Internet-delivered, family-based treatment for early-onset OCD: A pilot randomized trial
| Autor: | Jonathan S. Comer, Christine E. Cooper-Vince, Abbe Garcia, Tommy Chou, Muniya Khanna, Amanda L. Sanchez, Jami M. Furr, Martin E. Franklin, Aubrey L. Carpenter, Danielle Cornacchio, Stefany Coxe, Elizabeth Miguel, Caroline E. Kerns, Jennifer B. Freeman, Mariah DeSerisy, R. Meredith Elkins |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Family therapy
Male 050103 clinical psychology Telemedicine Obsessive-Compulsive Disorder MEDLINE Pilot Projects PsycINFO Article law.invention Randomized controlled trial law Humans 0501 psychology and cognitive sciences Early childhood Child Early onset Internet Cognitive Behavioral Therapy 05 social sciences Multilevel model Psychiatry and Mental health Clinical Psychology Treatment Outcome Child Preschool Videoconferencing Family Therapy Female Psychology 050104 developmental & child psychology Clinical psychology Follow-Up Studies |
| Popis: | Objective Despite advances in supported treatments for early onset obsessive-compulsive disorder (OCD), progress has been constrained by regionally limited expertise in pediatric OCD. Videoteleconferencing (VTC) methods have proved useful for extending the reach of services for older individuals, but no randomized clinical trials (RCTs) have evaluated VTC for treating early onset OCD. Method RCT comparing VTC-delivered family based cognitive-behavioral therapy (FB-CBT) versus clinic-based FB-CBT in the treatment of children ages 4-8 with OCD (N = 22). Pretreatment, posttreatment, and 6-month follow-up assessments included mother-/therapist-reports and independent evaluations masked to treatment condition. Primary analyses focused on treatment retention, engagement and satisfaction. Hierarchical linear modeling preliminarily evaluated the effects of time, treatment condition, and their interactions. "Excellent response" was defined as a 1 or 2 on the Clinical Global Impressions-Improvement Scale. Results Treatment retention, engagement, alliance and satisfaction were high across conditions. Symptom trajectories and family accommodation across both conditions showed outcomes improving from baseline to posttreatment, and continuing through follow-up. At posttreatment, 72.7% of Internet cases and 60% of Clinic cases showed "excellent response," and at follow-up 80% of Internet cases and 66.7% of Clinic cases showed "excellent response." Significant condition differences were not found across outcomes. Conclusions VTC methods may offer solutions to overcoming traditional barriers to care for early onset OCD by extending the reach of real-time expert services regardless of children's geographic proximity to quality care. (PsycINFO Database Record |
| Databáze: | OpenAIRE |
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