Remote cognitive-behavior therapy for obsessive-compulsive symptoms: A meta-analysis.

Wootton, BM

Remote cognitive-behavior therapy for obsessive-compulsive symptoms: A meta-analysis.

Wootton, BM

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Publisher:: PERGAMON-ELSEVIER SCIENCE LTD
Publication Type:: Journal Article
Citation:: Clin Psychol Rev, 2016, 43, pp. 103-113
Issue Date:: 2016-02

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Field	Value	Language
dc.contributor.author	Wootton, BM
dc.date.accessioned	2022-01-12T04:42:34Z
dc.date.available	2015-10-13
dc.date.available	2022-01-12T04:42:34Z
dc.date.issued	2016-02
dc.identifier.citation	Clin Psychol Rev, 2016, 43, pp. 103-113
dc.identifier.issn	0272-7358
dc.identifier.issn	1873-7811
dc.identifier.uri	http://hdl.handle.net/10453/152972
dc.description.abstract	Obsessive-compulsive disorder (OCD) is a chronic mental health condition that results in a significant societal burden. Remote treatments do not require the patient to attend traditional face-to-face treatment services and can be used as a way to overcome barriers to accessing face-to-face treatment. The aim of the current study was to synthesize the current literature on remote treatment for OCD using a meta-analytic approach. Relevant articles were identified through an electronic database search and the references of previously completed reviews on the topic of remote treatment for OCD were also reviewed. Eighteen studies (n=823; mean age=31.20 (SD=10.36); 56.2% female) were included in the meta-analysis. Within-group findings indicate that remote treatment for OCD produces a decrease in symptoms of a large magnitude (g=1.17; 95% CI: 0.91-1.43). Between-group findings indicate that remote treatment for OCD is more effective than control (g=1.06; 95% CI: 0.68-1.45) and outcomes are not meaningfully different from face-to-face treatment (g=-0.21; 95% CI: -0.43-0.02). Those methodologies that are low intensity produce a decrease in symptoms of a large magnitude (g=1.36, 95% CI: 1.00-1.72), as do higher intensity treatments (g=1.64, 95% CI: 1.33-1.95). These findings have important implications for the development of stepped-care treatments, which may be able to be delivered in a purely remote fashion.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	PERGAMON-ELSEVIER SCIENCE LTD
dc.relation.ispartof	Clin Psychol Rev
dc.relation.isbasedon	10.1016/j.cpr.2015.10.001
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1701 Psychology
dc.subject.classification	Clinical Psychology
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Humans
dc.subject.mesh	Obsessive-Compulsive Disorder
dc.subject.mesh	Outcome Assessment, Health Care
dc.subject.mesh	Telemedicine
dc.subject.mesh	Humans
dc.subject.mesh	Obsessive-Compulsive Disorder
dc.subject.mesh	Telemedicine
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Outcome Assessment, Health Care
dc.title	Remote cognitive-behavior therapy for obsessive-compulsive symptoms: A meta-analysis.
dc.type	Journal Article
utslib.citation.volume	43
utslib.location.activity	United States
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology
utslib.copyright.status	closed_access	*
dc.date.updated	2022-01-12T04:42:33Z
pubs.publication-status	Published
pubs.volume	43

Abstract:

Obsessive-compulsive disorder (OCD) is a chronic mental health condition that results in a significant societal burden. Remote treatments do not require the patient to attend traditional face-to-face treatment services and can be used as a way to overcome barriers to accessing face-to-face treatment. The aim of the current study was to synthesize the current literature on remote treatment for OCD using a meta-analytic approach. Relevant articles were identified through an electronic database search and the references of previously completed reviews on the topic of remote treatment for OCD were also reviewed. Eighteen studies (n=823; mean age=31.20 (SD=10.36); 56.2% female) were included in the meta-analysis. Within-group findings indicate that remote treatment for OCD produces a decrease in symptoms of a large magnitude (g=1.17; 95% CI: 0.91-1.43). Between-group findings indicate that remote treatment for OCD is more effective than control (g=1.06; 95% CI: 0.68-1.45) and outcomes are not meaningfully different from face-to-face treatment (g=-0.21; 95% CI: -0.43-0.02). Those methodologies that are low intensity produce a decrease in symptoms of a large magnitude (g=1.36, 95% CI: 1.00-1.72), as do higher intensity treatments (g=1.64, 95% CI: 1.33-1.95). These findings have important implications for the development of stepped-care treatments, which may be able to be delivered in a purely remote fashion.

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http://hdl.handle.net/10453/152972