Evaluation Study of Medical-Social Collaboration Model for Middle-aged and Older Adults With Depressive Symptoms
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 192
- 试验地点
- 1
- 主要终点
- Changes in Depressive Symptoms
研究概览
简要总结
The goal of this clinical trial is to learn if a medical-social collaboration model works to reduce depressive symptoms in middle-aged and older adults with depressive symptoms who are waiting for their first psychiatric appointment. Secondary outcomes of the study include reduced anxiety symptoms, reduced loneliness, reduced rumination, reduced self-criticism, improved self-reassurance, improved resilience, improved self-efficacy, improved health-related quality of life, as well as improved quality-adjusted life years, and reduced healthcare service utilisation.
Researchers will compare a medical-social collaboration model to a self-management booklet.
Participants will:
- Receive CBT-based stepped-care interventions through the medical-social collaboration model or a self-management booklet.
- Complete a survey about their mental health and service use every three months until their first psychiatric appointment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Masking was not possible in this study.
入排标准
- 年龄范围
- 45 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Currently awaiting psychiatric services provided by the Hospital Authority
- •Have depressive symptoms of at least mild severity
- •Able to provide informed consent
排除标准
- •A known history of autism spectrum disorder, intellectual disability, schizophrenia-spectrum disorder, bipolar disorder, Parkinson's disease, or dementia
- •Imminent suicidal risk (temporary exclusion)
- •Communication difficulties that preclude participation
研究组 & 干预措施
JC JoyAge stepped-care model
干预措施: Self-management booklet (Other)
JC JoyAge stepped-care model
干预措施: Cognitive behavioural therapy-based stepped-care intervention (Behavioral)
Usual care with minimal support
干预措施: Self-management booklet (Other)
结局指标
主要结局
Changes in Depressive Symptoms
时间窗: Baseline, 3 months, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months
Patient Health Questionnaire-9 (PHQ-9); range 0-27; higher scores indicate higher levels of depressive symptoms (worse outcome)
次要结局
- Changes in Anxiety Symptoms(Baseline, 3 months, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months)
- Changes in Loneliness(Baseline, 3 months, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months)
- Changes in Health Service Use(Baseline, 3 months, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months)
- Changes in Health-Related Quality of Life(Baseline, 3 months, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months)
研究者
Professor Terry Y.S. Lum
Professor
The University of Hong Kong