Online Cognitive Behavioral Intervention Program for Hong Kong People With Depression

Not Applicable

Completed

• Conditions: Depression
• Interventions: Other: Confront and Navigate Depression Online (CANDO)

• Registration Number: NCT04388800
• Lead Sponsor: Hong Kong Baptist University

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.

Study Timeline

• Study Start: 2019-01-01
• Study First Submitted: 2020-05-12
• Study First Submitted QC: 2020-05-12
• Study First Posted: 2020-05-14
• Primary Completion: 2022-06-30
• Study Completion: 2022-06-30
• Status Verified: 2023-09
• Last Update Submitted: 2023-09-20
• Last Update Posted: 2023-09-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 402

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

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
app-based cognitive behavioral intervention	Confront and Navigate Depression Online (CANDO)	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
web-based cognitive behavioral intervention	Confront and Navigate Depression Online (CANDO)	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.

Primary Outcome Measures

Name	Time	Method
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

Name	Time	Method
General Health Questionnaire-12 (GHQ-12)	6 months	12 item rating scale for psychological distress.
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.
Chinese Automatic Thoughts Questionnaire (CATQ)	6 months	20-item rating scale for automatic thoughts.
Negative effects Questionnaire (NEQ) (administered at post-test only)	6 months	20-item rating scale for negative effects caused by psychological treatment

Trial Locations

Locations (1)

Jiayan Pan; 🇭🇰 Hong Kong, Hong Kong