Implementation of internet-delivered cognitive behaviour therapy for pediatric obsessive-compulsive disorder: Lessons from clinics in Sweden, United Kingdom and Australia.
Adolescent
Child
Cognitive behaviour therapy
Exposure with response prevention
Internet
Obsessive-compulsive disorder
Self-help
Journal
Internet interventions
ISSN: 2214-7829
Titre abrégé: Internet Interv
Pays: Netherlands
ID NLM: 101631612
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
06
11
2019
revised:
24
01
2020
accepted:
24
01
2020
entrez:
22
2
2020
pubmed:
23
2
2020
medline:
23
2
2020
Statut:
epublish
Résumé
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
Identifiants
pubmed: 32082991
doi: 10.1016/j.invent.2020.100308
pii: S2214-7829(19)30122-8
pii: 100308
pmc: PMC7019117
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100308Subventions
Organisme : Medical Research Council
ID : MR/N001400/1
Pays : United Kingdom
Informations de copyright
© 2020 The Authors.
Déclaration de conflit d'intérêts
Dr. Andersson reports receiving book royalties outside the submitted work. Dr. Turner reports receiving personal fees for editorial work from British Journal of Clinical Pharmacology and book royalties outside the submitted work. Prof Mataix-Cols reports receiving personal fees for editorial work from Elsevier and royalties for contributing articles to UpToDate, Inc., all outside the submitted work. The remaining authors report no conflicts of interest.
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