None listed
Conditions
Brief summary
By conducting this project we hope to: 1) explore the effectiveness of a self-guided internet delivered cognitive behaviour therapy (ICBT) intervention for obsessive-compulsive disorder; 2) explore the predictors of treatment response to self-guided ICBT; and 3) explore reasons for utilizing ICBT and previous treatment experiences of individuals who undertake ICBT. The results will inform us about who is likely to benefit from this treatment protocol and how best to administer this program.
Interventions
Participants will complete 5 online lessons in 8 weeks. The online lessons take approximately 30 minutes to read through, with homework exercises taking a further hour per day. Participants are able to complete the lesson in their own time and participants are encouraged to log in to the site when a new lesson is available in order to complete the lesson.
The lessons are based on current best practice cognitive and behavioural techniques and include exposure and response prevention, and cognit
Participants will complete 5 online lessons in 8 weeks. The online lessons take approximately 30 minutes to read through, with homework exercises taking a further hour per day. Participants are able to complete the lesson in their own time and participants are encouraged to log in to the site when a new lesson is available in order to complete the lesson. The lessons are based on current best practice cognitive and behavioural techniques and include exposure and response prevention, and cognitive techniques. Exposure and response prevention involves gradually confronting feared situations whilst resisting the compulsive behaviours that would normally be used to reduce anxiety. The cognitive techniques are aimed at reducing the common cognitive biases seen in OCD and are aimed to help the participant to reduce their overestimation of threat and responsibility, reduce the need to control their thoughts and understand the misinterpretation of the meaning of these thoughts. The cognitive techniques also aim to help people to reduce their need for certainty and perfectionism. Lessons are released according to a set timeline and participants are not able to read ahead of the timeline. This is a self-guided study and participants are not provided with any clinician support throughout the treatment. Adherence to the program (i.e., number of lessons completed, number of logins) is monitored in the system. To enhance treatment adherence participants will receive automated emails when a new lesson is released and when an available lesson has not been started by the participant.
Sponsors
Macquarie University
Study design
Allocation
Non-randomised trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
(a) English speaking; (b) 18 years of age or above; (c) Have regular access to the internet; (d) No suicidal plans or intention, or recent history of suicide attempts or deliberate self-harm; (e) A score of at least 7 on one of the subscales of the Dimensional Obsessive Compulsive Scale (DOCS); (f) A score of at least 14 on the Yale-Brown Obsessive Compulsive Scale (YBOCS). (g) Meet criteria for OCD on the Diagnostic Interview for Anxiety, Mood, Obsessive-Compulsive, and other Neuropsychiatric Disorders (DIAMOND), administered in a self-report format.
Exclusion criteria
(a) Does not speak English; (b) <18 years; (c) Does not have regular access to the internet; (d) Suicidal plans or intention, or recent history of suicide attempts or deliberate self-harm; (e) Scored < 7 on all of the subscales of the Dimensional Obsessive Compulsive Scale (DOCS); (f) Scored < 14 on the Yale-Brown Obsessive Compulsive Scale (YBOCS). (g) Does not meet criteria for OCD based on the Diagnostic Interview for Anxiety, Mood, Obsessive-Compulsive, and other Neuropsychiatric Disorders (DIAMOND)
Outcome results
None listed