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Sustainable Development Goals
The Hong Kong Chapter of the United Nations' Sustainable Development Solutions Network (SDSN Hong Kong) is co-hosted by The Chinese University of Hong Kong and The Hong Kong Jockey Club Charities Trust (HKJC). It aims to mobilize universities, research centres, civil society organizations, businesses, and other knowledge centres to focus on practical problem solving for sustainable development.
The CUHK Jockey Club Institute of Ageing is engaged in ongoing global and local cross-boundary partnerships with universities, institutes and organizations from Australia, Japan, Mainland China, South Korea, Malaysia, Taiwan, UK and US. The Institute also collaborates with HKJC, universities, hospitals, District Councils, NGOs and the community to implement a wide range of projects which contribute to the Sustainable Development Goals (SDGs), in particular on Good Health and Well-Being (SDG 3) and Sustainable Cities and Communities (SDG 11). For details, please visit the website of SDSN Hong Kong and selected publications below.
Selected publications:
Conference
Congress of International Association of Gerontology and Geriatrics (IAGG)
A delegation of the CUHK Jockey Club Institute of Ageing has attended the Congress of International Association of Gerontology and Geriatrics (IAGG) in San Francisco, USA in July 2017. Three posters had been presented and a video introducing the Institute was showing in the Congress.
Distinguished Lecture
Distinguished Lecture on Sustainable Development
The Institute and the Hong Kong Chapter of the United Nations’ Sustainable Development Solutions Network (SDSN Hong Kong) jointly organized the Distinguished Lecture on Sustainable Development on 30 November 2018. Prof. Sir Michael Marmot, Director of the Institute of Health Equity at University College London, was invited to deliver a lecture titled ‘Health Equity and Sustainable Development’. The lecture drew an audience of over 150 scholars, students, alumni, and members of the public.
Meeting
Second Asian Working Group for Sarcopenia (AWGS) Meeting
The Institute and The Hong Kong Geriatrics Society jointly organized the 2nd Asian Working Group for Sarcopenia Meeting on 18-19 May 2019 in CUHK. More than 40 delegates from Hong Kong, Japan, Korea, Mainland China, Singapore, Taiwan and Thailand attended the meeting. They also discussed the AWGS consensus paper which is scheduled to be published at the next AWGS meeting in October.
Research Project
Establishment of an active ageing index in Hong Kong: Re-inventing the lived experience and potential of older people (General Research Fund, Research Grant Council, Hong Kong, 2017-2019, project number: 14606517)
Hong Kong has the highest global life expectancy and a low fertility rate, which raises concern as to whether its welfare system can sustain the long and active lives of older people. Given high density urban living and the residual welfare ideology, active ageing in Hong Kong is a challenging task of incorporating older people into society as assets. An active ageing index (AAI) developed across 28 European countries serves as a global quantitative effort to benchmark the diverse experience of active ageing and quantify older people’s potential from three major categories of human capability- human assets, health capital, and human capital. It enables country comparisons to inform the social implications of rapid demographic changes and suggests ways by which older people’s potential can be mobilized. The aim of this project is to adapt the European AAI in the Hong Kong context through the four core domains (“employment”, “participation in society”, “independent, healthy and secure living”, and “capacity and enabling environment for active ageing”). The multi-step method, including focus group interviews, multi-disciplinary expert panel reviews, and population-based surveys, will incorporate additional elements that are essential for the lived experience of older Chinese people.
Designing better urban green space for active ageing in high-density cities (General Research Fund, Research Grant Council, Hong Kong, 2017-2020, project number: 14603617)
In high-density cities, urban green spaces should be considered as one’s extended living space for elderly people due to the compact indoor living environment. Well-designed urban green spaces promote active ageing and improve the well-being of elderly people. This study intends to understand elderly’s perception, preference and usage of urban green spaces, and the effect on their health and well-being in order to provide insights to the planning and design of age-friendly urban green spaces in high-density cities. We will conduct questionnaire surveys with elderly people to obtain necessary information about their perception, preference and usage of urban green spaces in selected neighbourhood, which will be used to investigate the relationship with their health conditions. Based on the above findings, good design practices will be developed and evidence-based design guidelines of urban green spaces will be established for urban planning and design practitioners.
