The Effect of Instant Message Intervention for Psychological Well-being Among Stroke Survivors

The University of Hong Kong40 enrolled

Overview

The proposed pilot trial aims to evaluate the feasibility of iCBT based EMI, which is a real-time, real-world, personalised and cost-effective approach, for stroke survivors' psychological well-being.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

DOUBLE

Enrollment

Conditions

Stroke Depressive Symptoms Mobile Phone Use

Interventions

iCBT-based EMIOTHER

Consists of brief iCBT for psychological support (mandatory), stroke care education (optional), and real-time chat-based support messages, delivered according to participants' preferences.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Diagnosis of stroke (ICD-10 codes: I60-I69) * Aged ≥18 * Able to read and communicate in Chinese (Cantonese or Putonghua) * Able to use text messaging function on mobile phones * MoCA 5-minute Protocol (cognitive screen) ≥14 (Equivalence to MMSE ≥ 21) * Discharged home from hospital within preceding 6 months * PHQ-9 (depressive symptom) score range from 5 to 19 (cf. mild: 5-9, moderate: 10-14, moderately severe: 15-19 and severe: 20-27) Exclusion Criteria: * Currently receiving active stroke care in acute or post-acute inpatient settings * Has diagnosis of psychiatric disease or is currently taking psychotropic drug * PHQ-9 ≥ 20 (i.e., severe depressive symptom) * Currently participating in any type of psychological intervention (e.g., CBT)

Locations (7)

Hong Kong PHAB Association

Hong Kong, Hong Kong

Hong Kong Stroke Association

Hong Kong, Hong Kong

NT West Community Rehabilitation Day Centre

Hong Kong, Hong Kong

Queen Mary Hospital

Hong Kong, Hong Kong

Outcomes

Primary Outcomes

Depressive symptoms (Patient Health Questionnaire-9 [PHQ-9])

A 9-item scale with score ranging from 0 to 27, higher scores indicate higher severity of depressive symptom

Time frame: 24-week

Secondary Outcomes

Anxiety symptoms (Generalized Anxiety Disorder-7 [GAD-7])

A 7-item scale with score ranging from 0 to 21, higher scores indicate higher severity of anxiety symptoms

Time frame: 24-week

Stress level (Perceived Stress Scale [PSS-4])

A 4-item scale with score ranging from 0 to 16, higher scores indicate higher severity of stress

Time frame: 24-week

Spiritual well-being (Sub-scale of Spirituality Scale for Chinese Elders [SSCE])

An 8-item scale with score ranging from 0 to 32, higher scores indicate better spiritual well-being

Time frame: 24-week

Loneliness (UCLA Loneliness Scale [ULS-8])

An 8-item scale with score ranging from 8 to 32, higher scores indicate higher level of loneliness

Time frame: 24-week

Data from ClinicalTrials.gov

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