ClinicalTrials.gg
Enrolling by invitationNCT07932236Updated Nov 12, 2026

Evaluating EWPPT and NECT for People With Schizophrenia

An interventional study of Enhanced WELLFOCUS PPT and Culturally adapted NECT in Schizophrenia Patients, sponsored by City University of Hong Kong. Enrolling by invitation at 19 sites in Hong Kong. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by City University of Hong Kong · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years after the study started (first participant enrolled Oct 2023, registered Nov 2026).
Updated Nov 12, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
210
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 33 studies in Schizophrenia with a site in Hong Kong — 5 open to participants now, 5 under way, none of them phase 3. Schizophrenia · Hong Kong.

Planned enrollment
7th of 30
210 · median 131
Started
2023
with 2 others
No phase
18 of 33
5 open now
Registered
33rd of 33
by date
Lead sponsor
1 of 33
City University of Hong Kong

Among the 33 studies in Schizophrenia with a site in Hong Kong, this one is the 7th largest by planned enrollment of the 30 interventional ones that give a count, is one of 3 that started in 2023, is one of 18 with no phase, and was the 33rd registered.

Schizophrenia

3,565 studies on the registry are indexed under Schizophrenia; 491 are open to participants now.

Browse Schizophrenia studies →

Open to participants now

5 of the 33 studies in Schizophrenia with a site in Hong Kong are open now. Recruiting first, the newest first:

All 5 open studies →

A study can be open while its sites in Hong Kong have not opened yet or have stopped. Only those recruiting at a site in Hong Kong →

Who these studies take

Of the 331 Schizophrenia studies recruiting now, 63 (19%) set no upper age limit and 257 (78%) stop at 75 or younger; 42 take children under 18; 83 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

The goal of this three-arm cluster randomized controlled trial is to evaluate and compare the effectiveness of two psychological group interventions, Enhanced WELLFOCUS Positive Psychotherapy (EWPPT) and the culturally adapted Narrative Enhancement and Cognitive Therapy (NECT) program, in Chinese adults (aged 18 to 65) diagnosed with schizophrenia or related psychotic disorders who live in halfway houses (HWHs) in Hong Kong. The primary outcomes are personal recovery, quality of life, and wellbeing. The secondary outcomes are self-efficacy and meaning in life. Additional outcomes are self-stigma and strengths use. Randomization is done at the halfway house level: each participating HWH is randomly assigned to EWPPT, NECT, or a treatment-as-usual (TAU) control. All participants within a given HWH receive the same condition. This reduces the risk of contamination between residents who live together.

The study has two objectives. Objective 1 is to compare each intervention against the TAU control on these outcomes. Objective 2 is to identify the psychological processes underlying change in each active arm. Participants will be asked to complete standardized paper-and-pencil questionnaires at three time points: at baseline before the group sessions start (T1), immediately after the sessions end (T2), and at 3-month follow-up (T3). A purposive sample of participants will also be invited to an individual face-to-face semi-structured qualitative interview.

03

Conditions studied

  • Schizophrenia Patients

Keywords

  • Schizophrenia
  • Schizophrenia Spectrum Disorders
  • Psychosis
  • Positive Psychotherapy
  • WELLFOCUS
  • Meaning-Centered Therapy
  • Narrative Enhancement and Cognitive Therapy
  • Halfway Houses
  • Hong Kong
04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Chinese adults aged between 18 and 65
  • fluent in speaking and understanding Cantonese
  • hold a formal clinical diagnosis of schizophrenia or a schizophrenia-spectrum disorder according to criteria, verified via the records of the Central Referral System for Rehabilitation Services
  • capable to provide

Exclusion criteria

Exclusion Criteria:

  • prior exposure to Wellfocus PPT or NECT programs in the past 3 years
  • with records of medical noncompliance
  • considered unsuitable due to mental-state concerns, care needs, or professional clinical judgement from relevant staff such as psychiatric nurses and clinical psychologists
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
210 participants (estimated)

Study arms

  • Experimental
    Arm 1 (EWPPT)

    All Arm 1 participants receive treatment-as-usual (TAU) provided by the halfway houses, and in addition receive Enhanced WELLFOCUS PPT intervention. The intervention consists of 18 weekly sessions, with each session lasting 1.5, delivered within their residential facility in a group format containing about 7 participants. Quantitative self-report assessments will be completed by these participants at three time points: baseline (T1), immediately post-intervention (T2), and at 3-month follow-up (T3).

