Extrait

Background and study aims Obsessive compulsive disorder (OCD) is a common problem which affects many people and rarely improves without help. Experts recommend that people with OCD receive a 'talking treatment' called cognitive behavioural therapy (CBT). However, waiting lists for this treatment can be very long. Experts also suggest that some patients might benefit from CBT provided as 'self-help' through a book or computer, with assistance from a mental health professional. We want to see if the new treatments (computerised CBT and guided self-help) work well for people with OCD. Our study will also find out if people like the treatments. Who can participate? Adults aged 18 and above with OCD on a waiting list for therapist-led CBT. What does the study involve? Our study will test two different self-help treatments for OCD. These treatments will be tested by comparing them with those on a waiting list for scheduled individual CBT. People who are happy to take part will be asked a series of questions relating to their health. They will then be randomly allocated to one of the following three treatments: 1. Computerised CBT using an online computer system called OCFighter, with help from a mental health professional, usually by phone, but can be face-to-face 2. Guided self-help, using a book which helps people use CBT, with help from a mental health professional either face-to-face or by phone 3. Waiting list for scheduled individual CBT (the currently recommended treatment route for OCD) Both self-help treatments will be delivered over a 12-week period. Taking part in the study does not mean that you cannot have individual CBT later. You can stay on the waiting list for CBT whatever happens in the trial. Three months later, people will be asked a further set of questions to see how they are feeling. We will also do this 6 and 12 months after the start of the study. The research study will take 4 years to complete, but participants will only be involved for 12 months. We will ask some people for permission to conduct a separate interview to discuss how they found their treatment, and whether it has helped them. We will only ask about 1 in 10 patients; people can take part in the study without agreeing to this interview. What are the possible benefits and risks of participating? Computerised CBT and guided self-help are quite new treatments for OCD. At the moment we don’t know how well they work. It may be that people do not find these treatments helpful. People can chose to stop using them at any point during the study without having to give a reason why. There are no known side effects of either treatment. Waiting list times for scheduled individual CBT vary from area to area. If the waiting list in a local area is less than 12 weeks people may have to wait slightly longer for their scheduled CBT appointment. People will still have the opportunity to receive individual CBT after taking part in the study. Where is the study run from? University of Manchester (UK). When is the study starting and how long is it expected to run for? The study started in September 2011 and will run until August 2015. Who is funding the study? NIHR Health Technology Assessment Programme - HTA (UK). Who is the main contact? Prof Karina Lovell [email protected]

Critère d'inclusion

• Obsessive-compulsive disorder

Liens

• ictrp
• isrctn