A pilot randomized controlled trial of videoconference-assisted treatment for obsessive-compulsive disorder

Vogel, Patrick A.; Solem, Stian; Hagen, Kristen; Moen, Erna M.; Launes, Gunvor; Håland, Åshild Tellefsen; Hansen, Bjarne; Himle, Joseph A.

doi:10.1016/j.brat.2014.10.007

Cited by 66 publications

(57 citation statements)

References 24 publications

(25 reference statements)

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“…A more recent RCT investigated the efficacy of exposure and response prevention based CBT in the treatment of obsessive‐compulsive disorder (OCD) in 30 subjects randomly assigned to 12 weeks of real‐time iCBT with videoconferencing (N=10), self‐help book‐based exposure and response prevention (N=10), or a waitlist group (N=10). Post‐treatment assessment demonstrated the superiority of real‐time iCBT with videoconferencing: six participants (60%) receiving this treatment option achieved “clinically significant” improvement as assessed by the Yale‐Brown Obsessive‐Compulsive Scale; one participant (10%) demonstrated “reliable change” in response to self‐help; and all participants in the waitlist group demonstrated “no change” .…”

Section: Computerized and Internet‐mediated Cbtmentioning

confidence: 99%

Telemental health: A status update

2015

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A rather large body of literature now exists on the use of telemental health services in the diagnosis and management of various psychiatric conditions. This review aims to provide an up-to-date assessment of telemental health, focusing on four main areas: computerized CBT (cCBT), Internet-based CBT (iCBT), virtual reality exposure therapy (VRET), and mobile therapy (mTherapy). Four scientific databases were searched and, where possible, larger, better-designed meta-analyses and controlled trials were highlighted. Taken together, published studies support an expanded role for telepsychiatry tools, with advantages that include increased care access, enhanced efficiency, reduced stigma associated with visiting mental health clinics, and the ability to bypass diagnosis-specific obstacles to treatment, such as when social anxiety prevents a patient from leaving the house. Of technology-mediated therapies, cCBT and iCBT possess the most efficacy evidence, with VRET and mTherapy representing promising but less researched options that have grown in parallel with virtual reality and mobile technology advances. Nonetheless, telepsychiatry remains challenging because of the need for specific computer skills, the difficulty in providing patients with a deep understanding or support, concerns about the "therapeutic alliance", privacy fears, and the well documented problem of patient attrition. Future studies should further test the efficacy, advantages and limitations of technology-enabled CBT, as well as explore the online delivery of other psychotherapeutic and psychopharmacological modalities.

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Section: Computerized and Internet‐mediated Cbtmentioning

confidence: 99%

Telemental health: A status update

2015

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“…It is possibly a consequence of a lack of interpersonal richness in the interaction or a result of psychologists' apparent reluctance to embrace VCP, but a study conducted by Rees and Stone (2005) found that psychologists rated sessions delivered by VCP lower for working alliance than those delivered face to face-even when the actual sessions were identical in nature. However, empirical evidence exists to show that therapy delivered by VCP can be effective (Vogel et al, 2014) and has comparable outcomes to a face-to-face treatment (Dunstan & Tooth, 2012;Strachan, Gros, Ruggiero, Lejuez, & Acierno, 2012), with yet further research suggesting equivalence of working alliance between VCP and face-to-face delivery (Simpson & Reid, 2014).…”

Section: Introductionmentioning

confidence: 99%

Working alliance and outcome effectiveness in videoconferencing psychotherapy: A systematic review and noninferiority meta‐analysis

Norwood

Moghaddam

Malins

et al. 2018

Clin Psychology and Psychoth

241

194

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Videoconferencing psychotherapy (VCP)-the remote delivery of psychotherapy via secure video link-is an innovative way of delivering psychotherapy, which has the potential to overcome many of the regularly cited barriers to accessing psychological treatment. However, some debate exists as to whether an adequate working alliance can be formed between therapist and client, when therapy is delivered through such a medium. The presented article is a systematic literature review and two meta-analyses aimed at answering the questions: Is working alliance actually poorer in VCP? And is outcome equivalence possible between VCP and face-to-face delivery? Twelve studies were identified which met inclusion/exclusion criteria, all of which demonstrated good working alliance and outcome for VCP. Meta-analyses showed that working alliance in VCP was inferior to face-to-face delivery (standardized mean difference [SMD] = -0.30; 95% confidence interval [CI] [-0.67, 0.07], p = 0.11; with the lower bound of the CI extending beyond the noninferiority margin [-0.50]), but that target symptom reduction was noninferior (SMD = -0.03; 95% CI [-0.45, 0.40], p = 0.90; CI within the noninferiority margin [0.50]). These results are discussed and directions for future research recommended.

