Development of a Behavioral Team Intervention for Obsessive Compulsive Disorder
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 51
- 主要终点
- Changes in OCD symptom severity as measured by the Yale-Brown Obsessive Compulsive Scale (Y-BOCS)
研究概览
简要总结
The overall aim of this study is to determine modifications to Exposure and Response Prevention (ERP) therapy that are needed in order to effectively deliver treatment for Obsessive Compulsive Disorder (OCD) in a community mental health center. This study is the final study in a series of three projects executed to adapt and pilot-test a team ERP (T-ERP) intervention that will optimize therapist time by utilizing paraprofessionals to assist with group-ERP treatment plans. The intervention will be tailored to meet the unique needs of low-SES individuals with OCD and be implemented in a community mental health center (CMHC).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 Years to 65 Years
- •English speaking
- •Primary DSM-IV OCD (identified by the patient and therapist as the most problematic disorder over the past year)
- •At least moderate severity OCD (YBOCS > 16)
- •Not currently on psychotropic medications or on the same psychotropic medications for at least 4 weeks prior to screening
- •Have never received 10 or more sessions of ERP
- •Not currently attending psychotherapy for OCD
- •Low-income based on the U.S. Housing and Urban Development (HUDs) threshold for RI (less than $41,000 per year for individuals).
排除标准
- •Significant cognitive impairment (MMSE < 25)
- •Prominent suicidal ideation
- •Current psychosis, mania, alcohol or drug dependence as assessed by the SCID-P.
- •Prominent Hoarding
研究组 & 干预措施
Team ERP (T-ERP) Intervention
The ERP team intervention (T-ERP) consists of 25 sessions over 20 weeks with four components: (a) 3-4 pretherapy individual session with therapist, (b) 12 weekly group sessions (90-mins) led by a therapist and, (c) 10 individual coaching sessions with a case manager during weeks 2-11 of the group, and (d) 2 booster group sessions to reinforce relapse prevention
干预措施: Team ERP (T-ERP) Intervention (Behavioral)
Treatment as Usual (TAU)
Treatment as Usual (TAU) includes standard community treatment consisting of a personalized treatment plan and assistance with treatment referrals to available community resources
干预措施: Treatment as Usual (TAU) (Behavioral)
结局指标
主要结局
Changes in OCD symptom severity as measured by the Yale-Brown Obsessive Compulsive Scale (Y-BOCS)
时间窗: Baseline, 6th week of treatment, 12th week of treatment, 3 months post-treatment, 6 months post-treatment
次要结局
未报告次要终点