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A Psychological Intervention to Enhance Resilience in Mainland New Immigrants to Hong Kong

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ClinicalTrials.gov Identifier: NCT02986022
Recruitment Status : Recruiting
First Posted : December 7, 2016
Last Update Posted : July 17, 2017
Information provided by (Responsible Party):

Study Description
Brief Summary:


Resilience is important for successful adaptation. The investigators' resilience intervention was effective in enhancing resilience, emotional functioning, and adaptation in Mainland immigrants. In the present proposal, the investigators will work with the International Social Service to scale up application of this intervention in immigrants, and develop the training infrastructure to ensure that the evidence-based intervention can be sustained despite turnover of interventionists.


  1. We will conduct a randomized controlled trial to compare the resilience intervention with the resilience + information intervention (a compound module) among 200 new immigrants,
  2. The resilience intervention will enhance participants' resilience by 5%, and decrease their depressive symptoms by 20% and adaptation difficulties by 10% after the completion of the intervention,
  3. The resilience + information intervention will have higher increases in resilience and more decreases in depressive symptoms and adaptation difficulties compared to the resilience intervention, and
  4. To establish a sustaining mechanism which ensures that these two interventions can continue to be used in routine services.

Project design:

Well-trained social workers will deliver the intervention. Participants will complete programme evaluation. A train-the-trainer workshop and training materials will be prepared to transfer knowledge to social workers who are future trainers.

Condition or disease Intervention/treatment
Resilience Behavioral: Resilience Behavioral: Information

Detailed Description:

The intervention programme has been developed, manualized, and rigorously tested in our previous study (1). This programme is largely a replica of our original programme. Two social workers will deliver the resilience intervention. One of the two interventionists who delivered the intervention in our empirical study is still available. One more social worker will be selected from recently trained interventionists to deliver this intervention.

This resilience intervention (see Supplement 2) consists of 4 sessions, each lasting for 2 hours, finished within two weeks. This intervention is built on the international and local evidence about positive characteristics that promote successful immigration and effective strategies that enhance psychological well-being.

We will promote this intervention programme in new immigrants, and recruit participants by open recruitment, contacting current service users of the community agency, referral and cold call. Orientation gatherings will be organized to screen for eligible immigrants.

The resilience + information intervention consists of 4 sessions, each lasting for 2.5 hours, finished within two weeks. In each session, the resilience section will last for 2 hours (identical to the resilience intervention), and the information intervention will be half an hour. Similar to our previous information intervention, this information section will cover transportation, housing, medical service, education, and employment, the important information helpful for the immigrants' adaptation.

Participants will receive four sessions, either the resilience intervention or the resilience + information intervention. Unlike most programmes that have not been developed in the community, we have identified some key strategies to reduce attrition during the intervention. Before each session, social workers will call participants to remind them of the coming session. During the intervention, we will provide child care upon participants' request. For those who are unable to attend a specific sessions, social workers will conduct a make-up on the content, and provide general encouragement that attendance of further sessions will bring important gains. During the follow-up period, social workers will send reminder postcards to participants. At the end of the intervention, participants will obtain a certificate in recognition of their participation in this programme. Evaluation will be conducted before the first session (pre-intervention) and immediately after the intervention (post-intervention).

Study Design

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 200 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Psychological Intervention to Enhance Resilience in Mainland New Immigrants to Hong Kong
Study Start Date : November 2016
Estimated Primary Completion Date : February 2018
Estimated Study Completion Date : March 2018
Arms and Interventions

Arm Intervention/treatment
Experimental: Resilience
Participants will receive four sessions covering Resilience intervention content
Behavioral: Resilience
Self-efficacy, optimism, altruism, goal setting
Active Comparator: Resilience+Information
Participants will receive four sessions covering Resilience intervention and Information intervention contents.
Behavioral: Resilience
Self-efficacy, optimism, altruism, goal setting
Behavioral: Information
Information and resources about education, medical care, housing, employment, and community facilities available in Hong Kong and Mainland China

Outcome Measures

Primary Outcome Measures :
  1. Resilience as assessed by Connor-Davidson Resilience Scale [ Time Frame: 1 month ]

Secondary Outcome Measures :
  1. Depressive symptoms as assessed by Patient-Health Questionnaire-9 [ Time Frame: 1 month ]
  2. Adaptation difficulties as assessed by Sociocultural Adaptation Scale [ Time Frame: 1 month ]
  3. Knowledge measured using the items developed in our previous study [ Time Frame: 1 month ]
    Knowledge on services and resources regarding transportation, housing, medical service, education, and employment

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Immigrants who arrived in Hong Kong from Mainland China less than 3 years ago
  • have least a primary school education

Exclusion Criteria:

Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02986022

Contact: Nancy Xiaonan Yu 34429436 nancy.yu@cityu.edu.hk

City University of Hong Kong Recruiting
Hong Kong, China
Contact: Nancy Xiaonan Yu, Ph.D.    (852)34429436    nancy.yu@cityu.edu.hk   
Sponsors and Collaborators
City University of Hong Kong
International Social Service Hong Kong Branch
Principal Investigator: Nancy Xiaonan Yu City University of Hong Kong
More Information

Responsible Party: Nancy Xiaonan Yu, Assistant Professor, City University of Hong Kong
ClinicalTrials.gov Identifier: NCT02986022     History of Changes
Other Study ID Numbers: HCPF2016
First Posted: December 7, 2016    Key Record Dates
Last Update Posted: July 17, 2017
Last Verified: July 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Nancy Xiaonan Yu, City University of Hong Kong:
goal setting