Disaster Risk Reduction and Its Economic Evaluation - A Hong Kong Taiwan Comparative Study (Taiwan Collaboration Fund)
This is an inter-institutional and cross-disciplinary collaboration project, which incorporates disciplines of economics and urban planning to examine effective Disaster Risk Reduction (DRR) measures between Hong Kong and Taiwan. Specifically, the project compares the DRR frameworks and identifies gaps that lead to effective and ineffective DRR implementation in terms of risk assessment, dialogue, and action. The resultant comparison aims to inform ways to integrate knowledge, actions, and stakeholders for enhanced risk preparedness and management.
Healthy Ageing x Ageing in Place (also named as “Nutcrackers 2.0”) (CUHK Knowledge Transfer Project Fund)
The project aims to foster a healthy living environment by creating opportunities for older people to take charge of their own health, and at the same time, property service team (as front-line staff) at residential estates will be empowered with social and geriatric healthcare knowledge, who could be well-equipped to spot and facilitate elderly needs ahead of time. Through the Integrated Care for Older People (ICOPE) approach, the project drives towards the provision of people-centred integrated care services that put people and communities, at the centre of health systems. This system oriented around the needs of people provides a more effective and better experience for elderly and is well prepared to respond to the rising demand of health services.
Our Everyday. Our Borders. (CUHK Knowledge Transfer Project Fund)
In creating Hong Kong as a walkable city for the elders, a project team of doctors, architects and urban planners, elders and students are encouraged to go out and explore the “treasures” in the city, and to voice out their views on universal accessibility of the built environment. The synergy between the professional team and elders are mutually beneficial with the potential of driving positive spiral effect towards the society as a whole. The project provides a proactive way to drive our city towards the “Sustainable Development Goals” (SDGs), making cities and human settlements inclusive, safe, resilient and sustainable, and safeguarding elders in Hong Kong their right to well-being.
Please click the event link (Monthly event will be updated from now till August 2020 at this same link by ORKTS)
Pursuing Meaningful Goals as Intervention to Reduce Loneliness Among Hong Kong Elders (CUHK Knowledge Transfer Project Fund)
Meaningful social relationships are essential to the psychological well-being of older people. However, loneliness is a condition faced by many older people in Hong Kong. To address this issue, the CUHK Jockey Club Institute of Ageing, in collaboration with the Department of Psychology (CUHK) and NGO partners in Tai Po, undertook a project to understand whether loneliness in older adults can be reduced by engaging them in programme that draw upon their meaningful experiences and memories. This group-based intervention program consists of two different parts that take place during alternate weeks. First, lonely older people go on guided tours to visit historically and culturally meaningful places in their districts (Tai Po); then, they participate in small group sessions to reminisce about their own experience and memories related to these destinations. Through these meaningful interactions and sharing, they can connect to other participants, form new relationships, and feel less lonely. Any additional benefits over the comparison group (whose older adults engaged in recreational but not meaningful activities) allow us to understand whether meaningfulness played a critical role. The results suggested that, compared to the comparison group, the intervention was effective in reducing loneliness and increasing meaning in life among older adults aged 75 and above. We are currently in the process of rolling out the program on a larger scale to benefit more lonely older adults in Hong Kong.
An introductory video (in Cantonese with English subtitles) can be viewed here:
A complete intervention manual can be downloaded here: Download
Jockey Club Frailty Prevention Campaign
As the population ages, the number of people with frailty is expected to increase, adding burden to the healthcare and social service system. However, frailty is not an inevitable consequence of ageing. Older people who maintain regular physical exercise and cognitive training are more likely to remain healthy and live independently. Thus, prevention and early identification of frailty are important in delaying progressive decline. The aim of this study is to examine the effectiveness of a 12-week frailty program in reducing frailty in community-dwelling Chinese older adults who are pre-frail or frail. Focus group interviews will also be included to reveal the difficulties encountered by pre-frail or frail older adults, and to understand their expectations for the support towards frailty.