    Behavioral: Enhanced WELLFOCUS PPT

  • Experimental
    Arm 2 (NECT)

    All Arm 2 participants receive treatment-as-usual (TAU) provided by the halfway houses, and in addition receive the culturally adapted NECT intervention. The intervention consists of 18 weekly sessions, with each session lasting 1.5, delivered within their residential facility in a group format containing about 7 participants. Quantitative self-report assessments will be completed by these participants at three time points: baseline (T1), immediately post-intervention (T2), and at 3-month follow-up (T3).

    Behavioral: Culturally adapted NECT

  • No intervention
    Arm 3 (Control)

    Participants allocated to the control group continue to receive standard HWH care, medication management, and routine rehabilitation activities without the added active psychological protocols.

Interventions

  • BehavioralEnhanced WELLFOCUS PPT

    18-session manualized group psychotherapy (1.5 hours per weekly session) designed specifically for people with schizophrenia in Hong Kong transitional residential settings. It is distinguished from the original 11-session WELLFOCUS PPT through integration of Meaning-Centered Therapy (MCT), particularly utilizing Dr Paul Wong's ABCDE and PURE theoretical models.

    Also known as: Enhanced WELLFOCUS Psychotherapy, EWPPT

  • BehavioralCulturally adapted NECT

    This intervention blends psychoeducation, cognitive restructuring, and narrative therapy. It is distinguished from standard NECT protocols through cultural adaptations tailored for Hong Kong Chinese society such as addressing issues like Chinese "face concern", cultural myths, and offering self-disclosure guidance. In addition, to ensure programmatic consistency and balance statistical power, the standard 20-session NECT framework is consolidated into an 18-session protocol (1.5 hour per session).

    Also known as: Culturally adapted Narrative Enhancement and Cognitive Therapy

06

What researchers measure

Primary outcomes

  1. Change of Personal Recovery from T1 to T3

    The subjective recovery process of patients is quantified via The Chinese version of the Recovery Assessment Scale (Corrigan et al., 1999; Mak et al., 2016). Comprising 24 items scored on a 5-point Likert scale from 1 (strongly disagree) to 5 (strongly agree), it measures dimensions of hope and self-determination. A sample item is "I have my own plan for how to stay or become well."

    Time frame: Pre-intervention (Baseline/T1), immediately post-Intervention (T2), and 3-month follow-up (T3)

  2. Change of Quality of Life from T1 to T3

    Subjective quality of life is evaluated using a translated subscale extracted from the Manchester Short Assessment of Quality of Life (MANAS; Priebe et al., 1999). This instrument contains 12 items in total, structured around a 7-point Likert satisfaction scale ranging from 1 (strongly disagree) to 7 (strongly agree). A sample item is "In general I am satisfied with my life as a whole." It concludes with binary (Yes/No) objective questions regarding recent social support.

    Time frame: Pre-intervention (Baseline/T1), immediately post-Intervention (T2), and 3-month follow-up (T3)

  3. Change of Wellbeing from T1 to T3

    Subjective psychological well-being is tracked using The Short Chinese Warwick-Edinburgh Mental Well-being Scale (Ng et al., 2014; Stewart-Brown et al., 2009). This brief 7-item scale captures individual's wellbeing on a 5-point Likert scale ranging from 1 (none of the time) to 5 (all the time). A sample item is "Dealing with problems well."

    Time frame: Pre-intervention (Baseline/T1), immediately post-Intervention (T2), and 3-month follow-up (T3)

Secondary outcomes

  1. Change of Self-Efficacy from T1 to T3

    Perceived competence in dealing with stressful situations is evaluated using The Chinese General Self-Efficacy Scale (Schwarzer \& Jerusalem, 1995). This 10-item instrument utilizes a 4-point Likert scale ranging from 1 (strongly disagree) to 4 (strongly agree). A sample item is "When I am confronted with a problem, I can usually find several solutions."

    Time frame: Pre-intervention (Baseline/T1), immediately post-Intervention (T2), and 3-month follow-up (T3)

  2. Change of Meaning in Life from T1 to T3

    The capacity to construct personal meaning across life domains is captured using The Perceived Personal Meaning Scale (PPMS; Wong, 1998). This 8-item tool measures seven domains (achievement, relationship, religion, self-transcendence, self-acceptance, intimacy, and fair treatment) on a 9-point Likert scale ranging from 1 (strongly disagree) to 9 (strongly agree). A sample item is "My life as a whole has meaning."

