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Adapting Cognitive Behavioral Therapy (CBT) for Chinese Americans

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01786746
Recruitment Status : Completed
First Posted : February 8, 2013
Last Update Posted : February 8, 2013
University of California, Los Angeles
Information provided by (Responsible Party):
Wei-Chin Hwang, Claremont McKenna College

Brief Summary:
The goals of this study were to a) test whether cognitive behavioral therapy (CBT) is effective in treating depressed Chinese Americans, b) to develop and test the effectiveness of culturally adapt CBT, and c) to test the differential outcomes of the two treatments.

Condition or disease Intervention/treatment Phase
Major Depression Behavioral: cognitive behavioral therapy Behavioral: culturally adapted cognitive behavioral therapy Not Applicable

Detailed Description:
It is now known that ethnic minorities are less likely to receive quality health services and evidence worse treatment outcomes when compared with other groups (IOM, 1999; USDHHS, 2001). Moreover, there continues to be a shortage of systematic investigations examining the efficacy of evidence-based treatments (EBTs) with ethnic minorities, especially among Chinese Americans. Developing interventions that are both empirically grounded and that are culturally sensitive and compatible with Chinese culture is one promising strategy that may improve treatment outcomes for this understudied group. The goal of this study is to culturally adapt a cognitive-behavioral therapy manual for use with depressed Chinese American patients. This study will be among the first to develop a culturally adapted EBT for use with this ethnic group and will involve three study phases. Phase I of the study will focus on modifying and refining a CBT intervention protocol into a manualized treatment for Chinese Americans. Phase two involves a randomized controlled trial (RCT) comparing the effects of the culturally adapted CBT treatment manual with nonadapted CBT. Phase three will involve further refinement of the treatment manual, data analysis, and report writing. Patients will be recruited from an ethnic-specific mental health center that specializes in treating Asian American clientele to participate in the study. Patients will be randomly assigned to either the adapted CBT treatment or the nonadapted CBT treatment. Moreover, feedback from patients and therapists in both conditions will be used to further refine the new treatment manual, provide valuable information about salient issues in treating depressed Chinese Americans, and will provide initial estimates of treatment parameters that will be used in preparing a larger R01 proposal to further test the adapted intervention.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 61 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Cognitive Behavioral Therapy (CBT)
Study Start Date : June 2007
Actual Primary Completion Date : March 2011
Actual Study Completion Date : March 2011

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Psychotherapy
Psychotherapy arm that consists of a randomization into 12 session manualized cognitive behavioral therapy or culturally adapted cognitive behavioral therapy for Chinese Americans.
Behavioral: cognitive behavioral therapy
cognitive behavioral therapy. 12 sessions.

Behavioral: culturally adapted cognitive behavioral therapy
culturally adapted cognitive behavioral therapy for Chinese Americans. 12 sessions.

Primary Outcome Measures :
  1. Hamilton Depression Rating Scale (Change is being assessed) [ Time Frame: baseline, session 4, 8, 12, and three months follow-up ]
    most commonly used depression rating scale

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • depression, Chinese American

Exclusion Criteria:

  • bipolar, psychotic disorder, primary substance abuse problem, severe medical conditions that induce depression

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01786746

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United States, California
Claremont McKenna College
Claremont, California, United States, 91711
Sponsors and Collaborators
Claremont McKenna College
University of California, Los Angeles
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Principal Investigator: Wei-Chin Hwang, PhD Claremont McKenna College

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Responsible Party: Wei-Chin Hwang, PI, Associate Professor, Claremont McKenna College Identifier: NCT01786746     History of Changes
Other Study ID Numbers: R34MH073545 ( U.S. NIH Grant/Contract )
First Posted: February 8, 2013    Key Record Dates
Last Update Posted: February 8, 2013
Last Verified: February 2013

Keywords provided by Wei-Chin Hwang, Claremont McKenna College:
cognitive behavioral therapy
Chinese Americans

Additional relevant MeSH terms:
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Depressive Disorder, Major
Behavioral Symptoms
Depressive Disorder
Mood Disorders
Mental Disorders