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Collaborative Stepped-care Intervention for Adults With Subthreshold Depressive Symptoms in the Primary Care Setting
Sponsor: The University of Hong Kong
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.
Official title: 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
Key Details
Gender
All
Age Range
45 Years - 59 Years
Study Type
INTERVENTIONAL
Enrollment
352
Start Date
2024-12-23
Completion Date
2027-06-30
Last Updated
2025-07-25
Healthy Volunteers
No
Conditions
Interventions
Cognitive behavioural therapy (CBT)-based intervention with stepped-care
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.
Care-as-usual
Following an initial interview session with research assessments, participants continue with their usual care at their primary care setting.
Locations (1)
The University of Hong Kong
Hong Kong, HONG KONG, Hong Kong