Improving Access to High Quality, Culturally Relevant Treatment for Chinese Youth in Ontario
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 36
- Locations
- 2
- Primary Endpoint
- Severity levels of depression and anxiety rated by the Bradford Somatic Inventory (BSI).
Study Overview
Brief Summary
This mixed methods study proposes a culturally adapted cognitive behavioural therapy (CA-CBT) model for a Chinese demographic in Canada. The client population of Chinese youth who have been diagnosed with anxiety and/or depression are the focus of the study. CBT has been proven as a very effective form of therapy, and when adapted can promote positive mental health outcomes for a growing and increasingly vulnerable population. Developing a culturally adapted version of CBT (CA-CBT) for this population adds a practical treatment that improves access to culturally relevant care.
Detailed Description
There is a major lack of culturally relevant mental health services for Chinese youth in Ontario and Canada. Beginning with a participatory/qualitative research approach, common themes amongst clients, caregivers, healthcare professionals, and community leaders, will divulge basic elements needed to develop a culturally adapted model of Cognitive Behavioural Therapy. The information from the adapted model will be taught to participating psychologists who will deliver the therapy in a pre- and post- evaluation design, with feasibility testing of the intervention using a quantitative approach ensuing. Immediate guidelines will then be developed for use by therapists working with Chinese youth.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None (Outcomes Assessor)
Eligibility Criteria
- Ages
- 12 Years to 21 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Self identification as Chinese origin
- •Between the ages of 12 to 21
- •Diagnosed as having depression and/or anxiety
Exclusion Criteria
- •Have been affected by psychosis
- •Have been affected by serious addiction
- •Have been affected by cognitive impairment
Arms & Interventions
Culturally adapted Cognitive Behavioral Therapy
The experimental group will receive the culturally adapted version of cognitive behavioral therapy.
Intervention: Cognitive Behavioral Therapy (Behavioral)
Outcomes
Primary Outcomes
Severity levels of depression and anxiety rated by the Bradford Somatic Inventory (BSI).
Time Frame: 4 months.
Severity levels of depression and anxiety will be rated pre- and post-intervention by the Bradford Somatic Inventory (BSI). The Bradford Somatic Inventory uses "yes" or "no" questions relating to somatic symptoms of anxiety and/or depression. A "yes" response to a question equates to a somatic symptom linked to depression and/or anxiety. The maximum number of "yes" responses is 46 and the minimum is 0. A higher number of "yes" responses suggests a potential increase in the severity of depression and/or anxiety.
Severity levels of depression and anxiety rated by the Hospital Anxiety and Depression Scale (HADS).
Time Frame: 4 months.
Severity levels of depression and anxiety will be rated pre- and post-intervention by the Hospital Anxiety and Depression Scale (HADS). The scale ranges from 0 to 21 for anxiety and 0 to 21 for depression. A score of 0 to 7 for depression and/or anxiety is considered a normal range. A score of 8 to 10 suggests the potential presence of depression and/or anxiety. A score of 11 or more suggests a likely presence of depression and/or anxiety.
Secondary Outcomes
- Satisfaction of the culturally adapted Cognitive Behavioral Therapy assessed using the Verona Satisfaction Scale.(4 months.)