1CBT for children and adolescents with Obsessive-Compulsive Disorder
- Prosjektnummer
- 90023600
- Ansvarlig person
- Norbert Skokauskas
- Institusjon
- NTNU, MH-fakultetet, Institutt for psykisk helse
- Prosjektkategori
- Flerårig prosjekt
- Helsekategori
- Mental Health
- Forskningsaktivitet
- 5. Treatment Developement, 6. Treatment Evaluation
Prosjektet (eCBT = enhanced Cognitive Behavioral Therapy) har fått innvilget innovasjonsmidler fra Helse Midt og St. Olavs hospital som i hovedsak ble benyttet til en prosjektmedarbeiderstilling som støtte for evaluering og implementering av behandlingskonseptet 100 % Webcam-basert behandling. En planlagt konferanse for å promotere Webcam-baserte behandling og for å samle miljøene som arbeider ned denne behandlingsformen var planlagt februar 2022, men må utsettes til juni 2022 pga. koronarestriksjoner.
Preliminary results show a significant decrease for OCD severity measures with the CY-BOCS (Children's Yale-Brown Obsessive Compulsive Scale ) from pre- to post-treatment t(9)=5.186, p = 0.001 . Effects Size for total CY-BOCS total scores pre-post was d = 1.77. The addition of webcam sessions reduced the amount of face-to-face sessions needed, which saved time for travelling for the patients. By now, the majority of patients gave feed-back that the functions of the application including psychoeducative videos and tools to structure the treatment were helpful. Acceptability measured by the Client Satisfaction Questionnaire-8 in children was 86.88% and 92.19% for the parents. Also for healthcare service providers, delivering of effective treatment courses including the use of the application and webcam session, has the potential to save time and resources in the long run.
At this stage, our recruitment efforts have escalated which means more patients than in previous year could benefit from real-time interactions for the provision of treatment traditionally delivered in person, regardless of a family’s geographic proximity to a mental health facility, and expands the potential availability of expert clinicians trained in the appropriate delivery of this efficacious treatment. Moreover, drawing on technological innovation to deliver interventions directly to children and their parents in their natural settings (home and local neighborhood) extended the ecological validity of current treatments thereby enhancing outcomes, as treatments are delivered in the very contexts in which child problems occur.
I 2017 ble behandlingspakken eCBT introdusert for ungdommene og deres foreldre i en klinisk setting. Ved bruk av teleteknologi ble interaksjon og kontakt mellom behandler og pasient ivaretatt, uavhengig av geografisk avstand. Pasienten opplever å få behandling i trygge hjemmeomgivelser, og vil kunne trekke veksler på dette.
Acceptability and feasibility of enhanced cognitive behavioral therapy (eCBT) for children and adolescents with obsessive-compulsive disorder.
Child Adolesc Psychiatry Ment Health 2021 Sep 04;15(1):47. Epub 2021 sep 4
PMID: 34481523
Feasibility, Acceptability, and Effectiveness of Enhanced Cognitive Behavioral Therapy (eCBT) for Children and Adolescents With Obsessive-Compulsive Disorder: Protocol for an Open Trial and Therapeutic Intervention.
JMIR Res Protoc 2020 Dec 18;9(12):e24057. Epub 2020 des 18
PMID: 33203621
Acceptability, feasibility, and efficacy of Internet cognitive behavioral therapy (iCBT) for pediatric obsessive-compulsive disorder: a systematic review.
Syst Rev 2019 Nov 20;8(1):284. Epub 2019 nov 20
PMID: 31747935
How can technology enhance cognitive behavioral therapy: the case of pediatric obsessive compulsive disorder.
BMC Psychiatry 2017 Jun 23;17(1):226. Epub 2017 jun 23
PMID: 28645268
How can technology enhance cognitive behavioral therapy: the case of pediatric obsessive compulsive disorder.
BMC Psychiatry, Jun 23;17(1):226. 2017
- Lucia Babiano-Esp Doktorgradsstipendiat
- Norbertas Skokauskas Hovedveileder
- Bernhard Weidle Medveileder, biveileder
- Lidewij Wolters Medveileder, biveileder
eRapport er utarbeidet av Sølvi Lerfald og Reidar Thorstensen, Regionalt kompetansesenter for klinisk forskning, Helse Vest RHF, og videreutvikles av de fire RHF-ene i fellesskap, med støtte fra Helse Vest IKT
Alle henvendelser rettes til Helse Midt-Norge RHF - Samarbeidsorganet og FFU