    Time frame: Pre-intervention (Baseline/T1), immediately post-Intervention (T2), and 3-month follow-up (T3)

Other outcomes

  1. Change of Strength Use from T1 to T3

    The extent to which people use their strength is evaluated using The Chinese version of the Strengths Use Scale (Govindji and Linley, 2007). This 14-item measure utilizes a 7-point Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree). A sample item is "I am able to use my strengths in different ways." This outcome is administered exclusively to Trial Arm 1 (Enhanced WELLFOCUS PPT) as an internal mechanism indicator.

    Time frame: Pre-intervention (Baseline/T1), immediately post-Intervention (T2), and 3-month follow-up (T3)

  2. Change of Self-Stigma from T1 to T3

    The level of internalized negative stereotypes is quantified via The Self-Stigma Scale (SSS; Mak \& Cheung, 2010). This 9-item measure utilizes a 4-point Likert scale ranging from 1 (strongly disagree) to 4 (strongly agree), assessing how deeply individuals embed stigma into their recovery identity. A sample item states "I avoid interacting with others because I am a person in recovery of mental illness." This outcome is administered exclusively to Trial Arm 2 (Culturally Adapted NECT) as an internal mechanism indicator.

    Time frame: Pre-intervention (Baseline/T1), immediately post-Intervention (T2), and 3-month follow-up (T3)

07

Study locations

19 sites
  • Christian Family Service Centre on Yee Hostel
    Chai Wan, Hong Kong
  • Christian Family Service Centre on Yue Hostel
    Chai Wan, Hong Kong
  • New Life Psychiatric Rehabilitation Association Lei Tung Halfway House
    Hong Kong, Hong Kong
  • New Life Psychiatric Rehabilitation Association Shek Lei Halfway House
    Kwai Chung, Hong Kong
  • The Mental Health Association of Hong Kong Jockey Club Building - Halfway House(1)
    Kwun Tong, Hong Kong
  • New Life Psychiatric Rehabilitation Association New Life Building Halfway House (I)
    Sham Shui Po, Hong Kong
  • New Life Psychiatric Rehabilitation Association New Life Building Halfway House (Ii)
    Sham Shui Po, Hong Kong
  • New Life Psychiatric Rehabilitation Association New Life Building Halfway House (Iii)
    Sham Shui Po, Hong Kong
  • New Life Psychiatric Rehabilitation Association Pok Hong Halfway House
    Shatin, Hong Kong
  • New Life Psychiatric Rehabilitation Association Sun Chui Halfway House
    Shatin, Hong Kong
  • Sracp Chun Shek Halfway House
    Shatin, Hong Kong
  • Stewards - Yiu on Halfway House
    Shatin, Hong Kong
  • New Life Psychiatric Rehabilitation Association Tin Yuet Halfway House
    Tin Shui Wai, Hong Kong
  • Sracp Sunrise House
    Tin Shui Wai, Hong Kong
  • Christian Family Service Centre Tsui Lam Halfway House
    Tseung Kwan O, Hong Kong
  • New Life Psychiatric Rehabilitation Association Shan King Halfway House
    Tuenmen, Hong Kong
  • Sracp Chan Chun Ha Yee Tsui House
    Tuenmen, Hong Kong
  • New Life Psychiatric Rehabilitation Association Chuk Yuen Halfway House
    Wong Tai Sin, Hong Kong
  • The Mental Health Association of Hong Kong Choi Wan Hostel
    Wong Tai Sin, Hong Kong
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2023 (actual). Primary completion is estimated for Dec 2026, 38 months after the start.

Of 753 non-industry interventional studies with no phase under Schizophrenia, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 56. This study's planned 38 months is above that.

Counting every sponsor, half of 766 studies reached it within 32 months; a quarter within 16 and three quarters within 56.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 6, 2026
First posted
Nov 12, 2026
StartActual
Oct 9, 2023
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Nov 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07932236
Lead sponsor
City University of Hong Kong
Collaborators
University Grants Committee, Hong Kong
Responsible party
Yuk Ching Sylvia KWOK LAI (Associate Dean, Chow Yei Ching School of Graduate Studies; Professor, Department of Social and Behavioural Sciences, City University of Hong Kong) — Principal investigator
First posted
Nov 12, 2026
Start date
Oct 9, 2023
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Nov 12, 2026

Study contacts

Sylvia YCL Kwok
principal investigator · City University of Hong Kong

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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