Depression
Conditions
Keywords
online cognitive behavioral intervention, Hong Kong Chinese, depression
Brief summary
The purpose of this study is to develop a culturally and linguistically appropriate online cognitive behavioral intervention program-- with therapist guidance -- for Hong Kong Chinese adults suffering from major depressive disorder with mild to moderate depressive symptoms, and examine the effectiveness of this program in reducing their depressive symptoms and improving their mental health. The 3- and 6-month maintenance effect after 3 months and 6 months will also be tested.
Detailed description
Previous studies have demonstrated that online cognitive behavioral therapy can significantly reduce depressive symptoms and improve mental health for people with depression. This project will develop an online cognitive behavioral intervention program (including both an online platform and a smartphone application) for Hong Kong people with depression. Blended mode will be delivered service, which include 8-week online program, 2 face-to-face sessions and 2 telephone follow-ups by a clinical psychologist. The program will be evaluated in its effectiveness in reducing depressive and anxiety symptoms, psychological distress, negative thoughts and negative emotions and increasing positive thoughts and positive emotions.
Interventions
OTHERConfront and Navigate Depression Online (CANDO)
This study adopts a blended mode of service delivery, which included both online and offline intervention. The online intervention includes 8 weekly online model, animation briefing and debriefing, case demonstration video, exercise, forum, internal messaging, reminder, online assessment, session review and online booking system. The offline intervention includes two face-to-face sessions and two telephone follow-ups.
Sponsors
Stockholm University
Richmond Fellowship of Hong Kong
Caritas Wellness Link - Tsuen Wan
Dr. Chiu Siu Ning
Innovation and Technology Fund for Better Living
Hong Kong Baptist University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* Hong Kong resident * Has mild to moderate depressive symptoms * No suicidal risk in the past 3 months * Receive no face-to-face counselling since program commencement * Has access to a computer/smartphone with internet access * Has a valid email address
Exclusion criteria
* Has severe or no depressive symptoms * Has suicidal risk in the past 3 months * Currently receiving other psychological treatment * Suffer from severe psychiatric conditions, such as bipolar disorder or schizophrenia * Has no computer or smartphone with internet access * Has no valid email address
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Beck Depression Inventory-II (BDI-II) | 6 months | 21-item rating scale for depressive symptoms |
| Patient Health Questionnaire-9 (PHQ-9) | 6 months | 9-item rating scale for depressive symptoms. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Chinese Automatic Thoughts Questionnaire (CATQ) | 6 months | 20-item rating scale for automatic thoughts. |
| General Health Questionnaire-12 (GHQ-12) | 6 months | 12 item rating scale for psychological distress. |
| Negative effects Questionnaire (NEQ) (administered at post-test only) | 6 months | 20-item rating scale for negative effects caused by psychological treatment |
| Chinese Affect Scale (CAS) | 6 months | 20-item rating scale for positive and negative emotions of Chinese-speaking people. |
| Beck Anxiety Inventory (BAI) | 6 months | 21-item rating scale for symptoms of anxiety. |
Countries
Hong Kong
Outcome results
None listed