- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00881465
Videophone Administered Cognitive-Behavioral Therapy for Pediatric Obsessive-Compulsive Disorder
May 15, 2015 updated by: University of South Florida
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.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
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.
Study Type
Interventional
Enrollment (Actual)
31
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Florida
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St. Petersburg, Florida, United States, 33701
- University of South Florida
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
7 years to 17 years (Child)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Principal diagnosis of OCD on the ADIS-IV-C/P and CY-BOCS Total Score ≥ 16
- No change in psychotropic medication (if applicable) for at least 8 weeks prior to study entry
- 7 to 17 years old
- Availability of at least one parent to accompany the child to all assessment sessions and be present for videophone sessions
- Have a computer within their home
Exclusion Criteria:
- History of and/or current psychosis, autism, bipolar disorder, or current suicidality
- Principal diagnosis other than OCD
- A positive diagnosis in the caregiver of mental retardation, psychosis, or other psychiatric disorders or conditions that would limit their ability to understand CBT (based on clinical interview)
- The child requires a higher level of psychiatric and/or medical care (e.g., inpatient hospitalization)
- Child receptive vocabulary < 80.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Cognitive-behavioral therapy
Cognitive-Behavioral Therapy.
The psychotherapy protocol will include 14 90-minute sessions of videophone administered CBT over 12 weeks.
The first session will be held face-to-face to foster rapport.
Sessions 1-4 will be held twice weekly; thereafter sessions will be held weekly.
Sessions 1-3 are devoted to psychoeducation, treatment discussion, and hierarchy development.
Sessions 4-10 involve CBT exercises specific to each youth.
|
Cognitive-Behavioral Therapy.
The psychotherapy protocol will include 14 90-minute sessions of videophone administered CBT over 12 weeks.
|
Placebo Comparator: Waitlist
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.
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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.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS; Scahill et al., 1997). The CY-BOCS is a 10-item Semi-structured Measure of Obsession and Compulsion Severity Over the Previous Week. This Measure Will Serve as the Primary Outcome Index.
Time Frame: within one week after treatment condition was concluded
|
Items on this scale are summed to arrive at a total score.
Scores on this scale range from 0 to 40 with higher scores corresponding to worse symptom severity.
|
within one week after treatment condition was concluded
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Clinical Global Impression - Severity (CGI-S; National Institute of Mental Health, 1985). The CGI-S is a 7-point Clinician Rating of Severity of Psychopathology.
Time Frame: within one week after treatment condition was concluded
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Scores on this scale range from 0 to 6 with higher scores corresponding to worse symptom severity.
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within one week after treatment condition was concluded
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Clinical Global Improvement (CGI; Guy, 1976). The CGI is a 7-point Rating of Treatment Response Anchored by 1 ("Very Much Improved) and 7 ("Very Much Worse").
Time Frame: within one week after treatment condition was concluded
|
Scores on this scale range from 1 to 7. Scores of 1 (very much improved) and 2 (much improved) are grouped together to indicate if a participate has had a beneficial response to the interview.
The data represents participants who had a beneficial response to the treatment condition.
Scores of 3 (minimally improved), 4 (no change), 5 (minimally worse), 6 (much worse) and 7 (very much worse) are grouped together to indicate that a participant has not had a positive treatment response.
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within one week after treatment condition was concluded
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
March 1, 2009
Primary Completion (Actual)
June 1, 2010
Study Completion (Actual)
June 1, 2010
Study Registration Dates
First Submitted
April 14, 2009
First Submitted That Met QC Criteria
April 14, 2009
First Posted (Estimate)
April 15, 2009
Study Record Updates
Last Update Posted (Estimate)
June 11, 2015
Last Update Submitted That Met QC Criteria
May 15, 2015
Last Verified
May 1, 2015
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- USF-09-0155
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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