Outcome and Patient Preferences for Contact in an Internetadministered CBT Treatment for OCD
Bragdon, LB and Wootton, BM and Diefenbach, G and Tolin, D, Outcome and Patient Preferences for Contact in an Internet administered CBT Treatment for OCD, ABCT's 47th Annual Convention, 21-24 November 2013, Nashville (2013) [Conference Extract]
PDF (ABCT2013 - Wootton - patient preferences) Not available 134Kb
Effective treatments for OCD exist, however multiple barriers reduce access to these
treatments. An innovative way to reduce barriers is to provide treatment remotely, and internetadministered remote treatment has been shown to be efficacious in OCD. In addition, there is some evidence to suggest that some people prefer this lowintensity treatment approach to more traditional facetoface treatment. Remote treatment often includes a component of therapist support, which is generally provided in person, over the telephone or over email. However there is limited information on patient preferences for this clinical contact. In this study participants completed a 17week internet based cognitivebehavioral treatment program (OCFighter), which is based on the treatment model delivered in BT STEPS. Throughout the treatment, the internet program was supplemented with minimal therapist contact, which was completed either in person or over the phone, depending on participant preference. To date 13 participants have commenced the study, (M age = 31.46, SD = 11.51). Preliminary results from the first 2 completers indicate significant improvement on the YaleBrown Obsessive Compulsive Scale with withingroups effect sizes (Cohen’s d) at posttreatment of 2.09. Posttreatment results from 25 completers are expected by November 2013. In terms of patient preferences, 85% of participants have preferred treatment delivery over the phone to facetoface treatment. These promising preliminary results provide additional support for the efficacy of remote treatment for OCD. Remote treatment is less time intensive, more costeffective and overcomes many of the barriers to accessing traditional face to face treatment. Results on patient preferences for contact are important in terms of the future development of remote and stepped care models of treatment for individuals with OCD.