Kee‐Lee Chou
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View article: Six-month outcomes of layperson-delivered, telephone-based behavioural activation and mindfulness interventions on loneliness among older adults during the COVID-19 pandemic: The HEAL-HOA Dual Randomised Controlled Trial
Six-month outcomes of layperson-delivered, telephone-based behavioural activation and mindfulness interventions on loneliness among older adults during the COVID-19 pandemic: The HEAL-HOA Dual Randomised Controlled Trial Open
Background Loneliness among older adults during the COVID-19 pandemic constituted a global public health crisis. This study aimed to determine whether layperson- and telephone-delivered behavioural activation (Tele-BA) and mindfulness (Tel…
View article: Effects of a closed-loop mindfulness-based program for reducing stress in family caregivers of people with dementia: a study protocol of a randomized controlled trial
Effects of a closed-loop mindfulness-based program for reducing stress in family caregivers of people with dementia: a study protocol of a randomized controlled trial Open
ClinicalTrials.gov, NCT06880822. Registered on March 2025.
View article: A three-arm randomized controlled trial protocol: Effects of telephone-based, layperson-delivered wisdom-enhancement narrative therapy and empathy-focused interventions on loneliness, social, and mental health in older adults
A three-arm randomized controlled trial protocol: Effects of telephone-based, layperson-delivered wisdom-enhancement narrative therapy and empathy-focused interventions on loneliness, social, and mental health in older adults Open
This trial is registered with the Chinese Clinical Trial Registry; ChiCTR2300070179 on April 4, 2024.
View article: Multicomponent Intervention for Distressed Informal Caregivers of People With Dementia
Multicomponent Intervention for Distressed Informal Caregivers of People With Dementia Open
Importance Multicomponent interventions for informal caregivers of people with dementia are urgently needed, but evidence regarding which components are most effective is lacking. Objective To apply a multiphase optimization strategy to ex…
View article: The effects of volunteering on loneliness among lonely older adults: the HEAL-HOA dual randomised controlled trial
The effects of volunteering on loneliness among lonely older adults: the HEAL-HOA dual randomised controlled trial Open
Research Grants Committee of the Hong Kong Special Administrative Region, China.
View article: ‘HELPING ALLEVIATE LONELINESS IN HONG KONG OLDER ADULTS’ (HEAL-HOA): A DUAL RANDOMIZED CONTROLLED TRIAL
‘HELPING ALLEVIATE LONELINESS IN HONG KONG OLDER ADULTS’ (HEAL-HOA): A DUAL RANDOMIZED CONTROLLED TRIAL Open
Despite the high prevalence and negative impact of loneliness, research on the effectiveness of behavioral interventions for older adults who are experiencing loneliness has been lacking. The ‘Helping Alleviate Loneliness in Hong Kong Olde…
View article: RECIPROCAL RELATIONSHIP BETWEEN LONELINESS AND LIFE SATISFACTION IN HONG KONG OLDER ADULTS
RECIPROCAL RELATIONSHIP BETWEEN LONELINESS AND LIFE SATISFACTION IN HONG KONG OLDER ADULTS Open
Given the limited research on the reciprocal relationship between loneliness and life satisfaction in the Chinese community, this study examines this dynamic and explores the mediating effect of neighbourhood collective efficacy. Lonelines…
View article: Study protocol of a sequential, multiple assignment, randomised trial using an adaptive intervention to reduce loneliness among Chinese older adults in Hong Kong
Study protocol of a sequential, multiple assignment, randomised trial using an adaptive intervention to reduce loneliness among Chinese older adults in Hong Kong Open
Background 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 is a growing recog…
View article: Layperson-Delivered Telephone-Based Behavioral Activation Among Low-Income Older Adults During the COVID-19 Pandemic
Layperson-Delivered Telephone-Based Behavioral Activation Among Low-Income Older Adults During the COVID-19 Pandemic Open
Importance Older adults are particularly vulnerable to loneliness and its physical and psychosocial sequelae, but scalable interventions are lacking, especially during disasters such as pandemics. Objective To compare the effects of layper…
View article: An exploratory study on material deprivation and loneliness among older adults in Hong Kong
An exploratory study on material deprivation and loneliness among older adults in Hong Kong Open
Background Poverty, as a risk factor for loneliness, has been understudied, and there is a need to gain a better understanding of the relationship between poverty examined by material deprivation and loneliness among older adults in Hong K…
View article: Study protocol of the ‘HEAL-HOA’ dual randomized controlled trial: Testing the effects of volunteering on loneliness, social, and mental health in older adults
Study protocol of the ‘HEAL-HOA’ dual randomized controlled trial: Testing the effects of volunteering on loneliness, social, and mental health in older adults Open
If our trial can show that volunteers delivering one of the three telephone-based interventions to lonely intervention recipients benefit from volunteer work themselves, this might encourage more older adults to volunteer, helping to solve…
View article: Depression among older adults before and during the pandemic: Follow-up assessment of a three-wave longitudinal observation
Depression among older adults before and during the pandemic: Follow-up assessment of a three-wave longitudinal observation Open
