Videophone Administered Cognitive-Behavioral Therapy for Pediatric Obsessive-Compulsive Disorder
Condition: Obsessive Compulsive Disorder
MeSH terms: Compulsive Personality Disorder; Obsessive-Compulsive Disorder
Study type: Interventional
Phase: Phase 2

Summary: 
      Although cognitive-behavioral therapy (CBT) is the most effective intervention for pediatric
      obsessive-compulsive disorder (OCD), many people do receive CBT initially. Given this,
      alternative ways of providing CBT need to be identified and tested. With this in mind, the
      proposed study examines the efficacy of a videophone based cognitive-behavioral intervention
      for youth with OCD. A total of 30 youth will be randomly assigned to either videophone
      administered CBT or an abbreviated wait-list control arm. Comprehensive assessments will be
      conducted by trained clinicians at relevant time-points to assess symptom severity and
      impairment.
    

Detailed description: 
      Although cognitive-behavioral therapy (CBT) is the most effective intervention for pediatric
      obsessive-compulsive disorder (OCD), many people do receive CBT initially due, in part, to
      the lack of trained providers and geographic barriers (e.g., distance to such providers).
      Rather, the majority of youth with OCD receive psychiatric medication alone or together with
      unproven forms of psychotherapy. While some serotonergic medications have demonstrated
      utility in pediatric OCD, side effects can be common, response rates are modest at best, and
      symptom remission is rare. Given this, alternative ways of providing CBT need to be
      identified and tested to increase the number of people with access to this form of treatment.
      With this in mind, the proposed study examines the efficacy of a videophone based
      cognitive-behavioral intervention for youth with OCD. A total of 30 youth will be randomly
      assigned to either videophone administered CBT or an abbreviated wait-list control arm.
      Cognitive-behavioral therapy will be based on a demonstrated effective treatment protocol,
      and adapted for videophone administration. Comprehensive assessments will be conducted by
      trained clinicians at relevant time-points (e.g., baseline, post-treatment, follow-up) to
      assess symptom severity and impairment. Should supporting data be found,
      videophone-administered CBT would have the potential to help many more families who would
      otherwise remain untreated or inadequately treated. On a societal level, evaluation and
      dissemination of telehealth interventions such as this will lessen costs related to sustained
      treatment and OCD related impairment.
    

Intervention name(s): Cognitive-behavioral therapy; Wait-list control
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Cognitive-Behavioral Therapy. The psychotherapy protocol will include 14 90-minute sessions of videophone administered CBT over 12 weeks.; Waitlist Control. The participant and his/her parents will be instructed to not obtain treatment outside of the protocol or make medication changes/additions. This will be assessed through interview at the Post-Waitlist assessment.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Obsessive compulsive disorder