Obsessive Compulsive Disorder (OCD)
Conditions
Keywords
obsessive-compulsive disorder, cognitive-behavior therapy, icbt, online treatment, e-health
Brief summary
The goal of the study is to assess the feasibility, acceptability, and potential effects of therapist-guided internet-delivered cognitive-behavior therapy (iCBT) for adolescent obsessive-compulsive disorder, using a recently developed digital platform.
Detailed description
Although cognitive-behavior therapy (CBT) is a well-established first-line treatment for many mental disorders, very few patients receive it due to the shortage of trained professionals, the costs of face-to-face therapy, and geographic barriers. Therapist-guided internet-delivered CBT (iCBT) is a potential solution to this problem but is not generally available in our context. The investigators plan to: 1. Develop a digital platform for the treatment of mental disorders using therapist-guided iCBT; 2. Assess the feasibility, acceptability, and potential effects of therapist-guided iCBT for adolescent obsessive-compulsive disorder (OCD) using the platform developed in Objective 1.
Interventions
BEHAVIORALBehavioral: icbt.
14-Week Therapist-Based iCBT for pediatric OCD
Sponsors
Hospital Clinic of Barcelona
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Age between 12 and 17 * Internet access * Principal diagnosis of OCD, based on DSM-5 * Child Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) Total Severity Score \> 16 * Ability to communicate in Spanish * For participants taking psychotropic medication for OCD: at least eight weeks on stable medication and willingness to stay on the same medication/doses for the 14 weeks of the study
Exclusion criteria
* Estimated IQ \< 70, as per the Vocabulary subtest of the Wechsler Intelligence Scale for Children (WISC) * Eight or more previous sessions of CBT for OCD with an experienced therapist during the last 12 months * Ongoing psychological treatment for OCD * Diagnosis of organic brain disorder, intellectual disability, autism spectrum disorder, psychosis, bipolar disorder, low-weight anorexia nervosa, or alcohol/substance dependence * Immediate risk to self or others (e.g., suicidality) * Inability to communicate in Spanish * Low motivation to participate (i.e., the patient does not believe the therapy will be helpful at all) * Insufficient time to work on the treatment (about 60 minutes per day)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility (recruitment and retention rates and therapist burden) | Baseline and at week 14 | The investigators will assess feasibility by recording recruitment rates, retention rates, and therapist burden (time spent by the therapist sending emails, reviewing materials, etc.). |
Countries
Spain
Outcome results
None listed