-week wisdom enhancement narrative therapy program significantly reduced feelings of loneliness. This effective telephone-based, lay-therapist-delivered program is scalable for broader implementation.en_US
dc.language.isoenen_US
dc.relation.ispartofThe American Journal of Geriatric Psychiatryen_US
dc.titleEffects of wisdom-enhancement narrative-therapy and empathy-focused interventions on loneliness over 4 weeks among older adults: A randomized controlled trialen_US
dc.typePeer Reviewed Journal Articleen_US
dc.identifier.doi10.1016/j.jagp.2024.07.003-
item.fulltextNo Fulltext-
crisitem.author.deptDepartment of Social Work-
Appears in Collections:Social Work - Publication
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