An Internet administered treatment program for obsessive–compulsive disorder: A feasibility study
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The present study evaluates efficacy of a new Internet-administered cognitive behavioral therapy (CBT) protocol, The OCD Program, designed to treat obsessive-compulsive disorder (OCD) remotely. This protocol comprises 8 online lessons delivered over 8 weeks and incorporates cognitive and behavioral techniques. Twenty-two individuals with a principal diagnosis of OCD received CBT-based online lessons, homework assignments, twice weekly contact from a clinical psychologist, and automated emails. Eighty-one percent of participants completed the lessons within the 8-week program. Post-treatment and 3-month follow-up data were collected from 21/21 (100%) and 19/21 (91%) participants, respectively. Participants improved significantly on the primary outcome measures, the Yale-Brown Obsessive Compulsive Scale and Obsessive Compulsive Inventory-Revised, with within-groups effect sizes (Cohen's d) at follow-up of 1.28 and 0.60, respectively. Participants rated the procedure as highly acceptable despite receiving an average of only 86min (SD=54.4min) telephone contact with the therapist over the 8 weeks. These results provide preliminary support for efficacy of Internet-administered treatment for obsessive-compulsive disorder.
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In an earlier open trial by the same research group, therapist-guided iCBT was rated as highly acceptable by participants despite their receiving an average of only 86 minutes of therapist contact.
“The same research group demonstrated similar efficacy in an earlier open trial of therapist-guided iCBT [46], which was rated as highly acceptable by participants despite their receiving an average of only 86 minutes of therapist contact.”
From Study protocol for a randomised controlled trial of internet-based cognitive-behavioural therapy for obsessive-compulsive disorder (2014) · cites this paper as [46]
Interventions based on CCBT have been shown to be acceptable, effective, and cost-effective across a range of mental health problems including mild to moderate depression, anxiety, obsessive-compulsive disorder, and phobias.
“Interventions based on CCBT have been shown to be acceptable, effective, and cost-effective across a range of mental health problems including mild to moderate depression, anxiety, obsessive-compulsive disorder, and phobias [48-54].”
From Web-Based Interventions for Behavior Change and Self-Management: Potential, Pitfalls, and Progress (2012) · cites this paper as [54]
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Stephenson, C., Malakouti, N., Nashed, J. Y., Salomons, T. V., Cook, D. J., Milev, R. V., & Alavi, N. (2021) · JMIR Research Protocols · doi:10.2196/30726 · Cited by 3 · see citing works
Stephenson, C., Malakouti, N., Nashed, J. Y., Salomons, T. V., Cook, D. J., Milev, R. V., & Alavi, N. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1050530 · Cited by 2 · see citing works
Internet-Delivered Cognitive Behavior Therapy (ICBT) for Obsessive-Compulsive Disorder
Wootton, B. M., Andersson, E., & Rück, C. (2016) · Springer eBooks · doi:10.1007/978-3-319-06083-5_6 · Cited by 3 · see citing works
Self-citationGuided Internet Treatment of Anxiety Disorders in Adults
Andersson, G. (2014) · Wiley eBooks · doi:10.1002/9781118775349.ch61 · Cited by 3 · see citing works
Patel, S. R., Lalima, C., & Andrew, B. (2015) · Cited by 2 · see citing works
Harrington, K., Eres, R., & Lim, M. H. (2020) · JMIR Research Protocols · doi:10.2196/21307 · Cited by 2 · see citing works
Obsessive–Compulsive Disorder and Obsessive–Compulsive Related Disorders
Abramowitz, J. S. (2021) · Comprehensive Clinical Psychology · doi:10.1016/b978-0-12-818697-8.00238-7 · Cited by 1 · see citing works
Self-Help Treatments for Childhood Obsessive-Compulsive Disorder Including Bibliotherapy
Krebs, G., & Turner, C. (2019) · Innovations in CBT for Childhood Anxiety, OCD, and PTSD · doi:10.1017/9781108235655.016 · Cited by 2 · see citing works
Computer‐Aided Interventions for Obsessive‐Compulsive Spectrum Disorders
Andersson, E., Mataix-Cols, D., & Rück, C. (2017) · doi:10.1002/9781118890233.ch37
Friesen, L. N. (2015) · oURspace (University of Regina) · doi:10.82465/6970 · Cited by 1 · see citing works
Wootton, B. M. (2013) · Figshare · doi:10.25949/19436186
Self-citationSoucy, J. N. (2016) · oURspace (University of Regina) · doi:10.82465/5180
البلوي, ن. ب. س. ب. م. (2017) · مجلة البحث العلمى فى التربية · doi:10.21608/jsre.2017.8348
New Technologies to Deliver CBT for Young Children with Obsessive-Compulsive Disorder
Aspvall, K., Lenhard, F., Serlachius, E., & Mataix‐Cols, D. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108235655.017
Dorri-Mashhadi, N., Mashhadi, A., Maleki, Z. H., & Bigdeli, I. (2026) · Internet Interventions · doi:10.1016/j.invent.2026.100946
Changes in obsessive‐compulsive symptom profiles in response to exposure and response prevention
Baek, S. Y., Kim, H., Wheaton, M. G., Tyler, J., Foa, E. B., & Simpson, H. B. (2026) · British Journal of Clinical Psychology · doi:10.1111/bjc.70059
Söderholm, P., & Brander, G. (2013) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
- Authors
- Wootton, B. M., Titov, N., Dear, B. F., Spence, J., Andrews, G., Johnston, L., & Solley, K.
- Affiliations
- UNSW Sydney (AU)
- Corresponding author
- Wootton, Bethany M.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2011-12
- Volume
- 25
- Issue
- 8
- Pages
- 1102-1107
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W1983120714
- Cited by
- 72
- References
- 45
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 5 · 2020: 1 · 2019: 4 · 2018: 2 · 2017: 6 · 2016: 8 · 2015: 11 · 2014: 13 · 2013: 8 · 2012: 6
- FWCI
- 11.91
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- EPubDev Repository (submittedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- RUNE (Research UNE) (submittedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- obsessive-compulsive disorder, cognitive behavioral therapy, remote psychotherapy, treatment acceptability, treatment completion, Yale-Brown Obsessive Compulsive Scale, Obsessive-Compulsive Inventory-Revised
- MeSH terms
- Adolescent, Adult, Feasibility Studies, Female, Humans, Male, Middle Aged, Obsessive-Compulsive Disorder, Cognitive Behavioral Therapy, Treatment Outcome, Remote Consultation, Internet
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