Depressive Symptoms, Mobile Phone Use, Stroke
Conditions
Brief summary
The proposed pilot trial aims to evaluate the feasibility of iCBT based EMI, which is a real-time, real-world, personalised and cost-effective approach, for stroke survivors' psychological well-being.
Interventions
OTHERiCBT-based EMI
Consists of brief iCBT for psychological support (mandatory), stroke care education (optional), and real-time chat-based support messages, delivered according to participants' preferences.
Sponsors
The University of Hong Kong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Diagnosis of stroke (ICD-10 codes: I60-I69) * Aged ≥18 * Able to read and communicate in Chinese (Cantonese or Putonghua) * Able to use text messaging function on mobile phones * MoCA 5-minute Protocol (cognitive screen) ≥14 (Equivalence to MMSE ≥ 21) * Discharged home from hospital within preceding 6 months * PHQ-9 (depressive symptom) score range from 5 to 19 (cf. mild: 5-9, moderate: 10-14, moderately severe: 15-19 and severe: 20-27)
Exclusion criteria
* Currently receiving active stroke care in acute or post-acute inpatient settings * Has diagnosis of psychiatric disease or is currently taking psychotropic drug * PHQ-9 ≥ 20 (i.e., severe depressive symptom) * Currently participating in any type of psychological intervention (e.g., CBT)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Depressive symptoms (Patient Health Questionnaire-9 [PHQ-9]) | 24-week | A 9-item scale with score ranging from 0 to 27, higher scores indicate higher severity of depressive symptom |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety symptoms (Generalized Anxiety Disorder-7 [GAD-7]) | 24-week | A 7-item scale with score ranging from 0 to 21, higher scores indicate higher severity of anxiety symptoms |
| Stress level (Perceived Stress Scale [PSS-4]) | 24-week | A 4-item scale with score ranging from 0 to 16, higher scores indicate higher severity of stress |
| Spiritual well-being (Sub-scale of Spirituality Scale for Chinese Elders [SSCE]) | 24-week | An 8-item scale with score ranging from 0 to 32, higher scores indicate better spiritual well-being |
| Loneliness (UCLA Loneliness Scale [ULS-8]) | 24-week | An 8-item scale with score ranging from 8 to 32, higher scores indicate higher level of loneliness |
Countries
Hong Kong
Outcome results
None listed