Developing Computerised CBT for Adults With OCD
- Conditions
- Obsessive-compulsive Disorder
- Interventions
- Other: Computerised CBT for OCD
- Registration Number
- NCT02398045
- Lead Sponsor
- Institute of Psychiatry, London
- Brief Summary
The study aims to pilot a new computerised cognitive behavioural therapy programme for a small case series of adults with obsessive-compulsive disorder. The investigators hypothesise that the findings will demonstrate improvements in symptomatology following the programme. The programme will have longer-term aims of being rolled out over a number of IAPT services within the NHS, reducing waiting lists and increasing therapist time.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 12
- Adults aged 18 or over with OCD as defined by DSM-IV who are seeking CBT.
- The patient describes their OCD as their main problem and scores between 14 and 30 on the YBOCS (Goodman et al, 1989). A score above 30 is in the severe range and indicates that the CBT should probably be therapist delivered.
- Able to use self-help materials in English and answer written questionnaires.
- Able to access the internet (either at home or in a public library or drop in centre or at the clinic).
- Have a current episode of OCD of more than 6 months in duration.
- Significant and complex co-morbidity (e.g. significant personality disorder, severe depression or alcohol dependence, which requires longer therapy or is more difficult to treat). Such patients are likely to be part of a Community Mental Health team or be funded by the Department of Health's National Specialist Commissioning Team scheme for severe treatment refectory OCD.
- Current active suicidal intent or severe self-neglect that requires hospitalisation.
- The patient has a primary problem of compulsive hoarding (as such patients are more complex or are more likely to be under a Community Mental Health team).
- Continuing to receive another form of psychotherapy.
- Has received CBT for OCD in the past year.
- A participant may be taking an anti-depressant for OCD but must be on a stable dose for at least 12 weeks prior to entry in the trial with no plans to alter the dose during the trial period. There must also be no plan to commence on an anti-depressant or anti-psychotic medication. (Participants excluded because of their current or planned medication may be offered a further assessment for the trial after being on a stable dose
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Computerised CBT Computerised CBT for OCD Computerised CBT for OCD
- Primary Outcome Measures
Name Time Method Change in Y-BOCS-OCD baseline, week 3, week 4 or week 5 after baseline, 12 weeks, 1 month follow-up Yale-Brown Obsessive-Compulsive Scale for OCD. Questions focus on obsessive thoughts participants may have along with behaviours they feel compelled to do in order to reduce their anxiety. This outcome is expected to change (improve) from baseline throughout the trial as a result of the computerised CBT.
- Secondary Outcome Measures
Name Time Method Work and social adjustment scale baseline, week 3, week 4 or week 5 after baseline, 12 weeks, 1 month follow-up This scale has 5 questions, each of which is answered using a 9 point likert scale. It focuses on work, home management, social and private leisure activities, and relationships/family.
Obsessive-compulsive inventory baseline, week 3, week 4 or week 5 after baseline, 12 weeks, 1 month follow-up This measure involved 42 statements relating to distress that people may experience in their everyday lives. Participants will answer each statement on a likert scale from 0-4 in terms of how much that experience has bothered them during the past month.
DSM-IV OCD SCID baseline This is used to check that participants meet the DSM-IV diagnosis for Obsessive-Compulsive Disorder and covers a range of questions from any previous treatment received to alcohol and drug consumption.
Expectation for treatment success and credibility baseline, week 3, week 4 or week 5 after baseline, 12 weeks, 1 month follow-up Based on the information collected from all other measures, a therapist or clinician will make a prediction about the participants suitability for treatment using CBT, and how well (or not well) they expect the participant to respond to CBT treatment.
Psychiatric Diagnostic Screening Questionnaire baseline This form asks participants about emotions, mood, thoughts, and behaviours and asks patients to describe how they've been acting, feeling or thinking. Questions refer specifically to either the last 2 weeks or the last 6 months (and specify which when necessary).
Patient Health Questionnaire baseline, week 3, week 4 or week 5 after baseline, 12 weeks, 1 month follow-up Generalised anxiety disorder assessment baseline, week 3, week 4 or week 5 after baseline, 12 weeks, 1 month follow-up This is a 7 item scale asking about anxiety levels over the past 2 weeks.
demographic variables baseline This involves questions about Age, gender, ethnicity, education, employment, relationship status and access to the internet.
Trial Locations
- Locations (2)
South London and Maudsley NHS Trust
🇬🇧London, United Kingdom
Centre for Anxiety Disorders and Trauma
🇬🇧London, United Kingdom