A Cluster Randomized Controlled Trial of Narrative Therapy Among Young People With Moderate Level of Mental Distress in Hong Kong
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 770
- 试验地点
- 1
- 主要终点
- Psychological Distress
研究概览
简要总结
This cluster randomized controlled trial (cRCT) aims to evaluate the effectiveness of a narrative therapy (NT) intervention in (i) reducing mental distress, depressive symptoms, and anxiety, as well as (ii) enhancing perceived control and fostering a stronger sense of self among at-risk youth in Hong Kong. Participants are youths with moderate mental health concerns, indicated by K6 scores ranging from 11 to 14.
The study involves seven clusters, each based on community hubs, which will be randomly assigned to either the intervention group or a wait-list control group. Clusters assigned to the intervention group will receive six face-to-face sessions led by trained youth workers. Control clusters will receive the same intervention after the initial follow-up period.
Participants will be evaluated at baseline, post-intervention, and one-month follow-up. An interim analysis is built for the sake of evaluation of the collected data from the ongoing trial, in which the primary research question is addressed, and which has the potential for modifying the conduct of the study. Furthermore, a qualitative follow-up will be conducted after the trial, involving both participants and the workers delivering the NT intervention. This qualitative component aims to gather feedback on participants' experiences, and inform potential revisions to enhance future implementation.
It is hypothesized that youths receiving the NT intervention will show significantly greater improvements in perceived control and sense of self, along with reductions in mental distress, as well as depressive and anxiety symptoms, compared to those in the wait-list control group.
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
入排标准
- 年龄范围
- 12 Years 至 24 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •JC LevelMind @ Community users at risk for mental distress (Tier 2), with K6 scores ranging from 11 to 14
- •Aged between 12 and 24 years
- •Sufficiently proficient in Chinese to comprehend verbal instructions
- •Able to provide written informed consent (parental consent for participant aged 12-17)
排除标准
- •Known diagnosis of intellectual disability
- •Organic brain disorder
- •Established psychiatric diagnosis
- •Current substance abuse
- •Receiving other structured psychological therapies such as module-based psychological therapy, mentalization-based therapy, low-intensity online interventions, cognitive-behavioral therapy, cognitive-behavioral therapy for insomnia, mindfulness, or art-informed therapy within the hub setting or any others outside the hub setting
- •Presence of current or active suicidal ideation or attempts
研究组 & 干预措施
NT Intervention
This narrative therapy intervention will: (i) facilitate shared experiences among participants, (ii) support the reconstruction of personal identity, (iii) promote collective wisdom-sharing and skill development; and (iv) foster solidarity in imagining diverse life possibilities. This approach empowers young people to critically engage with dominant narratives and discover their own authentic paths. The NT intervention consists of six sessions, conducted in a small-group format (6 - 8 participants per group). Youths at similar life stages, such as secondary students, university students, and early-career young professionals, will be grouped together to encourage meaningful discussions and shared experiences. The program consists of six sessions, with the first five lasting 1.5 hours each, and the final session (Section 6) extending to 2 hours for a comprehensive closing. All sessions will be conducted face-to-face by frontline social or youth workers who have received prior training,
干预措施: Narrative Therapy (Behavioral)
Waitlist Control
Participants allocated to the waitlist control group will wait for 10 weeks (6 + 4 weeks) before receiving the NT intervention
结局指标
主要结局
Psychological Distress
时间窗: Baseline, 6-week, and 10-week
The 6-item Kessler Psychological Distress Scale (scores range from 0 to 24 where a higher score indicates a worse outcome)
Depression and anxiety Symptoms
时间窗: Baseline, 6-week, and 10-week
Depression Anxiety Stress Scales (scores range from 0 to 63 where a higher score indicates more severe symptoms)
Perceived Control / Self-efficacy
时间窗: Baseline, 6-week, and 10-week
Sense of Mastery Scale (scores range from 7 to 28 where a higher score indicates a a better outcome)
次要结局
- Narrative Identity(Baseline, 6-week, and 10-week)
- Perceived Social Support(Baseline, 6-week, and 10-week)
- Loneliness(Baseline, 6-week, and 10-week)
- Resilience(Baseline, 6-week, and 10-week)
- Rumination(Baseline, 6-week, and 10-week)
- Self-stigma(Baseline, 6-week, and 10-week)
- Hopefulness / Hopelessness(Baseline, 6-week, and 10-week)
- Service Utilization(Baseline, 6-week, and 10-week)
研究者
Dr. Christy Lai-ming Hui
Associate Professor
The University of Hong Kong