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Obsessive Compulsive Treatment Efficacy Trial (OCTET) comparing the clinical and cost effectiveness of self-managed therapies: study protocol for a randomised controlled trial.

Abstract：

BACKGROUND:UK National Institute of Health and Clinical Excellence guidelines for obsessive compulsive disorder (OCD) specify recommendations for the treatment and management of OCD using a stepped care approach. Steps three to six of this model recommend treatment options for people with OCD that range from low-intensity guided self-help (GSH) to more intensive psychological and pharmacological interventions. Cognitive behavioural therapy (CBT), including exposure and response prevention, is the recommended psychological treatment. However, whilst there is some preliminary evidence that self-managed therapy packages for OCD can be effective, a more robust evidence base of their clinical and cost effectiveness and acceptability is required. METHODS/DESIGN:Our proposed study will test two different self-help treatments for OCD: 1) computerised CBT (cCBT) using OCFighter, an internet-delivered OCD treatment package; and 2) GSH using a book. Both treatments will be accompanied by email or telephone support from a mental health professional. We will evaluate the effectiveness, cost and patient and health professional acceptability of the treatments. DISCUSSION:This study will provide more robust evidence of efficacy, cost effectiveness and acceptability of self-help treatments for OCD. If cCBT and/or GSH prove effective, it will provide additional, more accessible treatment options for people with OCD. TRIAL REGISTRATION:Current Controlled Trials: ISRCTN73535163. Date of registration: 5 April 2011.

journal_name

Trials

journal_title

Trials

authors

Gellatly J,Bower P,McMillan D,Roberts C,Byford S,Bee P,Gilbody S,Arundel C,Hardy G,Barkham M,Reynolds S,Gega L,Mottram P,Lidbetter N,Pedley R,Peckham E,Connell J,Molle J,O'Leary N,Lovell K

doi

10.1186/1745-6215-15-278

subject

Has Abstract

pub_date

2014-07-10 00:00:00

pages

278

issn

1745-6215

pii

1745-6215-15-278

journal_volume

15

pub_type

杂志文章,多中心研究,随机对照试验

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