Stepped care offering internet-delivered cognitive behavioral therapy with in-person CBT if necessary noninferior to in-person CBT only<\/p>\n<\/h3>\n
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TUESDAY, May 11, 2021 (HealthDay News) — Stepped care offering internet-delivered cognitive behavioral therapy (CBT) followed by in-person CBT if necessary is noninferior to in-person CBT for children and adolescents with obsessive compulsive disorder (OCD), according to a study published in the May 11 issue of the Journal of the American Medical Association<\/em>.<\/p>\n Kristina Aspvall, Ph.D., from the Karolinska Institutet in Stockholm, and colleagues conducted a randomized clinical noninferiority trial to examine whether internet-delivered CBT implemented in a stepped-care model is noninferior to in-person CBT. One hundred fifty-two individuals aged 8 to 17 years with OCD were enrolled and randomly assigned to the stepped-care group (74 participants), who received internet-delivered CBT for 16 weeks with face-to-face treatment for nonresponders at three-month follow-up, or a control group (78 participants), who received in-person CBT for 16 weeks.<\/p>\n The researchers found that at three-month follow-up, 46 and 30 percent in the stepped-care and control groups, respectively, were nonresponders. At six-month follow-up, the Children’s Yale-Brown Obsessive-Compulsive Scale score was 11.57 and 10.57 points in the stepped-care and control groups, respectively, corresponding to an estimated mean difference of 0.91 points (one-sided 97.5 percent confidence interval, \u00e2\u0088\u0092\u00e2\u0088\u009e to 3.28; P for noninferiority, 0.02). In both groups, the most frequently reported adverse events were increased anxiety (30 to 36 percent) and depressive symptoms (20 to 28 percent).<\/p>\n “Such blended approaches to mental health technology continue to gain traction given advantages for both safety and engagement,” write the authors of an accompanying editorial.<\/p>\n One author disclosed financial ties to the medical technology and publishing industries.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n <\/i><\/p>\n