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Development and Validation of a Carer Need Screening Tool (CNST-11) for Carers of Older Adults: A Need Stratified Tool for Services Matching
Development and Validation of a Carer Need Screening Tool (CNST-11) for Carers of Older Adults: A Need Stratified Tool for Services Matching
June 17, 2025

Carers play an imperative role in enabling older adults to age in place. Enhancing support for carers is increasingly recognised as essential to the social welfare system. The study aims to develop and validate a short self-administration Carer Need Screening Tool (CNST-11) to enable carers? understanding of their needs in caring for older adults and inform service providers for need-stratified intervention matching.





Research Design and Methods

The scale was developed through a three-phase approach. Items were generated via literature review, two rounds of Delphi study with 48 experts and a focus group with 10 carers of older adults at Phase I. Survey data of 803 carers was used to perform item reduction analysis at Phase II. Need stratification and psychometric property analysis were performed at Phase III.




Results

The CNST-11 consists of 11 items from the 37 items generated at Phase I. A revised two-factor model considering clinical applicability was adapted based on exploratory factor analysis (EFA) and supported by confirmatory factor analysis (CFA) with excellent fit (CFI=0.955, RMSEA=0.052). Cronbach’s alpha of the CNST-11 was 0.818. Concurrent and divergent validity were achieved.




Discussion and Implications

The CRNT-11 is the first screening tool for carers of older adults, developed by considering both stakeholders’ opinions and validated empirical data, that adopted an outcome-oriented approach in item selection. It provides helping professionals with a brief and reliable tool for quick screening and need stratification, which enables the provision of timely and accurate support services to carers in different caregiving stages.


Full publication: https://academic.oup.com/gerontologist/article/65/9/gnaf151/8165434




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Prof. LU Shiyu received the Healthy Longevity Catalyst Award (Hong Kong) as Principal Investigator
Prof. LU Shiyu has been named a Principal Investigator awardee in the Healthy Longevity Catalyst Awards (Hong Kong), a regional arm of the Healthy Longevity Global Competition founded by the U.S. National Academy of Medicine. This international program backs bold, early-stage ideas that can extend healthy years of life and accelerate practical solutions for ageing and longevity.
Prof. LU’s winning project—on social prescribing of virtual reality–based urban greenness combined with a peer-support model—will conduct an effectiveness and feasibility study to assess whether immersive exposure to green environments, delivered through VR and embedded in community pathways, can strengthen mental health and well-being among older adults. The study is designed to generate real-world insights on feasibility, acceptability, and preliminary impact, with the aim of informing scalable, non-pharmacological approaches to support healthy ageing and positioning the work for subsequent phases of the global competition.
Learn more: https://healthylongevitychallenge.org/winners/social-prescribing-of-virtual-reality-urban-greenness-with-peer-support-model-to-promote-mental-health-among-aging-population-an-effectiveness-and-feasibility-study/
Prof. LOU W.Q. Vivian’s Transitional Care Platform Wins Smart Ageing Award 2022 (Elderly Care – Bronze)
We’re delighted to share that Dr. LOU W.Q. Vivian’s “Jockey Club Empowerment-based Transitional Care Project – Platform” received the Smart Ageing Award 2022 (Elderly Care – Bronze) from the Golden Age Foundation in Hong Kong. The Smart Ageing Award recognises innovative, people-centred solutions that enhance quality of life for older adults and demonstrate real-world impact and potential for wider adoption. Dr. LOU’s project advances empowerment-based transitional care by providing structured, person-centred support for older adults and caregivers during care transitions, strengthening self-efficacy and continuity of care, and connecting users with community resources through a platform-driven model. This recognition highlights the project’s contribution to safer, smoother transitions between care settings, improved well-being for older people and their families, and a scalable approach that community partners can adopt to promote ageing well.
Learn more: https://goldenage.foundation/en/SAA2022/showcase
Prof. LAW Y.W. Frances Awarded HKU Rosie Young 90 Medal for Outstanding Young Woman Scholar
Congratulations to Prof. LAW Y.W. Frances on being named an awardee of the Rosie Young 90 Medal for Outstanding Young Woman Scholar at The University of Hong Kong. Established in honour of the trailblazing HKU physician and educator Professor Rosie Young, the Medal recognises early‑career women academics who exemplify excellence, leadership potential, and societal impact across research, teaching and learning, knowledge exchange, and service. As highlighted on the official medal page, Prof. Law’s profile underscores a strong record of impactful scholarship and community engagement, translating research into practice, building cross‑sector collaborations, and mentoring the next generation of scholars. This recognition affirms her contributions to advancing HKU’s mission and improving lives in Hong Kong and beyond through evidence‑based innovation and public engagement.
Learn more: https://giving.hku.hk/roise-young-90-medal/professor-frances-yik-wa-law
Prof. LOU W.Q. Vivian Named to UN Healthy Ageing 50 Leaders

Congratulations to Prof. LOU W.Q. Vivian on being recognized among the Healthy Ageing 50 Leaders by the UN Decade of Healthy Ageing (2021?2030). The Healthy Ageing 50 highlights people from every region and sector?government, civil society, academia, and business?whose work is measurably improving the lives, rights, and well-being of older people and advancing the Decade?s priorities: combating ageism, fostering age-friendly environments, and expanding access to integrated and long-term care. Honourees are profiled on the Decade platform to showcase approaches with proven impact and potential to scale, and to catalyse collaboration across countries and disciplines?reflecting Dr. LOU?s leadership in ageing and longevity.

Learn more: https://www.decadeofhealthyageing.org/topics-initiatives/other-initiatives/healthy-ageing-50#anchor_two

Prof. LAW Y.W. Frances Admitted as Fellow of the Hong Kong Academy of Social Work (2024?present)

Prof. LAW Y.W. Frances was admitted as a Fellow of the Academy by the Hong Kong Academy of Social Work. The Fellowship is a senior professional honour that recognizes social work leaders with sustained, exemplary contributions to the profession and the community. Fellows are peer?acknowledged for their professional excellence and leadership, ethical standing, impact on practice and policy, scholarship and education, and dedicated service. As a Fellow, Prof. Law is part of a community expected to set standards for the field, champion continuing professional development, mentor the next generation, and help advance the Academy?s mission to strengthen social work quality and public trust in Hong Kong. This recognition affirms her leadership and broad impact across research, practice, and community engagement.

Learn more: https://academy.hkswa.org.hk/zh-HK/membership/information/fellow/