Taking Psychiatry Online: Developing a Platform to Provide Internet-Delivered Cognitive-Behavior Therapy and Testing It in Pediatric Obsessive-Compulsive Disorder
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 25
- 试验地点
- 1
- 主要终点
- Feasibility (recruitment and retention rates and therapist burden)
研究概览
简要总结
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.
详细描述
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:
- Develop a digital platform for the treatment of mental disorders using therapist-guided iCBT;
- Assess the feasibility, acceptability, and potential effects of therapist-guided iCBT for adolescent obsessive-compulsive disorder (OCD) using the platform developed in Objective 1.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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)
研究组 & 干预措施
Experimental: Interned-delivered Cognitive-Behavioral Therapy (CBT)
干预措施: Behavioral: icbt. (Behavioral)
结局指标
主要结局
Feasibility (recruitment and retention rates and therapist burden)
时间窗: 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.).
次要结局
未报告次要终点