Poster Presentation
Chau AKC, Fang Y, Wong A, Yu R, Woo J. Social connections Mediate the Association Between Frailty and Meaning in Life in Older People. Poster presented in The 21st IAGG World Congress of Gerontology and Geriatrics; 2017 Jul 23-27; San Francisco.
Au DWH, Lee JSW, Chan HY, Wong MW, Cheung NL, Ng K, Woo J. An exploratory investigation into advance care planning, end-of-life communication and decision-making in an acute hospital setting. Poster presented in the JCECC Conference on Collaboration in Creating Compassionate Holistic End-of-Life Care for the Future; 2017 Mar 8-9; Hong Kong.
Wang D, Lau KKL, Yu R, Wong SYS, Kwok TCY, Woo J. Neighboring Green Space and Transitions Between Frailty States Among Chinese Elderly in Hong Kong. Poster presented in The 21st IAGG World Congress of Gerontology and Geriatrics; 2017 Jul 23-27; San Francisco.
Yu R, Woo J, Lum T, Lou V, Ma C, Kwan M, et al. Building Hong Kong into an Age-friendly City: Results from a Baseline Assessment. Poster presented in The 21st IAGG World Congress of Gerontology and Geriatrics; 2017 Jul 23-27; San Francisco.
Yu R, Wu WC, Leung J, Hu SC, Woo J. Prevalence of Frailty in Chinese Older People: A Cross-Cultural Study. Poster presented in The 21st IAGG World Congress of Gerontology and Geriatrics; 2017 Jul 23-27; San Francisco.
Publications
Please visit Affiliated Academics and Researchers and Annual Report for publications by the Institute.
JAMDA Author Video: Is Neighborhood Green Space Associated with Less Frailty? Evidence from the Mr. and Ms. Os (Hong Kong) Study
Researchers profile
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University position
Senior Research Fellow
Organization
CUHK Jockey Club Institute of Ageing
Department of Medicine & Therapeutics,
Faculty of Medicine, CUHKE-mail
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Home Page
Dr. Ruby HY YU 余浩欣
PhD (CUHK)
Researcher ID (N-5006-2015) : http://www.researcherid.com/rid/N-5006-2015
Dr Ruby Yu joined CUHK Jockey Club Institute of Ageing in 2014. She is currently co-leading three key initiatives including Jockey Club Community eHealth Care Project, Jockey Club "Shining Journey 50+" Women Wellness Programme, and Jockey Club Cadenza e-Tools for Elder Care, all of which were designed to facilitate self-management and implementation of integrated care. In collaboration with several academic partners and experts of the World Health Organization (WHO), she leads research on validating the WHO’s concept of healthy ageing, mainly intrinsic capacity in Chinese populations. She also leads the effort to examine trajectories of intrinsic capacity, determinants (e.g., socioeconomic status) and consequences (e.g., frailty and disability) of declines in intrinsic capacity, operationalization of vitality (a domain of intrinsic capacity), interventions for optimizing intrinsic capacity, as well as the readiness of the local community in implementing the WHO Integrated Care for Older People (ICOPE) approach.