Previous studies have documented the average impact of the COVID-19 pandemic on depressive symptoms among the older population. However, discerning specific individuals at a higher risk and developing targeted support based on the signific…
View article: EFFECTIVENESS OF TELEDELIVERED BEHAVIORAL ACTIVATION AND MINDFULNESS INTERVENTIONS IN REDUCING LONELINESS
EFFECTIVENESS OF TELEDELIVERED BEHAVIORAL ACTIVATION AND MINDFULNESS INTERVENTIONS IN REDUCING LONELINESS Open
Loneliness is one of the most prevalent mental health problems in older adults, especially among those who live alone and are digitally excluded. The phenomenon has become more conspicuous during the COVID-19 pandemic because of the constr…
View article: FINANCIAL PREPARATION FOR RETIREMENT OF WORKING-AGE ADULTS IN HONG KONG: A PERSONALIZED PENSION PROJECTION
FINANCIAL PREPARATION FOR RETIREMENT OF WORKING-AGE ADULTS IN HONG KONG: A PERSONALIZED PENSION PROJECTION Open
This study replicated and upgraded the personal pension projections among a sample of middle-aged working adults in Hong Kong (N = 400). We conducted a three-arm randomized controlled trial in which the participants were randomly assigned …
View article: MATERIAL DEPRIVATION AND LONELINESS AMONG OLDER ADULTS IN HONG KONG
MATERIAL DEPRIVATION AND LONELINESS AMONG OLDER ADULTS IN HONG KONG Open
Given that poverty as a risk factor on loneliness is understudied, this study examined the relationship between material deprivation and loneliness of older adults in Hong Kong, the mediation effects of social support and social network, a…
View article: Sequential multiple assignment randomised controlled trial protocol for developing an adaptive intervention to improve depressive symptoms among family caregivers of people with dementia
Sequential multiple assignment randomised controlled trial protocol for developing an adaptive intervention to improve depressive symptoms among family caregivers of people with dementia Open
Objectives Family caregivers of people with dementia (FC-of-PWD) suffer from a high level of stress and depressive symptoms, which usually require different interventions at different stages. Although some standalone interventions such as …
View article: Willingness to Purchase Hypothetical Private Long-Term Care Insurance Plans in a Super-ageing Society: Evidence from Hong Kong
Willingness to Purchase Hypothetical Private Long-Term Care Insurance Plans in a Super-ageing Society: Evidence from Hong Kong Open
Despite the soaring demand for long-term care (LTC) services in aging societies, dedicated risk-pooling mechanisms are largely absent. Private insurance has been advocated but the market remains small. This study seeks to unravel this para…
View article: To Claim or Not to Claim: Investigating Non-Take-Up of Welfare Schemes Targeting Hong Kong Older Adults and the Stigma Attached to Them
To Claim or Not to Claim: Investigating Non-Take-Up of Welfare Schemes Targeting Hong Kong Older Adults and the Stigma Attached to Them Open
This article investigates the unique contribution of specific programme characteristics together with personal stigma, stigmatisation by the public, and claims stigma, to the non-take-up of targeted income support among Hong Kong older adu…
View article: Study Protocol Supporting family caregivers of people with dementia and identifying an effective adaptive intervention to reduce their depressive symptoms: protocol of a sequential multiple assignment randomized trial
Study Protocol Supporting family caregivers of people with dementia and identifying an effective adaptive intervention to reduce their depressive symptoms: protocol of a sequential multiple assignment randomized trial Open
Background: Family caregivers of people with dementia (FG-of-PWD) suffer from a high level of stress and depressive symptoms, which usually require different interventions at different stages. Although some standalone interventions such as…
View article: Meaning Making as a Lifebuoy in Dementia Caregiving: Predicting Depression from a Generation Perspective Using a Fuzzy-Set Qualitative Comparative Analysis
Meaning Making as a Lifebuoy in Dementia Caregiving: Predicting Depression from a Generation Perspective Using a Fuzzy-Set Qualitative Comparative Analysis Open
Depressive symptomatology is associated with caregiver burden and poor health outcomes among dementia caregivers. Scholars called for a paradigm shift to focus on positive aspects of caregiving, in particular, meaning making during the car…
View article: Family-Friendly Policies: Extrapolating A Pathway towards Better Work Attitudes and Work Behaviors in Hong Kong
Family-Friendly Policies: Extrapolating A Pathway towards Better Work Attitudes and Work Behaviors in Hong Kong Open
The need for family-friendly policies to balance work and life demands is growing. Many studies have addressed how family-friendly policies relate to a variety of employees’ work attitudes and behavioral outcomes, but not how they (positiv…
View article: Collective action in the Anti‐Extradition Law Amendment Bill Movement in Hong Kong: Two integrative group identification models
Collective action in the Anti‐Extradition Law Amendment Bill Movement in Hong Kong: Two integrative group identification models Open
The social identity model of collective action (SIMCA) is frequently used to explain collection action. This study conceptualized group identification as identification with militant protestors and tested two versions of the SIMCA model wi…