Collaborative Stepped-care Intervention for Adults With Subthreshold Depressive Symptoms in the Primary Care Setting
Effectiveness of a Collaborative Stepped-care Intervention for Adults Aged 45 and Above With Subthreshold Depressive Symptoms in the Primary Care Setting in Hong Kong
The University of Hong Kong
352 participants
Dec 23, 2024
INTERVENTIONAL
Conditions
Summary
To ensure accessibility and availability of mental health services in the community and to reduce the burden associated with depression and related conditions, the study aim to evaluate the effectiveness of a collaborative stepped-care intervention (cognitive behavioural therapy-based) for adults with subthreshold depressive symptoms at the district-based primary healthcare setting.
Eligibility
Inclusion Criteria3
- Residing in Hong Kong;
- Presenting mild to moderately severe depressive symptoms (PHQ-9 = 5-19);
- Able to give informed consent to participate.
Exclusion Criteria3
- A known history of autism, intellectual disability, schizophrenia-spectrum disorder, bipolar disorder, Parkinson's disease, or dementia;
- Imminent suicidal risk;
- Difficulty in communication that would limit meaningful participation in psychological intervention.
Interventions
After initial clinical assessment, participants will be offered interventions based on their depressive symptom severity (Patient Health Questionnaire-9-item \[PHQ-9\]). Mild symptoms (PHQ-9=5-9) without major risks (\*see above): 4 weekly CBT-informed intervention sessions led by trained Emotional Support Assistants (Peer Supporters with 80hrs mental health training + 15hrs intensive clinical training). Mild symptoms (PHQ-9=5-9) with major risk factors or moderate-to-moderately severe symptoms (PHQ-9=10-19): 6 weekly CBT-based intervention sessions led by trained clinical social workers, with 2 booster sessions as necessary. Individual CBT-based intervention will be provided to those unsuitable for group interventions. In cases of non-remission (PHQ-9≥5): a second intervention trial will be provided. Those needing additional support will be referred to a partnered General Practitioner (if PHQ-9=10-19) or referred to more intensive psychological or psychiatric services as needed.
Following an initial interview session with research assessments, participants continue with their usual care at their primary care setting.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06658041