- Yu R, Lai D, Leung G, Tong C, Woo J. Using cardiorespiratory fitness to operationalize vitality: a path analysis on the hierarchical structure of intrinsic capacity. The Journal of Nutrition, Health & Aging. 2024;28(8):100300
- Yu R, Lai D, Leung G, Tam LY, Cheng C, Kong S, Tong C, Woo J. Transitions in intrinsic capacity among community-dwelling older people and their associated factors: a multistate modelling analysis. The Journal of Nutrition, Health & Aging. 2024;28(7): 100273
- Yu R, Lai D, Leung G, Tam LY, Cheng C, Kong S, Tong C, Lu Z, Leung JCS, Chan A, Kwok T, Woo J. Translation, cultural adaptation, and validation of the Cantonese version of SarQoL in Hong Kong’s older population: an interviewer-administered questionnaire for assessing Sarcopenia-Specific Quality of Life in fieldwork practice. Clinical Interventions in Aging. 2023;18:1851-1861
- Yu R, Lai D, Leung G, Tam LY, Cheng C, Kong S, Tong C, Cheung B, Woo J. Moving towards the ICOPE Approach: Evaluation of community-based intervention activities on improving intrinsic capacity. The Journal of Nutrition, Health & Aging. 2023;27(11):1028-1037
- Yu R, Lai D, Leung G, Tong C, Yuen S, Woo J. A dyadic cooking-based intervention for improving subjective health and well-being of older adults with subjective cognitive decline and their caregivers: A randomized controlled trial. The Journal of Nutrition, Health & Aging. 2023;27(10):824-832
- Yu R, Leung G, Lai D, Tong C, Tam LY, Cheng C, Kong S, Woo J. Assessing the readiness for implementing the World Health Organization's ICOPE approach in Hong Kong: Perspectives from social care and policy stakeholders. Journal of Frailty & Aging. 2023;12(2):126-133
- Yu R, Lai D, Leung G, Woo J. Trajectories of intrinsic capacity: Determinants and associations with disability. The Journal of Nutrition, Health & Aging. 2023;27(3):174-181
- Yu R, Lai ETC, Leung G, Ho SC, Woo J. Intrinsic capacity and 10-year mortality: Findings from a cohort of older people. Experimental Gerontology. 2022;167:111926
- Yu R, Leung G, Leung J, Cheng C, Kong S, Tam LY, Woo J. Prevalence and distribution of intrinsic capacity and its associations with health outcomes in older people: The Jockey Club Community eHealth Care Project in Hong Kong. Journal of Frailty & Aging. 2022;11(3):202-308
- Yu R, Leung J, Leung G, Woo J. Towards healthy ageing: Using the concept of intrinsic capacity in frailty prevention. The Journal of Nutrition, Health & Aging. 2022;26(1):30-36
- Woo J, Yu R, Leung G, Chiu C, Hui A, Ho F. An integrated model of community care for older adults: design, feasibility and evaluation of impact and sustainability. Aging Medicine and Healthcare. 2021;12(3):105-113
- Yu R, Amuthavalli Thiyagarajan J, Leung J, Lu Z, Kwok T, Woo J. Validation of the construct of intrinsic capacity in a longitudinal Chinese cohort. The Journal of Nutrition, Health & Aging. 2021;25(6):808-815
- Yu R, Leung G, Woo J. Randomized controlled trial on the effects of a combined intervention of computerized cognitive training preceded by physical exercise for improving frailty status and cognitive function in older adults. International Journal of Environmental Research and Public Health. 2021;18(4):1396
- Yu R, Tong C, Leung G, Woo J. Assessment of the validity and acceptability of the online FRAIL scale in identifying frailty among older people in community settings. Maturitas. 2021;145:18-23. https://doi.org/10.1016/j.maturitas.2020.12.003
- Woo J, Yu R. Care is needed to apply hypertension guidelines to community-living older adults aged 60 years and over. Journal of the American Medical Directors Association. 2020;24:2014-2016. http://doi.org/10.1016/j.jamda.2020.08.007
- Yu R, Tong C, Woo J. Effect of an integrated care model for pre-frail and frail older people living in community. Age and Ageing. 2020,49(6):1048-1055. https://doi.org/10.1093/ageing/afaa087
- Yu R, So MC, Ho F, Tong C, Woo J. Older adults' perspective towards participation in a multicomponent frailty prevention program: a qualitative study. The Journal of Nutrition, Health & Aging. 2020. https://doi.org/10.1007/s12603-020-1369-5
