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Trial History Detail on 2010-06-18

CUHK_CCT00266

2010-06-18

Prospective

Nil

The Food and Health Bureau, Hong Kong SAR

Nil

Nil

Ting GAO

Room 426, School of Public Health, CUHK

2252 8768

tiffanyding@cuhk.edu.hk

Nil

Professor Samuel Yeung Shan WONG

4/F Division of Family Medicine and Primary Health Care, School of Public Health and Primary Care, CUHK

2252 8774

yeungshanwong@cuhk.edu.hk

Nil

Prevention of anxiety and depression in Chinese: a randomized clinical trial testing the feasibility and effectiveness of a generic stepped care programme in primary care

Prevention of anxiety and depression in Chinese: a randomized clinical trial testing the feasibility and effectiveness of a generic stepped care programme in primary care

Nil

Hong Kong SAR

Yes

2010-05-06

sub-threshold depression and anxiety

Procedure

Stepped care programme, including watchful waiting, telephone counseling, problem solving treatment, family doctor treatment.

1 year

Usual care

1) aged 18 years or above 2) Having a score of 16 or higher on the Epidemiological Studies Depression (CES-D) score of 16 or higher or Hospital Anxiety and Depression Scale (HADS) Anxiety Score (AS) of 3 or more.

1) Meeting criteria for DSM IV criteria for major depression or/and clinical anxiety disorders (they will be referred directly to the Family Medicine Training Centre for treatment for ethical reasons) 2) insufficient mastery of Chinese language 3) unwilling or unable to give informed consent

18

Nil

Both Male and Female

Interventional

Randomized

Active

Double-blind

Parallel

2010-07-01

240

Not Yet Recruiting

Incidence of DSM depressive and/or anxiety disorders (panic disorder, agoraphobia, social phobia and generalized anxiety) in patients after 12 months as compared to usual care evaluated using the SCID (Structured Clinical Interview for DSM-IV) conducted by blinded trained health professional.

1) Depressive and Anxiety Symptoms
Reduction of self-reported anxiety and depressive symptoms measured by the validated Chinese Hospital Anxiety Depression Scale, the validated Chinese version of the Centre for Epidemiological Studies-Depression Scale and the Chinese version of Beck Anxiety and De4pression Inventory at every 3-month interval.
2) Quality of Life
Improvement in quality of life will be measured by the validated Chinese version of Medical Outcomes Study Short-Form Health Survey at every 6-month interval.
3) Health Service Utilization, Medication Use
Utilization of health services including visits to primary care doctors (both private and public) and hospitalizations and the number of days of absence from work will be recorded at monthly intervals by the trained research assistant using telephone. All medications associated with an intention to improve mood or mood related symptoms will be recorded at the same time and will include anticonvulsants, antidepressants, anxiolytics including benzodiazepines at every 3-month interval.
4) Satisfaction with Delivered Care
This will be measured with a question adopted from CAHPS 2.0 Adult Questionnaire at every 3-month interval.

No

2011-06-30


Yes

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