Abstract
Obsessive-compulsive disorder (OCD) can be successfully treated with cognitive behaviour therapy (CBT). However, as few patients have access to CBT, there is a strong push to develop and evaluate scalable and cost-effective internet-delivered interventions. BIP OCD is a therapist-guided online CBT intervention for pediatric OCD that has shown promise in trials conducted at a single site in Stockholm, Sweden. In this study, we evaluated if BIP OCD is an acceptable, feasible, and effective treatment in other countries and clinical contexts. Thirty-one patients were recruited at three different sites; a specialist OCD clinic in Gothenburg (Sweden), a specialist OCD clinic in London (United Kingdom), and a university-based clinic in Brisbane (Australia). Acceptability and feasibility measures included treatment adherence and feedback from therapists. Clinician assessments were conducted at baseline, post-treatment, and 3-month follow-up. The average module completion for the participants was 8.1/12 (SD=3.2) and the majority of patients completed the BIP OCD treatment (100% in Gothenburg, and 55.6% in both London and Brisbane). Pooling data from the three sites, the within-group effect sizes from baseline to post-treatment on the Children's Yale-Brown Obsessive-Compulsive Scale were in the expected range (bootstrapped Cohen's d=1.78; 95% CI 1.18–2.39), with an additional symptom reduction to the 3-month follow-up (bootstrapped Cohen's d=0.27; 95% CI 0.02–0.51). Participating therapists identified both advantages and difficulties supporting patients in this digital format. The results of this study suggest that the treatment effects obtained in the original BIP OCD trials can be generalized to other clinical contexts nationally and internationally. Lessons learned provide important information for successful implementation of BIP OCD in regular healthcare contexts.
Highlights
Obsessive-compulsive disorder (OCD) is a psychiatric disorder characterized by distressing and time-consuming obsessions and compulsions (American Psychiatric Association, 2013)
The results of this study suggest that the treatment effects obtained in the original BIP OCD trials can be generalized to other clinical contexts nationally and internationally
BIP OCD had only been evaluated in a clinical-academic setting in Stockholm, where it was originally developed
Summary
Obsessive-compulsive disorder (OCD) is a psychiatric disorder characterized by distressing and time-consuming obsessions and compulsions (American Psychiatric Association, 2013). Fear of contamination or harming important people) and compulsions are repetitive behaviours that aim to reduce or neutralize the distress caused by the obsessions OCD is associated with functional impairments in many important areas, such as education (Pérez-Vigil et al, 2018), at home and in social relationships (Valderhaug & Ivarsson, 2005). There is solid evidence that cognitive behaviour therapy (CBT) is an effective psychological treatment for children and adolescents with OCD, with large effect sizes compared to both waitlist and active control conditions (g = 0.93-1.53; Öst, Riise, Wergeland, Hansen, & Kvale, 2016). About exposure and response prevention The OCD circle.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
