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

Gellatly, Judith, Bower, Peter, McMillan, Dean, Roberts, Christopher, Byford, Sarah, Bee, Penny, Gilbody, Simon, Arundel, Catherine, Hardy, Gillian, Barkham, Michael, Reynolds, Shirley, Gega, Lina, Mottram, Patricia, Lidbetter, Nicola, Pedley, Rebecca, Peckham, Emily, Connell, Janice, Molle, Jo, O'Leary, Neil and Lovell, Karina (2014) Obsessive Compulsive Treatment Efficacy Trial (OCTET) comparing the clinical and cost effectiveness of self-managed therapies: study protocol for a randomised controlled trial. Trials, 15 (1). p. 278. ISSN 1745-6215

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Official URL: http://dx.doi.org/10.1186/1745-6215-15-278

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.

Item Type: Article
Uncontrolled Keywords: Obsessive compulsive disorder; Guided self-help; Computerised cognitive behaviour therapy; Cognitive behaviour therapy; Exposure and response prevention
Subjects: C800 Psychology
Department: Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: Becky Skoyles
Date Deposited: 21 Apr 2015 12:12
Last Modified: 17 Dec 2023 16:32
URI: https://nrl.northumbria.ac.uk/id/eprint/22130

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