Internet-based psychotherapy in children with obsessive-compulsive disorder (OCD): protocol of a randomized controlled trial.

Autor: Conzelmann A; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Psychiatry and Psychotherapy, Osianderstr. 14-16, 72076, Tübingen, Germany. annette.conzelmann@med.uni-tuebingen.de.; PFH - Private University of Applied Sciences, Department of Psychology (Clinical Psychology II), Göttingen, Germany. annette.conzelmann@med.uni-tuebingen.de., Hollmann K; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Psychiatry and Psychotherapy, Osianderstr. 14-16, 72076, Tübingen, Germany., Haigis A; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Psychiatry and Psychotherapy, Osianderstr. 14-16, 72076, Tübingen, Germany., Lautenbacher H; Section for Information Technology, University Hospital Tübingen, Tübingen, Germany., Bizu V; Section for Information Technology, University Hospital Tübingen, Tübingen, Germany., App R; Section for Information Technology, University Hospital Tübingen, Tübingen, Germany., Nickola M; Freelance Software Developer, Reutlingen, Germany., Wewetzer G; Child and Adolescent Psychiatry and Psychotherapy, Clinics of the City of Cologne, Cologne, Germany., Wewetzer C; Child and Adolescent Psychiatry and Psychotherapy, Clinics of the City of Cologne, Cologne, Germany., Ivarsson T; Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden., Skokauskas N; Regional Centre for Child and Youth Mental Health and Child Welfare Faculty of Medicine and Health Sciences, Trondheim, Norway., Wolters LH; Department of Child and Adolescent Psychiatry, Academisch Medisch Centrum Universiteit van Amsterdam, Amsterdam, The Netherlands., Skarphedinsson G; Faculty of Psychology, University of Iceland, Reykjavik, Iceland., Weidle B; Regional Centre for Child and Youth Mental Health and Child Welfare Faculty of Medicine and Health Sciences, Trondheim, Norway., de Haan E; Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands., Torp NC; Centre for Child and Adolescent Mental Health, Eastern and Southern, Division of Mental Health and Addiction, Oslo, Norway.; Division of Mental Health Services, Akershus University Hospital, Lørenskog, Norway., Compton SN; Duke Child and Family Study Center, Durham, USA., Calvo R; Department of Child and Adolescent Psychiatry and Psychology, Hospital Clínic de Barcelona, Barcelona University, CIBERSAM, Barcelona, Spain., Lera-Miguel S; Department of Child and Adolescent Psychiatry and Psychology, Hospital Clínic de Barcelona, Barcelona University, CIBERSAM, Barcelona, Spain., Alt A; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Psychiatry and Psychotherapy, Osianderstr. 14-16, 72076, Tübingen, Germany., Hohnecker CS; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Psychiatry and Psychotherapy, Osianderstr. 14-16, 72076, Tübingen, Germany., Allgaier K; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Psychiatry and Psychotherapy, Osianderstr. 14-16, 72076, Tübingen, Germany., Renner TJ; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Psychiatry and Psychotherapy, Osianderstr. 14-16, 72076, Tübingen, Germany.
Jazyk: angličtina
Zdroj: Trials [Trials] 2022 Feb 21; Vol. 23 (1), pp. 164. Date of Electronic Publication: 2022 Feb 21.
DOI: 10.1186/s13063-022-06062-w
Abstrakt: Background: Obsessive-compulsive disorder (OCD) in children can lead to a huge burden on the concerned patients and their family members. While successful state-of-the art cognitive behavioral interventions exist, there is still a lack of available experts for treatment at home, where most symptoms manifest. Internet-based cognitive behavioral therapy (iCBT) could overcome these restrictions; however, studies about iCBT in children with OCD are rare and mostly target computerized self-help resources and only email contact with the therapist. Therefore, we intended to build up and to evaluate an iCBT approach for children with OCD, replacing successful elements of traditional in-office face-to-face CBT, with face-to-face teleconferences, online materials, and apps.
Methods: With the help of a pilot feasibility study, we developed the iCBT consisting of 14 teleconference sessions with the child and parents. The sessions are supported by an app assessing daily and weekly symptoms and treatment course completed by children and parents. Additionally, we obtain heart rate and activity scores from the child via wristbands during several days and exposure sessions. Using a waiting list randomized control trial design, we aim to treat and analyze 20 children with OCD immediately after a diagnostic session whereas the control group of another set of 20 OCD patients will be treated after waiting period of 16 weeks. We will recruit 30 patients in each group to take account for potential dropouts. Outcomes for the treatment group are evaluated before randomization (baseline, t0), 16 weeks (end of treatment, t1), 32 weeks (follow-up 1, t2), and 48 weeks after randomization (follow-up 2, t3). For the waiting list group, outcomes are measured before the first randomization (baseline), at 16 weeks (waiting list period), 32 weeks (end of treatment), 48 weeks after the first randomization (follow-up I), and 64 weeks after the first randomization (follow-up II).
Discussion: Based on our experience of feasibility during the pilot study, we were able to develop the iCBT approach and the current study will investigate treatment effectiveness. Building up an iCBT approach, resembling traditional in-office face-to-face therapy, may ensure the achievement of well-known therapy effect factors, the acceptance in both patients and clinicians, and the wide distribution within the health system.
Trial Registration: ClinicalTrials.gov NCT05037344 . Registered May 2019, last release August 13th, 2021.
(© 2022. The Author(s).)
Databáze: MEDLINE
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