iCBT for Adult Obsessive-Compulsive Disorder

N/ANot Yet RecruitingNCT07081438

Hospital Clinic of Barcelona25 enrolled

Overview

The goal of the study is to assess the feasibility, acceptability, and potential effects of therapist-guided internet-delivered cognitive-behavior therapy (iCBT) for adult obsessive-compulsive disorder, using a recently developed digital platform.

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: 1. Develop a digital platform for the treatment of mental disorders using therapist-guided iCBT; 2. Assess the feasibility, acceptability, and potential effects of therapist-guided iCBT for adult obsessive-compulsive disorder (OCD) using the platform developed in Objective 1.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Obsessive-Compulsive Disorder (OCD)

Interventions

icbtBEHAVIORAL

12-Week Therapist-Based iCBT for OCD (Adapted Version of OCD Net: https://therapistguide.webcbt.se/index.html)

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age between 18 and 75 * Internet access * Principal diagnosis of OCD, based on DSM-5 * Yale-Brown Obsessive-Compulsive Scale (Y-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 12 weeks of the study Exclusion Criteria: * Estimated IQ \< 70, as per the Vocabulary subtest of the Wechsler Adults 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 30 minutes per day)

Outcomes

Primary Outcomes

Feasibility (recruitment and retention rates and therapist burden)

The investigators will assess feasibility by recording recruitment rates, retention rates, and therapist burden (time spent by the therapist sending emails, reviewing materials, etc.).

Time frame: From enrollment to the end of treatment at 12 weeks

Central Contacts

Miquel A Fullana, PhD

CONTACT

34+637908990 mafullana@clinic.cat

Maria Sagué, MD

CONTACT

34 +932 27 54 00 msague@clinic.cat

Data from ClinicalTrials.gov

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