TY - JOUR

T1 - Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder

T2 - Nonrandomized Study

AU - Voderholzer, Ulrich

AU - Meule, Adrian

AU - Koch, Stefan

AU - Pfeuffer, Simone

AU - Anna-Lena, Netter

AU - Lehr, Dirk

AU - Zisler, Eva Maria

N1 - Publisher Copyright: © 2024 JMIR Publications Inc.. All rights reserved.

PY - 2024/3/13

Y1 - 2024/3/13

N2 - Background: Therapist-guided exposure and response prevention (ERP) for the treatment of obsessive-compulsive disorder (OCD) is frequently conducted within clinical settings but rarely at places where patients are usually confronted with OCD symptom-provoking situations in daily life (eg, at home). Objective: This study aimed to investigate patients’ views on 1 ERP session at home via videoconference and its impact on treatment outcome. Methods: A total of 64 inpatients with OCD received 1 session of therapist-guided videoconference-based ERP at home in adjunction to a multimodal inpatient treatment between 2015 and 2020. Results: Compared with 64 age- and sex-matched controls who received a multimodal inpatient treatment without 1 session of videoconference-based ERP at home, patients who received 1 session of videoconference-based ERP in adjunction to a multimodal inpatient treatment showed stronger reductions in OCD symptom severity from admission to discharge. Before the videoconference-based ERP session, patients reported high rationale credibility and treatment expectancy. After the videoconference-based ERP session, patients reported medium-to-high positive mood as well as depth and smoothness of the session, and they perceived the working alliance as high. Conclusions: Results highlight the importance of administering therapist-guided ERP sessions in patients’ natural environment to enhance treatment response in OCD. Videoconference-based ERP as add-on to treatment as usual is, therefore, a promising approach to facilitate the application of ERP in patients’ natural environment and foster the generalization of ERP conducted in clinical settings.

AB - Background: Therapist-guided exposure and response prevention (ERP) for the treatment of obsessive-compulsive disorder (OCD) is frequently conducted within clinical settings but rarely at places where patients are usually confronted with OCD symptom-provoking situations in daily life (eg, at home). Objective: This study aimed to investigate patients’ views on 1 ERP session at home via videoconference and its impact on treatment outcome. Methods: A total of 64 inpatients with OCD received 1 session of therapist-guided videoconference-based ERP at home in adjunction to a multimodal inpatient treatment between 2015 and 2020. Results: Compared with 64 age- and sex-matched controls who received a multimodal inpatient treatment without 1 session of videoconference-based ERP at home, patients who received 1 session of videoconference-based ERP in adjunction to a multimodal inpatient treatment showed stronger reductions in OCD symptom severity from admission to discharge. Before the videoconference-based ERP session, patients reported high rationale credibility and treatment expectancy. After the videoconference-based ERP session, patients reported medium-to-high positive mood as well as depth and smoothness of the session, and they perceived the working alliance as high. Conclusions: Results highlight the importance of administering therapist-guided ERP sessions in patients’ natural environment to enhance treatment response in OCD. Videoconference-based ERP as add-on to treatment as usual is, therefore, a promising approach to facilitate the application of ERP in patients’ natural environment and foster the generalization of ERP conducted in clinical settings.

KW - clinical setting

KW - environment

KW - exposure

KW - inpatient

KW - mood

KW - obsessive-compulsive disorder

KW - OCD

KW - positive mood

KW - prevention

KW - response prevention

KW - therapist

KW - therapists

KW - therapy

KW - video

KW - videoconference

KW - videoconference-based treatment

KW - Psychology

UR - http://www.scopus.com/inward/record.url?scp=85188118080&partnerID=8YFLogxK

UR - https://www.mendeley.com/catalogue/39d88756-6289-3c79-8954-959fd47f1be0/

U2 - 10.2196/52790

DO - 10.2196/52790

M3 - Journal articles

C2 - 38477970

AN - SCOPUS:85188118080

VL - 11

JO - JMIR Mental Health

JF - JMIR Mental Health

SN - 2368-7959

IS - 1

M1 - e52790

ER -