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| ID | Type | Description | Link |
|---|---|---|---|
| HCB/2023/0284 | Other Identifier | Hospital ClÃnic of Barcelona |
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The goal of the study is to assess the feasibility, acceptability, and potential effects of therapist-guided internet-delivered cognitive-behavior therapy (iCBT) for adolescent 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:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental: Interned-delivered Cognitive-Behavioral Therapy (CBT) | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Behavioral: icbt. | Behavioral | 14-Week Therapist-Based iCBT for pediatric OCD |
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| Measure | Description | Time Frame |
|---|---|---|
| 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.). | Baseline and at week 14 |
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| Measure | Description | Time Frame |
|---|---|---|
| Acceptability (Treatment Acceptability/Adherence Scale, TAAS) | The TAAS assesses satisfaction with treatment and adherence. | Baseline and at week 14 |
| Child Yale-Brown Obsessive-Compulsive Scale | The Child Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) evaluates the severity of obsessive-compulsive disorder symptoms in adolescents. It is a clinician-rated, 10-item scale, with each item rated from 0 (no symptoms) to 4 (extreme symptoms), resulting in a total score ranging from 0 to 40. The scale also provides separate subtotals for the severity of obsessions and compulsions. |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital ClÃnic | Barcelona | Barcelona | 08036 | Spain |
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| ID | Term |
|---|---|
| D009771 | Obsessive-Compulsive Disorder |
| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |
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| Baseline and week 14 |
| Clinical Global Impression (CGI)-Severity | The CGI rates the severity of the patient's illness at the time of assessment on a 7-point scale, from 1 = normal to 7 = among the most extremely ill patients. | Baseline and at week 14 |
| Children's Depression Inventory | The CDI assesses the severity of depressive symptoms in adolescents (12-16). | Baseline and at week 14 |
| Beck Depression Inventory | The BDI assesses the severity of depressive symptoms in adolescents (17 years old) and adults. | Baseline and at week 14 |
| Negative Effects Questionnaire (NEQ) | The NEQ assesses potential negative side effects of the intervention. | Baseline and at week 14 |
| Obsessive-Compulsive Inventory Child Version (OCI-CV) | The OCI-R assesses obsessive-compulsive symptoms experienced over the past month. It is an 21-item self-report questionnaire covering six symptom dimensions: washing, checking, ordering, obsessing, hoarding, and neutralizing. Each item is rated on a 3-point scale (0 = not at all, 1= sometimes, 2 = always), reflecting the distress caused by the symptom during the past month. | Baseline and at week 14 |