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NCT Number: NCT07305441

Impact Assessment of the Jockey Club REACH & Map Program for Hard-to-reach Older Adults

The goal of this study is to evaluate the impact of the Reach-and-Map project on increasing functional capacity to optimize the functional ability of the vulnerable group of "Hard-to-Reach" older adults through increase the compatibility between their intrinsic capacity and environment.

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Key information

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The University of Hong Kong

Hong Kong

Location status: Recruiting

Location contact

Doris Sau Fung Prof. Yu,

CONTACT

[email protected]

+852 39176319

Doris Sau Fung Prof. Yu,

PRINCIPAL_INVESTIGATOR

About this study

The overall aim of this project is to conduct a comprehensive impact assessment of the Jockey Club (JC) Reach & Map Program, utilizing a framework based on the World Health Organization (WHO) Health Impact Assessment. The study will evaluate how the program influences health outcomes among hard-to-reach older adults by assessing changes in key health determinants. The findings will be disseminated to relevant stakeholders to inform future policy setting and service planning, and long-term monitoring will be undertaken to evaluate the extent to which the impact assessment influences decision-making in aged care service development.

The primary focus of the evaluation is on the functional abilities of older adults, including physical, cognitive, psychological, and social functioning. The assessment will also cover core outcomes such as quality of life, frailty, and health service use, alongside person-centered measures like loneliness and mental health. Given the diverse services received by beneficiaries, the study will account for structural and social health determinants-such as age, gender, socio-economic status, and chronic disease burden-as covariates in the analysis. In addition, the project will explore the broader effects of the JC Reach & Map Program on aged care service utilization and document both the experiences of service recipients and stakeholders involved.

Specifically, the study objectives are: (1) to evaluate the impact of the JC Reach & Map Program on frailty, quality of life, and health service use among hard-to-reach older adults, focusing on physical, cognitive, psychological, and social functions; (2) to explore the engagement experiences and perceptions of older adults regarding the services received, and their impact on well-being, community engagement, and social integration; and (3) to explore the experiences of service stakeholders in reaching and working with this population, as well as to gather their insights on ideal service models and policies for hard-to-reach older adults.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • age > 60
  • able to participate in the impact assessment as evidence by a test score of > 6 on the Abbreviated Mental Test
  • has the functional ability to engage in the digital intervention
  • able to communicate with the researcher

Exclusion criteria

-

Treatment and study plan

Mapped intervention based on health status

Behavioral

Intervention will be conducted to improve lifestyle based on their needs which include 1) Home modification, 2) Lifestyle-based health promotion, 3) Geriatric symptom management, 4) Health counseling for chronic disease management, 5) Counseling-based service, 6) Social network optimization, 7) Social support optimization

Primary outcomes

  1. EuroQoL-5 Dimension-5 Level

    Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.

    Measuring Health-related quality of life (HRQL) (range from -0.59 to 1.0), higher score indicates better quality of life

  2. Short Physical Performance Battery

    Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.

    Measuring by (range from 0 to 12), with higher score indicating better physical performance

  3. 5-minute Montreal Cognitive Assessment (MoCA)

    Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.

    Measuring Cognitive function (range from 0 to 30), A score of 26 or over is considered to be normal.

  4. 7-item Memory Complaint Scale (MCS)

    Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.

    Measuring Subjective Memory Score (range from 0 to 14), lower score indicates better memory performance. No MCs (0-2), Mild MCs (3-6), Moderate MCs (7-10), Severe MCs (11-14).

  5. 3-item University of California, Los Angeles (UCLA) Loneliness Scale

    Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.

    Measuring Loneliness (range 3-9), higher score indicates greater loneliness.

  6. The 8-item Geriatric Depression Scale

    Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.

    Measuring Depression (range 0 to 8), with higher score indicating higher risk of depression

  7. 8-item Social Connectedness Scale Revised

    Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.

    Measuring Social connectedness (range 0 to 48), <22 indicates lack of social connectedness

Secondary outcomes

  1. Health service utilization

    Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.

    Self-developed checklist on community care service for older adults in Hong Kong

  2. Health service utilization

    Time frame: From baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.

    Self-developed checklist on health service utilization (including visit to out-patient clinic, emergency medical service, an in-hospital service in private and/or public sectors).

    [generic] With the consent from the participants, the above information will be retrieved from the electronic health record. Otherwise, self-report method will be used for collecting the data.

Study contacts

Contact information is provided by the study sponsor or research team.

Doris Sau Fung YU, PhD

CONTACT

[email protected]

852-3917-6319

Sponsors and collaborators

Lead sponsor

The University of Hong Kong

Other

Registry information

Official study title

Impact Assessment of the Jockey Club REACH & Map Program for Hard-to-reach Older Adults in the Community: A Target Trial Emulation

Important dates

Study start
2024
Primary completion
2027
Study completion
2028
First posted
Dec 26, 2025
Registry last updated
Dec 26, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.