Efficacy of Narrative Therapy for Older People With Depression
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 110
- 试验地点
- 1
- 主要终点
- Chinese Beck Depression Inventory-II (BDI)
研究概览
简要总结
The research aims to investigate the efficacy of a narrative therapy group in reducing depressive symptoms among older people.
This study adopts a mixed methods research design, involving both quantitative and qualitative approaches. In the quantitative study, a randomised controlled trial will compare a narrative therapy group with a waitlist control group to determine whether an eight-session narrative therapy group can reduce depressive symptoms in older people. The eight-session narrative therapy group will be delivered by a trained and experienced social worker or counsellor, and intervention outcomes will be assessed before and after the intervention using a standardised assessment tool for depressive symptoms. The qualitative study aims to examine the benefits, advantages, and limitations of the narrative therapy group from the users' perspective.
详细描述
Efficacy of Narrative Therapy for older people with depression
Objective: This research aims to investigate the efficacy of a narrative therapy group in reducing depressive symptoms among older people.
Research Method: This study adopts a mixed methods research design, involving both quantitative and qualitative approaches. Using a randomised controlled trial, the quantitative study aims to investigate the effectiveness of a narrative therapy group in reducing self-stigma among people with depression. The qualitative study aims to examine the benefits, advantages, and limitations of the narrative therapy group from the users' perspective. Ethical considerations were reviewed and approved by the Research Committee of the City University of Hong Kong [Reference No.: HU-STA-00001793]. Written informed consent will be obtained from each participant on the day of initial screening for eligibility.
Quantitative Research Method
Objective. This quantitative study aims to investigate the effectiveness of the narrative therapy group in reducing depressive symptoms among older people.
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
- Single (Investigator)
盲法说明
A research assistant, who is not involve in the randomized allocation of participants and delivery of intervention group, will conduct pre- and post-intervention outcome assessments using standardised assessment tools.
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •aged 60 years or above;
- •exhibiting depressive symptoms as assessed using a standardised assessment tool, namely the Chinese Beck Depression Inventory-II (BDI; Byrne et al., 2004), with a BDI score between 10 and 30;
- •being a service user of an elderly centre; and
- •providing informed consent to participate in this research.
排除标准
- •Individuals with severe depression (i.e. a BDI score ≥ 31), dementia, psychosis, or self-reported suicidal thoughts are excluded from this study; and
- •Individuals currently receiving a therapeutic intervention are not excluded from this study.
研究组 & 干预措施
Waitlist Control
Waitlist control group will receive will receive treatment as usual provided by the elderly centre, including recreational activities and interest classes, at the initial stage and will receive a brief narrative therapy program at a later stage
干预措施: Treatment as usual (TAU) (Other)
8-session narrative therapy group
This study includes a two arms parallel groups for comparison. Participants in the intervention group will receive an eight-session narrative therapy group in addition to treatment as usual provided by the elderly centres such as interest classes and recreational activities. The narrative therapy group will be conducted by an experienced and trained social worker and counselor.
干预措施: Narrative therapy group (Behavioral)
结局指标
主要结局
Chinese Beck Depression Inventory-II (BDI)
时间窗: Before and after the 8-week intervention
BDI is a 21-item scale with excellent validity, and reliability (Cronbach's α = 0.91), used to assess self-reported depression. The severity scale is as follows: a score of 0-13 represents minimal or no depression; 14-19 indicates mild depression; 20-28 indicates moderate depression; and 29-63 indicates severe depression. A cut-off point of a BDI score ≥ 14 was adopted in this study as indicative of clinical depression. Each item (e.g. Past failure) is rated on a 4-point scale with scores ranging from "0" to "3". The scores are summed over the items, with higher scores indicating a higher severity of symptoms
次要结局
- Chinese Internalised Stigma of Mental Illness (ISMI)(Before and after the 8-weeks intervention.)
- Chinese Rosenberg Self-Esteem Scale (RSES)(Before and after the 8-weeks intervention)
- The Chinese Dispositional Hope Scale (DHS)(Before and after the 8-weeks intervention)
- The Chinese WHO 5-item Well-Being Index (WHO-5)(Before and after the 8-weeks intervention)
研究者
Daniel Young
Professor
City University of Hong Kong