Testing the Competency-based Theory of Change for Suicide Risk Among Young Male Internet Users With Societal Masculinity
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Change from baseline Adult Suicidal Ideation at 1-month, 3-month and 5-month
研究概览
简要总结
To propose a competency-based theory of change for reducing suicide risks among male Internet users with salient traits of societal masculinity; To test whether the theory of change using the competency-based model has additional effects on reducing self-harm and/or suicidal ideation in addition to the online social work treatment-as-usual model; To provide online social work service providers with evidence-based measures for reducing the risks of self-harm and/or suicide among young male Internet users.
详细描述
This is a randomized waitlist-controlled trial of 60 participants examining the effects of a proposed competency-based model on self-harm relative to those of OSW alone. In the online survey (T0), subjects with self-harm or suicidal ideation will be invited to give informed consent, and then be randomly assigned to one of two groups: 1) OSW (control), or 2) OSW + six weekly sessions of competency-based physical training (intervention). They will be assessed at three measurement time points (T1 = one-month; T2 = three-month; and T3 = five-month from T0 at post-intervention). The intervention group is hypothesized to display a greater reduction in the primary outcomes of self-harm and suicidal ideation than the OSW group. Chi-square tests giving p <=0.05 will indicate a goodness of fit of the linear mixed model, which address random effects in the data and handles intention-to-treat (ITT).
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, Care Provider)
入排标准
- 年龄范围
- 18 Years 至 39 Years（Adult）
- 性别
- Male
- 接受健康志愿者
- 是
入选标准
- •Individuals who meet the cut-off of 1.0 on the Chinese Adult Suicidal Ideation Questionnaire (ASIQ4); Self-injury incidents in the past 12 months
排除标准
- •Individuals with severe physical disabilities
结局指标
主要结局
Change from baseline Adult Suicidal Ideation at 1-month, 3-month and 5-month
时间窗: Baseline,1-month, 3-month, 5-month
Change in scores on Suicidal ideation as measured by the self-report the Adult Suicidal Ideation Questionnaire (ASIQ-4) - the four-item short form in Chinese, scoring on a 7-point scale ranging from 0 to 24. A higher score on the scale suggests a higher risk of suicide.
Change from baseline measurement of hopelessness at 1-month, 3-month and 5-month
时间窗: Baseline, 1-month, 3-month, 5-month
Hopelessness will be assessed by four questions measuring hopelessness extracted from the Beck Hopelessness Scale (BHS4), scoring on a 6-point scale ranging from 0 to 20. A higher score on the scale suggests a higher levels of depression, suicidal intent, and/or ideation.
Change from baseline measurement of depression at 1-month, 3-month and 5-month
时间窗: Baseline, 1-month, 3-month, 5-month
Depression will be assessed via 12 questions from the short-form General Health Questionnaire (GHQ-12), scoring on a 4-point scale ranging from 0 to 36. A higher score on the scale suggests a higher level of emotional distress and depression.
Change of baseline sense of competency at 1-month, 3-month and 5-month
时间窗: Baseline, 1-month, 3-month, 5-month
Sense of competency will be assessed via 40 questions from the Chinese Physical Self-Description Questionnaire-Short Form (CPSDQ-S), scoring on a 6-point scale ranging from 0 to 200. A higher score suggest a higher level of self-perceived physical competency and self-esteem.
Change of baseline measurements of hip and waist girth (body composition) at 1-month, 3-month, 5-month
时间窗: Baseline, 1-month, 3-month, 5-month
Both hip and waist girth will be measured in inches at four different time points as part of the measurement of body composition.
Change of baseline measurements of skinfold (body composition) at 1-month, 3-month, 5-month
时间窗: Baseline, 1-month, 3-month, 5-month
A skinfold caliper will be used to assess the skinfold thickness, which is considered to be one of the indicators of body composition.
Change of baseline measurement of suicidal behavior at 1-month, 3-month, 5-month
时间窗: Baseline, 1-month, 3-month, 5-month
Subjects were expected to answer three separate questions with dichotomous yes/no responses: in the past few weeks, (1) have you thought about committing suicide? 2) have you been actively planning to commit suicide? 3) did you make any suicide attempts.
Change of baseline perceived social support at 1-month, 3-month and 5-month
时间窗: Baseline, 1-month, 3-month, 5-month
Social support will be assessed using the Chinese version of the Multidimensional Scale of Perceived Social Support (MSPSS-C). The MSPSS measures the degree of social support received from family, friends, and significant others, and has been proven to have good internal and test-retest reliability and moderate construct validity
Change of baseline measurements of weight (body composition) at 1-month, 3-month, 5-month
时间窗: Baseline, 1-month, 3-month, 5-month
Weight, as a one of the indicators of body composition, will be measured in kilograms at four different time points.
Change of baseline measurement of self-reported compliance to service at baseline, 1-month, 3-month, 5-month
时间窗: Baseline, 1-month, 3-month, 5-month
Questionnaire will be distributed to subjects to assess their compliance to service: frequency of service use, including medical and psychosocial services at four different time points.
次要结局
未报告次要终点
研究者
Dr.Yik-Wa Law
Associate Professor
The University of Hong Kong