- Yu R, Tong C, Ho F, Woo J. Effects of a multicomponent frailty prevention program in pre-frail community-dwelling older persons: A randomized controlled trial. Journal of the American Medical Directors Association. 2020;21(2):294.e1-294.e10 doi: 10.1016/j.jamda.2019.08.024
- Yu R, Leung J, Lum CM, Auyeung TW, Lee J, Woo J. A comparison of health expectancies over 10 years: implications for elderly service needs in Hong Kong. International Journal of Public Health. 2019:64(5):731-742. doi: 10.1007/s00038-019-01240-1
- Yu R, Woo J. Cognitive assessment of older people: Do sensory function and frailty matter? International Journal of Environmental Research and Public Health. 2019;16:662. doi:10.3390/ijerph16040662
- Woo J, Tong C, Yu R. Chewing difficulty should be included as a geriatric syndrome. Nutrients. 2018,10(12):1997
- Woo J, Yu R, Tsoi K, Meng H. Variability in repeated blood pressure measurements as a marker of frailty. The Journal of Nutrition, Health & Aging. 2018, 22(9): 1122-1127
- Woo J, Yu R, Leung J. Predictive ability of individual items of the Cardiovascular Health Study (CHS) scale compared with the summative score. Journal of the American Medical Directors Association. 2018 May;19(5):444-449. doi: 10.1016/j.jamda.2017.11.006. Epub 2017 Dec 16
- Yu R, Morley JE, Kwok T, Leung J, Cheung O, Woo J. The effects of combinations of cognitive impairment and pre-frailty on adverse outcomes from a prospective community-based cohort study of older Chinese people. Frontiers in Medicine. 2018 Mar 6;5:50. doi: 10.3389/fmed.2018.00050. eCollection 2018
- Yu R, Wong M, Chong KC, Chang B, Lum CM, Auyeung TW, Lee J, Lee R, Woo J. Trajectories of frailty among Chinese older people in Hong Kong between 2001 and 2012: an age-period-cohort analysis. Age and Ageing. 2018;47(2):254-261. doi: 10.1093/ageing/afx170
- Yu R, Wu WC, Leung J, Hu SC, Woo J. Frailty and its contributory factors in older adults: A comparison of two Asian regions (Hong Kong and Taiwan) International Journal of Environmental Research and Public Health 2017;14:1096. doi:10.3390/ijerph14101096
- Woo J, Yu R, Leung J. A 3-Item SARC-F? Journal of the American Medical Directors Association. 2018;19(3):223-228. doi: 10.1016/j.jamda.2017.09.006. Epud 2017 Nov 1
- Yu R, Ong S, Cheung O, Leung J, Woo J. Reference values of grip strength, prevalence of low grip strength, and factors affecting grip strength values in Chinese adults. Journal of the American Medical Directors Association. 2017;18:551.e9-e551.e16. http://dx.doi.org/10.1016/j.jamda.2017.03.006
- Yu R, Wong M, Chang B, Lai X, Lum CM, Auyeung TW, Lee J, Tsoi K, Lee R, Woo J. Trends in activities of daily living disability in a large sample of community-dwelling Chinese older adults in Hong Kong: an age-period-cohort analysis. BMJ Open 2016;6:e013259. doi:10.1136/bmjopen-2016-013259
- Yu R, Leung J, Woo J. Sarcopenia combined with FRAX probabilities improves fracture risk prediction in older Chinese men. Journal of the American Medical Directors Association. 2014;15(12):918-923. doi: 10.1016/j.jamda.2014.07.011
- Yu R, Leung J, Woo J. Incremental predictive value of sarcopenia for incident fracture in an elderly Chinese cohort: Results from MrOs (Hong Kong). Journal of the American Medical Directors Association. 2014;15(8):551-558. doi: http://dx.doi.org/10.1016/j.jamda.2014.02.005
- Yu R, Wong M, Leung J, Lee J, Auyeung TW, Woo J. Incidence, reversibility, risk factors and the protective effect of high body mass index against sarcopenia in community-dwelling older Chinese adults. Geriatrics & Gerontology International. 2014;14(1):15-28. doi: 10.1111/ggi.12220 Erratum in Geriatrics & Gerontology International. 2014;14(3):730
- Yu R, Chau PH, McGhee SM, Cheung WL, Chan KC, Cheung SH, Woo J. Trends in prevalence and mortality of dementia in elderly Hong Kong population: projections, disease burden, and implications for long-term care. International Journal of Alzheimer's Disease. 2012;406852. doi: 10.1155/2012/406852
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