Internet-based Cognitive Behavioral Psychotherapy for Children and Adolescents With Obsessive-compulsive Disorder II
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Psychotherapy Intervention Evaluation
- Sponsor
- University Hospital Tuebingen
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Change in Child Obsessive Compulsive Disorder Impact Scale (COIS-RC)
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Internet-based psychotherapy for children and adolescents with obsessive-compulsive symptoms and an age of 6 to 18 years. Sessions are verified with teleconferencing with an psychotherapist, children and their parents. The psychotherapy is supported by an App and a wristband to obtain psychophysiological data. The investigators have already successfully performed a feasibility study.The goal of the current proposal is to develop an internet and smart phone delivered CBT (iCBT) for the treatment of pediatric OCD on the bases of the feasibility study. Internal testing on iCBT therapy package and developmental workchanges has been done. The investigators are now evaluating effectiveness in an RCT.
Detailed Description
In this study the investigators test effectiveness of an internet-based therapy approach for children with obsessive-compulsive disorders in an RCT design with a waiting control group. The investigators are planninng the investigation of 20 patients in each group.Therapy is verified by experts via teleconferences and a therapy app. Outcomes for the treatment group are evaluated before randomization (baseline, t0), 16 weeks (end of treatment, t1), 32 weeks (follow-up 1, t2), and 48 weeks after randomization (follow-up 2, t3). For the waiting list-group, outcomes are measured before the first randomization (baseline), at 16 weeks (waiting list period), 32 weeks (end of treatment), 48 weeks after the first randomization (follow-up I) and 64 weeks after the first randomization (follow-up II).
Investigators
PD Dr. Annette Conzelmann
PD Dr. Annette Conzelmann
University Hospital Tuebingen
Eligibility Criteria
Inclusion Criteria
- •Children and adolescents (ages 6-18) with a primary DSM-5 obsessive-compulsive disorder and at least 1 primary caretaker
- •German-speaking (child \& caretakers)
- •Family home equipped with broadband connection and appropriate computer, monitor, HD webcam, and speaker and smart phone
- •written informed content of the child and his caretaker
- •OCD as highest treatment priority
Exclusion Criteria
- •IQ below 70
- •not speaking and understanding German
- •A psychiatric comorbidity that makes participation clinically inappropriate (for example, primary anorexia nervosa), depression with suicidality, psychosis or any other psychiatric disorder that requires acute treatment
Outcomes
Primary Outcomes
Change in Child Obsessive Compulsive Disorder Impact Scale (COIS-RC)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
A 33-item self-report questionnaire to the impact of OCD symptoms on the psychosocial functioning of the children.
Change in Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
Interview/questionnaire for obsessive-compusive disorders.
Change in Youth Self-Report (YSR/11-18R)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
A 112 item 3-point scale completed by the children themselves and addresses a variety of behavioral and emotional problems.
Change in Screen for Child Anxiety Related Emotional Disorders (SCARED)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
The SCARED assesses DSM-IV anxiety symptoms.
Change in Clinical Global Impressions-Severity (CGI-S)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
A clinical 7-point rating scale of symptom severity.
Change in Depression Inventory for Children and Adolescents (DIKJ)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
The questionnaire measures depressive symptoms in the children. It has 26 items and a 4 point scale.
Change in Children's Global Assessment Scale (CGAS)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
The CGAS is a measure of level of functioning in children and adolescents.
Change in Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents (KINDL)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
A 24 item 5 point scale self-report questionnaire for children and parents to quality of life.
Change in Daily mood
Time Frame: Every day throughout the therapy process
Children indicate their mood via app.
Change in Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime Version (K-SADS-PL)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
Clinical interview for psychiatric disorders for children and parents.
Change in Child Behavior Checklist (CBCL/6-18R)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
A 113-item 3-point questionnaire for parents that assesses a wide range of child behavioral and emotional problems.
Change in Junior temperament and character inventory (JTCI)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
The questionnaire assesses temperament characteristics with 103/86 items and a 5-point scale.
Change in Clinical Global Impressions-Improvement (CGI-I)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
A clinical 7-point rating scale of symptom severity.
Change in How strong OCD is
Time Frame: Every day throughout the therapy process
Children and parants indicate how strong OCD is via app.
Change in Heart rate variability
Time Frame: Every day throughout the therapy process
Heart rate variability as an indicator of stress levels is assessed with wristbands.
Change in time the OCD takes
Time Frame: Every day throughout the therapy process
Children and parants indicate how much time OCD takes via app.
Change in HEXACO- Personality Inventory-Revised (HEXACO-PI-R)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
This questionnaire assesses the core personality traits of children.
Change in Impairment by OCD symptoms
Time Frame: Every day throughout the therapy process
Children and parents indicate impairment by OCD via app.
Change in Extend of avoidance behavior
Time Frame: Every day throughout the therapy process
Children and parents indicate extend of avoidance behavior via app.
Change in How the week has been
Time Frame: weekly throughout the therapy process
Children and parants indicate how the week has been via app.
Change in Anxiety ratings during exposures
Time Frame: Every exposure throughout the therapy process
Children indicate how high anxiety was during exposures via app.
Change in Engagement- Fragebogen
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
Questionnaire for emotional, cognitive and behavioral engagement at school with 5 items each.
Change in Ulmer Life Quality Inventory for parents of chronically ill children(ULQIE)
Time Frame: baseline,16 weeks, 32 weeks, 48 weeks, 64 weeks
Questionnaire to life quality of parents related to the impairment through the illness of the child.
Change in How the day has been
Time Frame: Every day throughout the therapy process
Children indicate how good the day has been via app.
Change in How convinced the patient of his/her OCD thoughts is
Time Frame: every exposure
assessed by App