OCD
Conditions
Keywords
OCD, CBT, parent
Brief summary
This preliminary study aims to examine the outcomes from a therapist guided, parent-led, CBT treatment for preadolescent children (aged 5 to 12 years old) with OCD. Specifically, this study aims to: 1. Examine outcomes for children who receive the therapist guided, parent-led, CBT treatment for preadolescent children with OCD. 2. Examine parents' experiences and views about the acceptability of the treatment approach.
Detailed description
This study adapted an existing therapist guided, parent-led CBT intervention for children with anxiety difficulties, to ensure suitability for preadolescent children with OCD. This preliminary study aims to examine the outcomes from a therapist guided, parent-led, CBT treatment for preadolescent children (aged 5 to 12 years old) with OCD. Specifically, this study aims to: 1. Examine outcomes for children who receive the therapist guided, parent-led, CBT treatment for preadolescent children with OCD. 2. Examine parents' experiences and views about the acceptability of the treatment approach.
Interventions
This treatment was adapted from an existing evidence based therapist guided parent-led CBT intervention for preadolescent children with anxiety difficulties. It consists of 6 to 8 treatment individual treatment sessions where parents learn CBT techniques to apply at home with their child
Sponsors
Study design
Intervention model description
Non concurrent multiple baseline design
Eligibility
Inclusion criteria
Children Inclusion criteria: 1. Aged 5 to 12 years old (when parents/carers complete the baseline questionnaires). 2. Diagnosis of OCD (identified from the ADIS-P). 3. UK-resident. Parents Inclusion criteria: 1. Parent/legal guardian of the child. 2. UK resident.
Exclusion criteria
Children
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Children's Yale Brown Obsessive Compulsive Scale (CY-BOCS) | Change from pre-baseline phase, within one-week post-treatment, one-month follow-up | Diagnostic interview. Higher scores indicate higher severity of OCD |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Goal Based Outcomes - GBOs | Weekly during intervention phase; one month follow up | Families identify up to 3 personalised goals to work towards during the intervention. Goals are rated weekly by the parent form 0 (no goal progress) to 10 (goal achieved) |
| Anxiety Disorder Interview Schedule - Parent Report (ADIS-P) | Change from pre-baseline phase, within one-week post-treatment, one-month follow-up | Diagnostic interview. Indicates presence/absence of anxiety, OCD, and externalising difficulties. Higher severity scores indicate greater severity of difficulties. |
| Children's Obsessional Compulsive Inventory - Revised - Parent Report (ChOCI-R-P) | Weekly during baseline and intervention phase; one month follow up | Symptom measure. Higher scores indicate greater OCD symptoms and impairment. |
| Treatment acceptability questions | one month follow-up | Treatment acceptability. 6 questionnaire items on a Likert scale from strongly disagree to strongly agree. 4 open ended questions regarding treatment acceptability. |
| Session Rating Scale- SRS | Weekly during intervention phase; one month follow-up | Therapeutic alliance/treatment acceptability. Higher scores indicate greater acceptability. |
| Items assessing parent knowledge of OCD, how to help their child, and confidence to help child | Weekly during baseline and intervention phase; one month follow up | 3 questionnaire items devised by study authors to assess parents' report of their knowledge and confidence to help their child to overcome OCD. Items scored from 0 (no new learning) to 5 (learned a lot) |
| Items assessing how much children have learned new information about their fears/ability to cope in feared situations | Weekly during intervention phase; one month follow up | 2 questionnaire items devised by study authors to assess parents' perceptions of whether their child had learned new information about their fears and their ability to cope in feared situations, without performing their compulsions. Items scored from 0 (no new learning) to 5 (learned a lot) |
| Family Accommodation Scale - FAS | Weekly during baseline and intervention phase; one month follow up | Symptom measure. Higher scores indicate greater levels of family accommodation of OCD. |
Countries
United Kingdom