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Completed

NCT Number: NCT04388800

Online Cognitive Behavioral Intervention Program for Hong Kong People With Depression

The purpose of this study is to develop a culturally and linguistically appropriate online cognitive behavioral intervention program-- with therapist guidance -- for Hong Kong Chinese adults suffering from major depressive disorder with mild to moderate depressive symptoms, and examine the effectiveness of this program in reducing their depressive symptoms and improving their mental health. The 3- and 6-month maintenance effect after 3 months and 6 months will also be tested.

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Key information

Conditions

Depression Behavior Behavioral Symptoms

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Jiayan Pan

Hong Kong

About this study

Previous studies have demonstrated that online cognitive behavioral therapy can significantly reduce depressive symptoms and improve mental health for people with depression. This project will develop an online cognitive behavioral intervention program (including both an online platform and a smartphone application) for Hong Kong people with depression. Blended mode will be delivered service, which include 8-week online program, 2 face-to-face sessions and 2 telephone follow-ups by a clinical psychologist. The program will be evaluated in its effectiveness in reducing depressive and anxiety symptoms, psychological distress, negative thoughts and negative emotions and increasing positive thoughts and positive emotions.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Hong Kong resident
  • Has mild to moderate depressive symptoms
  • No suicidal risk in the past 3 months
  • Receive no face-to-face counselling since program commencement
  • Has access to a computer/smartphone with internet access
  • Has a valid email address

Exclusion criteria

  • Has severe or no depressive symptoms
  • Has suicidal risk in the past 3 months
  • Currently receiving other psychological treatment
  • Suffer from severe psychiatric conditions, such as bipolar disorder or schizophrenia
  • Has no computer or smartphone with internet access
  • Has no valid email address

Treatment and study plan

Confront and Navigate Depression Online (CANDO)

Other

This study adopts a blended mode of service delivery, which included both online and offline intervention. The online intervention includes 8 weekly online model, animation briefing and debriefing, case demonstration video, exercise, forum, internal messaging, reminder, online assessment, session review and online booking system. The offline intervention includes two face-to-face sessions and two telephone follow-ups.

Primary outcomes

  1. Beck Depression Inventory-II (BDI-II)

    Time frame: 6 months

    21-item rating scale for depressive symptoms

  2. Patient Health Questionnaire-9 (PHQ-9)

    Time frame: 6 months

    9-item rating scale for depressive symptoms.

Secondary outcomes

  1. General Health Questionnaire-12 (GHQ-12)

    Time frame: 6 months

    12 item rating scale for psychological distress.

  2. Beck Anxiety Inventory (BAI)

    Time frame: 6 months

    21-item rating scale for symptoms of anxiety.

  3. Chinese Automatic Thoughts Questionnaire (CATQ)

    Time frame: 6 months

    20-item rating scale for automatic thoughts.

  4. Chinese Affect Scale (CAS)

    Time frame: 6 months

    20-item rating scale for positive and negative emotions of Chinese-speaking people.

  5. Negative effects Questionnaire (NEQ) (administered at post-test only)

    Time frame: 6 months

    20-item rating scale for negative effects caused by psychological treatment

Sponsors and collaborators

Lead sponsor

Hong Kong Baptist University

Other

Collaborators

  • Caritas Wellness Link - Tsuen Wan
  • Dr. Chiu Siu Ning
  • Innovation and Technology Fund for Better Living
  • Richmond Fellowship of Hong Kong
  • Stockholm University

Registry information

Official study title

Development of an Online Cognitive Behavioral Intervention Program to Reduce Depressive Symptoms for Hong Kong People With Depression

Acronym: CANDO

Important dates

Study start
2019
Primary completion
2022
Study completion
2022
First posted
May 14, 2020
Registry last updated
Sep 22, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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