Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05907005

Instant Message-delivered Early Psychological Intervention in Stroke Family Caregivers: a Mixed-method Study

Led by The University of Hong Kong · Updated on 2024-07-11

152

Participants Needed

5

Research Sites

1 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Psychological distress such as depression and anxiety is a common and serious problem for family members caring for stroke patients. This study aims to prevent or reduce these psychological effects in caregivers by providing early psychological support. Researchers are evaluating an internet-delivered cognitive-behavioral therapy (iCBT) program designed as an ecological momentary intervention (EMI) to help caregivers manage stress and improve their mental well-being. Participants in this study will be randomly assigned to one of two groups. One group will receive personalized iCBT-based support messages, stroke care education, and real-time nurse-led chat support delivered via instant messaging. The other group will receive general mental health information through instant messages. The intervention is tailored to each participant's preferences regarding message content, timing, and frequency. During the 24-week study period, caregivers will complete assessments measuring depressive symptoms using the Patient Health Questionnaire-9 (PHQ-9), anxiety with the Generalized Anxiety Disorder-7 (GAD-7), stress levels with the Perceived Stress Scale (PSS-4), loneliness with the UCLA Loneliness Scale (ULS-8), and psychological flexibility with the Acceptance and Action Questionnaire-II (AAQ-II). Researchers will monitor these outcomes to evaluate the impact of the intervention on caregiver mental health over time.

CONDITIONS

Brief Title

Instant Message-delivered Early Psychological Intervention in Stroke Family Caregivers

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Primary family caregiver of a first-ever stroke patient with less than 15 modified Barthel Index (mBI) scores indicating moderate disability
  • Caregiver of a stroke patient hospitalized for 6 to 21 days
  • Aged 18 years or older
  • Able to read and communicate in Chinese (Cantonese or Putonghua)
  • Able to use mobile phone instant messaging
  • PHQ-9 score for depressive symptoms between 5 and 19 (mild to moderately severe depression)
Not Eligible

You will not qualify if you...

  • Caregiver of stroke patient admitted to intensive care unit
  • Professional medical personnel or professional carer
  • Diagnosis of psychiatric disease before the stroke event or currently taking psychotropic drugs including antidepressants
  • PHQ-9 score 20 or higher (severe depression; referrals to mental health services provided)
  • Currently participating in any psychological intervention

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person or remote)

Outpatient Treatment

Duration - 24 weeks

Participants receive instant message-delivered psychological intervention tailored to their preferences, including brief iCBT for psychological support and nurse-led real-time chat-based support messages.

Ongoing instant message interactions as per participant preference

Trial Site Locations

Total: 5 locations

1

Kwong Wah Hospital

Hong Kong, Hong Kong

Not Yet Recruiting

2

Princess Margaret Hospital

Hong Kong, Hong Kong

Actively Recruiting

3

Queen Elizabeth Hospital

Hong Kong, Hong Kong

Actively Recruiting

4

Queen Mary Hospital

Hong Kong, Hong Kong

Actively Recruiting

5

United Christian Hospital

Hong Kong, Hong Kong

Actively Recruiting

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Research Team

J

Jung Jae LEE

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

2

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