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Trial Detail

CUHK_CCT00410

2014-04-28

Prospective

CRE-2012.583

Health and Medical Research Fund

The Jockey Club School of Public Health and Primary Care

N/A

Not Applicable

Yuying SUN

4/F, School of Public Health, Prince of Wales Hospital, Shatin, N.T., HK

2252 8794

yuyingsun@link.cuhk.edu.hk

The Chinese University of Hong Kong

Hong Kong

Prof. Samuel Yeung Shan WONG

4/F, School of Public Health, Prince of Wales Hospital, Shatin, N.T., HK

2252 8774

yeungshanwong@cuhk.edu.hk

The Chinese University of Hong Kong

Hong Kong

The effectiveness of group behavioural activation in the treatment of subthreshold depression in primary care in Hong Kong

The effectiveness of group behavioural activation in the treatment of subthreshold depression in primary care in Hong Kong

行為激活對輕微抑鬱的療效研究

BA

Hong Kong

Yes

2013-02-22

Joint CUHK-NTEC Clinical Research Ethics Committee

CRE-2012.583

Subthreshold depression

Behavior

Behavioural activation (BA): The Martell and Colleagues 2010 protocol will be used for the content of group BA intervention due to its established efficacy. The objective of the BA intervention is to identify, promote and reinforce activities and circumstances that are consistent with each participant’s long term goals. Specific content of the group BA will include psychoeducation with respect to well-being, setting both short and long term goals, the self-monitoring of activity and mood using activity logs to recognize the association between specific activities and mood, scheduling daily activities and the identification of avoidance and its impact using the Trigger Response Avoidance Pattern model to allow participants to be more aware of their decision making with respect to their behaviors and to explore alternative behaviors with the aim to achieve goals.

Weekly two hour/session for 8 weeks

Two hour/session/week

8 weeks

Once per week

Care As Usual (CAU): Participants assigned to the CAU will receive their medical care from the doctors who work in the general outpatient clinics. They are not referred to mental health intervention but receive active monitoring or regular minimal counselling from the primary care doctors. All participants will be informed that their health care utilization, including their visits and use of medications will be recorded using the electronic patient record systems.

N/A

N/A

8 weeks

N/A

1) Aged 18 years or above;
2) Score 5-9 by Patient Health Questionnaire depression scale (PHQ-9).

1)Major depression within the past 6 months;
2)Lifetime history of other psychiatric disorders including generalized anxiety disorder, psychosis, schizophrenia and bipolar affective disorder, alcohol or substance abuse, presence of serious suicidal risk and medical illness with a prognosis of less than 6 months to live;
3)Patients who are receiving current treatment (taking antidepressants or other psychotropic medications or enrolled in any form of psychological interventions) for any depressive disorders or symptoms.

18

999

Both Male and Female

Interventional

Randomized

randomized two-armed intervention study

Not Applicable

Single-blind

Investigator/research team

Parallel

4

2014-06-01

230

Complete

Reduction of self-reported depressive symptoms measured by the validated Chinese version Beck Depression Inventory-II (BDI-II). Assessments with the outcome measures will take place at baseline, two, five months (3 months after intervention) and 1 year.

Incidence of DSM-IV major depression in patients will be evaluated using the SCID (Structured Clinical Interview for DSM-IV) at 1 year.
The other outcomes are all measured at baseline, two, five months (3 months after intervention) and 1 year.
Improvement in quality of life will be measured by the validated Chinese version Medical Outcomes Study Short-Form Health Survey (SF-12).
Utilization of health services including visits to primary care doctors (both private and public) or accident and emergency units, visits to any specialist outpatient clinics, use of other psychiatric services such as psychologists, social workers or occupational therapists, and hospitalizations and the number of days of absence from work will be recorded at all patient visits.
The 8-item Activity and Circumstances Change Questionnaire will be used to assess the extent to which participants experience both activity change and circumstantial change.
The Sheehan Disability Scale will also be used for patients to rate their impairment in 3 life domains including work, social and family/home management.
Anxiety symptoms will be measured using the State Trait Anxiety Inventory.
Satisfaction with delivered care will be measured with a question adopted from CAHPS 2.0 Adult Questionnaire.
Quality-adjusted life years will be measured by EuroQol-five dimension-five level (EQ-5D-5L).

No

2016-06-13

ChiCTR-TCS-14004601 

2014-05-05

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