Cited by 111Obsessive-Compulsive Spectrum DisordersDigital Mental Health InterventionsTelemedicine and Telehealth Implementation

Telephone Cognitive-Behavioral Therapy for Adolescents With Obsessive-Compulsive Disorder: A Randomized Controlled Non-inferiority Trial

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Turner, Cynthia M., Mataix-Cols, David, Lovell, Karina, Krebs, Georgina, Lang, Katie, Byford, Sarah, Heyman, Isobel·2014·Journal of the American Academy of Child & Adolescent Psychiatry

Abstract

OBJECTIVE: Many adolescents with obsessive-compulsive disorder (OCD) do not have access to evidence-based treatment. A randomized controlled non-inferiority trial was conducted in a specialist OCD clinic to evaluate the effectiveness of telephone cognitive-behavioral therapy (TCBT) for adolescents with OCD compared to standard clinic-based, face-to-face CBT. METHOD: Seventy-two adolescents, aged 11 through 18 years with primary OCD, and their parents were randomized to receive specialist TCBT or CBT. The intervention provided differed only in the method of treatment delivery. All participants received up to 14 sessions of CBT, incorporating exposure with response prevention (E/RP), provided by experienced therapists. The primary outcome measure was the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS). Blind assessor ratings were obtained at midtreatment, posttreatment, 3-month, 6-month, and 12-month follow-up. RESULTS: Intent-to-treat analyses indicated that TCBT was not inferior to face-to-face CBT at posttreatment, 3-month, and 6-month follow-up. At 12-month follow-up, there were no significant between-group differences on the CY-BOCS, but the confidence intervals exceeded the non-inferiority threshold. All secondary measures confirmed non-inferiority at all assessment points. Improvements made during treatment were maintained through to 12-month follow-up. Participants in each condition reported high levels of satisfaction with the intervention received. CONCLUSION: TCBT is an effective treatment and is not inferior to standard clinic-based CBT, at least in the midterm. This approach provides a means of making a specialized treatment more accessible to many adolescents with OCD. Clinical trial registration information-Evaluation of telephone-administered cognitive-behaviour therapy (CBT) for young people with obsessive-compulsive disorder (OCD); http://www.controlled-trials.com; ISRCTN27070832.

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  1. [27]Silverman W.K. Albano A.M. Anxiety Disorders Interview Schedule for DSM-IV: Parent Interview Schedule Vol. 1 1996 Oxford University Press Oxford, UK

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Authors
Turner, C. M., Mataix-Cols, D., Lovell, K., Krebs, G., Lang, K., Byford, S., & Heyman, I.
Affiliations
  • The University of Queensland (AU)
  • University of Manchester (GB)
  • National Health Service (GB)
  • King's College London (GB)
Corresponding author
Turner, Cynthia M.
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2014-12
Volume
53
Issue
12
Pages
1298-1307.e2
ISSN
0890-8567 (ISSN-L)
OpenAlex
W2158420337
Cited by
111
References
46
Citations by year
2026: 3 · 2025: 9 · 2024: 8 · 2023: 8 · 2022: 11 · 2021: 15 · 2020: 13 · 2019: 7 · 2018: 11 · 2017: 10 · 2016: 5 · 2015: 8 · 2014: 3
FWCI
10.26
Type
journal article
Language
en
Open access
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion)
  • Research Bank (Australian Catholic University) (submittedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion, cc-by-nc)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
obsessive-compulsive disorder, adolescents, exposure and response prevention, non-inferiority, treatment accessibility, Children's Yale-Brown Obsessive Compulsive Scale, maintenance therapy, parental involvement
MeSH terms
Adolescent, Child, Female, Humans, Male, Obsessive-Compulsive Disorder, Parents, Telephone, Cognitive Behavioral Therapy, Treatment Outcome

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