Computer Assisted Cognitive Behavior Therapy for Obsessive Compulsive Disorder: A Comprehensive Stepped-Care Approach
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 5/3/2014 |
| Start Date: | January 2012 |
| End Date: | December 2013 |
| Contact: | Revere Greist, BS |
| Email: | rgreist@centerforpsychconsulting.com |
| Phone: | 608-556-0766 |
Computer Assisted CBT for OCD: A Comprehensive Stepped-Care Approach
The goal of this project is to improve access to effective treatments for obsessive
compulsive disorder (OCD) through the use of web-based cognitive behavioral therapy (CBT)
treatment. There intervention involves both a computer program (BT Steps) and human
interaction via telephone. The investigators will test the efficacy and feasibility of
computer therapy alone (n=35), computer plus a non-therapist coach (n=35), and computer plus
a CBT therapist coach (n=35
compulsive disorder (OCD) through the use of web-based cognitive behavioral therapy (CBT)
treatment. There intervention involves both a computer program (BT Steps) and human
interaction via telephone. The investigators will test the efficacy and feasibility of
computer therapy alone (n=35), computer plus a non-therapist coach (n=35), and computer plus
a CBT therapist coach (n=35
The need for evidence-based mental health treatments i.e., 'treatment based on the best
available science or research evidence‟1, has been stressed from scientific, ethical, and
marketing perspectives. While empirical evidence supports both the efficacy and
effectiveness of cognitive behavior therapy (CBT) for Obsessive-Compulsive Disorder (OCD),
demand for clinicians trained in these approaches far exceeds supply. New technologies
provide the opportunity to facilitate access to this specialized treatment. A growing body
of research has found that web-based self-administered psychotherapy is highly effective,
cost-efficient, and can achieve clinical improvements similar to those obtained with
clinician administered therapy. The long-term goal of this project is to improve clinical
and occupational functioning and decrease disability associated with OCD by improving access
to effective treatments through the use of web-based CBT treatment. The intervention
involves a computer program (BT STEPS) and human interaction via telephone. The inclusion of
human interaction for coaching and encouragement has been found to significantly increase
compliance and success rates in computerized self-help. Whether treatment outcomes differ
when this coaching is done by a therapist versus when done by a trained non-therapist has
not been studied. This is the first program to examine a hybrid model involving different
levels of remote clinician coaching in combination with an on-line self-help tutorial. In
Phase I the investigators will test the efficacy and feasibility of computer therapy alone
(n=35), computer plus nontherapist coach (n=35) and computer plus CBT therapist coach. In
phase II the investigators will do a fully powered study comparing our model to traditional
face-to-face therapy.
available science or research evidence‟1, has been stressed from scientific, ethical, and
marketing perspectives. While empirical evidence supports both the efficacy and
effectiveness of cognitive behavior therapy (CBT) for Obsessive-Compulsive Disorder (OCD),
demand for clinicians trained in these approaches far exceeds supply. New technologies
provide the opportunity to facilitate access to this specialized treatment. A growing body
of research has found that web-based self-administered psychotherapy is highly effective,
cost-efficient, and can achieve clinical improvements similar to those obtained with
clinician administered therapy. The long-term goal of this project is to improve clinical
and occupational functioning and decrease disability associated with OCD by improving access
to effective treatments through the use of web-based CBT treatment. The intervention
involves a computer program (BT STEPS) and human interaction via telephone. The inclusion of
human interaction for coaching and encouragement has been found to significantly increase
compliance and success rates in computerized self-help. Whether treatment outcomes differ
when this coaching is done by a therapist versus when done by a trained non-therapist has
not been studied. This is the first program to examine a hybrid model involving different
levels of remote clinician coaching in combination with an on-line self-help tutorial. In
Phase I the investigators will test the efficacy and feasibility of computer therapy alone
(n=35), computer plus nontherapist coach (n=35) and computer plus CBT therapist coach. In
phase II the investigators will do a fully powered study comparing our model to traditional
face-to-face therapy.
Inclusion Criteria:
- Age 18 or above
- Have clinically significant OCD
- YBOCS score of 16-32
Exclusion Criteria:
- Significant comorbid depression
- Serious suicide risk
- Psychosis or psychotic disorder
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