CANDO: Online Cognitive Behavioral Intervention Program for Hong Kong People With Depression
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: web-based cognitive behavioral intervention The web-based program is consisted of 8 online modules, forum, internal messaging, reminder, online assessment and online booking. Each online module contains mood check, animation briefing and debriefing, case demonstration videos, session review and exercise. Blended mode is adopted to deliver service, which includes the online program, two face-to-face session and 2 telephone follow-ups with a clinical psychologist. |
Other: Confront 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.
|
| Experimental: app-based cognitive behavioral intervention App-based cognitive behavioral intervention program The App-based program is consisted of 8 online modules, forum, internal messaging, reminder, online assessment and online booking. Each online module contains mood check, animation briefing and debriefing, case demonstration videos, session review and exercise. Blended mode is adopted to deliver service, which includes the online program, two face-to-face session and 2 telephone follow-ups with a clinical psychologist |
Other: Confront 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.
|
| No Intervention: Wait-list control group No intervention will be provided when the experimental group is receiving services, but the access to the app-based program will be delivered to the wait-list control group after the two experimental groups complete the service. |
Outcome Measures
Primary Outcome Measures
- 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 Outcome Measures
- General Health Questionnaire-12 (GHQ-12) [6 months]
12 item rating scale for psychological distress.
- Beck Anxiety Inventory (BAI) [6 months]
21-item rating scale for symptoms of anxiety.
- Chinese Automatic Thoughts Questionnaire (CATQ) [6 months]
20-item rating scale for automatic thoughts.
- Chinese Affect Scale (CAS) [6 months]
20-item rating scale for positive and negative emotions of Chinese-speaking people.
- Negative effects Questionnaire (NEQ) (administered at post-test only) [6 months]
20-item rating scale for negative effects caused by psychological treatment
Eligibility Criteria
Criteria
Inclusion Criteria:
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Hong Kong resident
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Has mild to moderate depressive symptoms
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No suicidal risk in the past 3 months
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Receive no face-to-face counselling since program commencement
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Has access to a computer/smartphone with internet access
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Has a valid email address
Exclusion criteria:
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Has severe or no depressive symptoms
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Has suicidal risk in the past 3 months
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Currently receiving other psychological treatment
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Suffer from severe psychiatric conditions, such as bipolar disorder or schizophrenia
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Has no computer or smartphone with internet access
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Has no valid email address
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Jiayan Pan | Hong Kong | Hong Kong |
Sponsors and Collaborators
- Hong Kong Baptist University
- Stockholm University
- Richmond Fellowship of Hong Kong
- Caritas Wellness Link - Tsuen Wan
- Dr. Chiu Siu Ning
- Innovation and Technology Fund for Better Living
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ITB/FBL/5002/18/P