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“…Six des dix études rapportent la proportion de participants ayant complété le traitement. En ce qui concerne les études à cas uniques, les taux varient entre 62,5 % et 100 % (Fitt & Rees, 2012;Goetter et al, 2014;Pelletier, 2002;Vogel et al, 2014;Yuen et al, 2013). Une autre étude, comportant pour sa part un groupe de comparaison, rapporte des taux similaires entre le traitement par vidéoconférence et celui en face à face (82,14 % et 81,48 % respectivement) (Allard, 2007).…”

Section: Proportion De Participants Ayant Complété Le Traitementunclassified

“…Les quelques chercheurs s'étant intéressés au lien pouvant exister entre le sentiment de présence et le développement de l'AT révèlent que ce sentiment pourrait représenter un prédicteur de la qualité de l'AT au cours d'une télépsychothérapie par vidéoconférence Bouchard et al, 2010;Germain et al, 2010;Robillard, Bouchard, Guitard, & Lefebvre, 2009). Par ailleurs, quatre études parmi les dix recensées ont documenté cette variable pendant leur expérimentation et rapportent avoir obtenu des scores de présence modérés à élevés (Goetter et al, 2014;Himle et al, 2006;Vogel et al, 2012;Vogel et al, 2014). L'exploration de l'attitude des clients envers la télépsychothérapie par vidéoconférence mérite également une certaine attention.…”

Section: Finalement Germain Et Ses Collaborateursunclassified

L’alliance thérapeutique lors d’une télépsychothérapie PAR VIDÉOCONFÉRENCE pour un trouble DU SPECTRE anxieux : Recension systématique deS ÉCRITS

Watts

Marchand

Bouchard

et al. 2017

rqpsy

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La présente recension des écrits a pour objectif d’évaluer s’il est possible de développer une alliance thérapeutique (AT) de qualité au cours d’une intervention psychologique individuelle administrée par vidéoconférence pour un trouble du spectre anxieux. Dix études sont recensées. Les résultats indiquent qu’une AT de qualité peut se construire lors d’une télépsychothérapie pour un trouble du spectre anxieux. Toutefois, davantage d’études se doivent d’être menées afin d’apporter un appui empirique supplémentaire à la question. Une meilleure compréhension des conditions pouvant favoriser l’établissement d’une relation thérapeutique à distance se doit également d’être visée afin d’orienter les professionnels de la santé vers une utilisation judicieuse de cette modalité d’intervention novatrice.This review assesses whether it is possible to build a strong therapeutic alliance (TA) during an individual psychological intervention administered by videoconference for the anxiety disorders spectrum. Ten studies were identified. Interventions were delivered by videoconference or through the Skype communication software. Results indicate that a good quality TA can emerge during telepsychotherapy for disorders of the anxiety spectrum. However, more studies need to be conducted to provide additional empirical support to this question. A better understanding of conditions promoting the establishment of a therapeutic relationship despite the distance also needs to be targeted to guide health professionals in a judicious use of this form of innovative intervention

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A pilot randomized controlled trial of videoconference-assisted treatment for obsessive-compulsive disorder

Cited by 66 publications

References 24 publications

Telemental health: A status update

Telemental health: A status update

Working alliance and outcome effectiveness in videoconferencing psychotherapy: A systematic review and noninferiority meta‐analysis

L’alliance thérapeutique lors d’une télépsychothérapie PAR VIDÉOCONFÉRENCE pour un trouble DU SPECTRE anxieux : Recension systématique deS ÉCRITS

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