Instant Message-delivered Personalised Acceptance and Commitment Therapy (IMPACT) for Neuropsychiatric Symptoms in Persons With Mild Cognitive Impairment: a Mixed Methods Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 160
- 试验地点
- 1
- 主要终点
- MBI-C scores
研究概览
简要总结
This study aims to develop an automated instant message-delivered intervention (i.e., EMI) for people with mild cognitive impairment to reduce their NPS, and to investigate the feasibility and effectiveness of the intervention.
详细描述
- Message contents:
The message content library will consist of four parts: 1.orientation, 2. brief mild cognitive impairment education messages, 3. acceptance and commitment therapy messages, 4.booster message. 2. Message delivery
- Regular messages: The messages in the four parts will be sent regularly to each participant. As personalisation is a core process subject to behavioural changes, the timing of the messages will be determined based on participants' preferences. To save labour and increase efficiency, the investigators will develop a message 'scheduler' program. The investigators will pre-set the message scheduler, which will then automatically send out content to the participants according to their preferences. The development of the program is highly useful particularly in cases which participants prefer to receive messages during non-office hours.
- Real-time support messages (chat-type): Chat-based support will be given to the participants as an extension of the regular messages. However, the participants will be informed beforehand that the RA will only play a supportive role and will not provide formal care. The number of the chat messages will not be limited, but the real-time support messages will only be provided during working hours on weekdays to limit the RA's workload.
Control Group:
The control group will receive instant messages about mental health management from GovHK website (https://www.gov.hk/en/residents/health/mental/), which is open to the public.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Community-dwelling adults aged ≥ 50 years
- •HK-MoCA score ranged from 18 to 22
- •Able to read and communicate in Chinese
- •Able to use the text or voice messaging function on a smartphone
排除标准
- •Clinical diagnosis of dementia
- •Clinical diagnosis of psychiatric disease
- •Currently participating in any type of psychological or behavioural intervention for NPSs
- •Currently taking psychiatric medication
- •Currently receiving acute care or post-acute hospitalization care
研究组 & 干预措施
Intervention group
Participants in intervention group will receive the EMI for 9 weeks. Based on the steps of mobile message development recommended by Abroms, et al., our multidisciplinary team - including a neurologist, nurses, clinical psychologists and gerontologists - will develop an ACT message content library and protocol for IM delivery (i.e. EMI).
干预措施: automated instant message-guided neuropsychiatric symptoms management (Behavioral)
Control group
The control group will receive instant messages about general mental health management from the HKSAR Government website in 9 weeks, which is open to the public (https://www.shallwetalk.hk/en/mental-well-being/mental-well-being-is-related-to-you/), with reminder text messages of follow-up surveys.
干预措施: general mental health management (Behavioral)
结局指标
主要结局
MBI-C scores
时间窗: at 2nd and 6th months
The primary outcome will be MBI-C scores to assess NPSs. A higher MBI-C scores will indicate a higher level of neuropsychiatric symptoms.
次要结局
- Depressive symptoms (PHQ-9)(at 2nd and 6th months)
- Anxiety symptoms (GAD-7)(at 2nd and 6th months)
- Quality of life (EuroQol 5-dimension 5-level questionnaire [EQ-5D-5L])(at 2nd and 6th months)
- Cognitive functions (HK-MoCA)(at 2nd and 6th months)
- Acceptance of negative emotions and valued-based actions (AAQ-II)(at 2nd and 6th months)
- Subjective Cognitive Decline scale (SCD-9)(at 2nd and 6th months)
研究者
Prof. Yu, Doris Sau Fung
Professor
The University of Hong Kong
