Development of a Behavioral Team Intervention for Obsessive Compulsive Disorder

Study Overview
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Brief Summary
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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).

Official Title
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Development of a Behavioral Team Intervention for Obsessive Compulsive Disorder

Conditions
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Obsessive Compulsive Disorder

Intervention / Treatment
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* Behavioral: Team ERP (T-ERP) Intervention
* Behavioral: Treatment as Usual (TAU)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 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). Exclusion Criteria: Significant cognitive impairment (MMSE < 25) Prominent suicidal ideation Current psychosis, mania, alcohol or drug dependence as assessed by the SCID-P. Prominent Hoarding

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Team ERP (T-ERP) Intervention<br>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 | Behavioral: Team ERP (T-ERP) Intervention<br> <br> |
| Active Comparator: Treatment as Usual (TAU)<br>Treatment as Usual (TAU) includes standard community treatment consisting of a personalized treatment plan and assistance with treatment referrals to available community resources | Behavioral: Treatment as Usual (TAU)<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in OCD symptom severity as measured by the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) |  | Baseline, 6th week of treatment, 12th week of treatment, 3 months post-treatment, 6 months post-treatment |