A pilot randomized controlled trial of videoconference-assisted treatment for obsessive-compulsive disorder
Abstract
Evidence-based exposure and response prevention (ERP) treatment for obsessive-compulsive disorder (OCD) is not always easily accessible. Long distances from specialist treatment and other practical or motivational difficulties can interfere with ERP access and outcome. Delivery of ERP through telepsychology can help "fill the gap". The current study included 30 patients with OCD who were randomized to 12 weeks of either videoconference-assisted ERP (VCT; N = 10), self-help ERP (S-H, N = 10), or a wait-list condition (W-L, N = 10). The VCT format included use of tablet-based videoconferencing sessions (N = 6) or studio-based videoconference (N = 4), as well as telephone calls. Patients rated the VCT format as natural and reported strong working alliances with their therapists. VCT treatment produced significantly greater reductions in obsessive-compulsive symptoms compared to the two control conditions. Treatment outcomes were similar to that of regular face-to-face ERP and improvements in symptom scores remained stable at follow-up. The study indicated that ERP for OCD can be delivered efficiently with videoconferencing technology along with telephone calls. The use of such technology in psychological treatment is likely to become more common in the future and it holds promise as a method to make evidence-based treatment more accessible.
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The efficacy of individual CBT via videoconference compared to waitlist groups has been demonstrated.
“y se ha demostrado su eficacia comparada con grupos de lista de espera (Storch et al., 2011; Vogel et al., 2014).”
From Terapia cognitivo-conductual grupal por videoconferencia para el trastorno obsesivo-compulsivo: Estudio piloto. (2023) · cites this paper as Vogel et al., 2014
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“Con respecto al TOC, la evidencia sobre TCC individual aplicada por videoconferencia señala que puede ser tan eficaz como la aplicada en persona (Wootton, 2016) y se ha demostrado su eficacia comparada con grupos de lista de espera (Storch et al., 2011; Vogel et al., 2014).”
Background
- Authors
- Vogel, P. A., Solem, S., Hagen, K., Moen, E. M., Launes, G., Håland, Å. T., Hansen, B., & Himle, J. A.
- Affiliations
- Norwegian University of Science and Technology (NO)
- St Olav's University Hospital (NO)
- Oslo University Hospital (NO)
- Sørlandet Sykehus (NO)
- Haukeland University Hospital (NO)
- University of Michigan (US)
- Corresponding author
- Vogel, Patrick A.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2014-12
- Volume
- 63
- Pages
- 162-168
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2086414834
- Cited by
- 77
- References
- 8
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 13 · 2023: 8 · 2022: 10 · 2021: 18 · 2020: 4 · 2019: 5 · 2018: 5 · 2017: 1 · 2016: 2 · 2015: 6
- FWCI
- 3.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Norwegian ExtraFoundation for Health and Rehabilitation (2009/3/0075)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- obsessive-compulsive disorder, exposure and response prevention, telepsychology, self-help treatment, treatment accessibility, therapeutic relationship, telephone calls, symptom relief
- MeSH terms
- Adult, Female, Humans, Male, Obsessive-Compulsive Disorder, Pilot Projects, Self Care, Cognitive Behavioral Therapy, Treatment Outcome, Telemedicine, Remote Consultation, Videoconferencing
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