Stroke Clinical Trial
Official title:
The Effect of an Ecological Momentary Intervention for Stroke Caregivers' Psychological Support: a Pilot Feasibility Trial
The proposed trial aims to test the feasibility of ecological momentary intervention on stroke caregivers' psychological distress.
75% of stroke caregivers report severe caregiver burdens, with 60% of stroke caregivers
reporting at least one depressive symptom in Hong Kong. However, caregivers can experience
difficulties in accessing and fully utilising existing services due to the varying types of
care needs and its intensities amongst stroke survivors.
Ecological momentary intervention (EMI) as an innovative and personalised intervention has
shown great potential in supporting psychological well-being; yet, there are no studies on
using EMI for the caregivers' psychological support. The proposed trial aims to reduce stroke
caregivers' psychological distress by delivering EMI through instant messaging applications
to provide personalised and real-time support led by healthcare professionals.
Stroke caregivers screened by Patient Health Questionnaire-9 (PHQ-9) with scores ranging from
5 to 19 will be recruited from multiple sites including community centres, rehabilitation
centres and outpatient clinics in public hospitals in Hong Kong, and individually randomised
into the intervention group (n=20) or control group (n=20). The intervention group will
receive the personalised instant messages for 4 weeks. The control group will receive general
health information and regular messages reminding them to participate in follow-up surveys.
The primary outcome will be the score of PHQ-9 at 4 weeks. Secondary outcomes will include
anxiety, perceived stress, and caregiver burden.
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