title: Self-treatment for obsessive compulsive disorder using a manual and a computerized telephone interview: a U.S.-U.K. study.
abstract: Bt steps is a patient-centered behavioral therapy program that uses a manual and a computer-driven interactive voice response system to assess and treat obsessive compulsive disorder. This nine-step program contains a self-assessment module and a self-treatment module that provides teaching on exposure and ritual prevention. The patient reads about the steps in a manual and then uses a touch-tone telephone to contact the program, in which a recorded voice conducts the interview. Of 40 patients in an open 12-week trial in the United States and London, 35 completed the self-assessment module, and 17 completed at least two sessions of exposure and ritual prevention. The system produced statistically significant improvements on measures of obsessive compulsive disorder.
authors.affiliation: Foundation for Health, Research and Education, Middleton, Wisconsin 53562, USA.
authors.forename: J H
authors.initials: JH
authors.lastname: Greist
authors.forename: I M
authors.initials: IM
authors.lastname: Marks
authors.forename: L
authors.initials: L
authors.lastname: Baer
authors.forename: J R
authors.initials: JR
authors.lastname: Parkin
authors.forename: P A
authors.initials: PA
authors.lastname: Manzo
authors.forename: J M
authors.initials: JM
authors.lastname: Mantle
authors.forename: K W
authors.initials: KW
authors.lastname: Wenzel
authors.forename: C J
authors.initials: CJ
authors.lastname: Spierings
authors.forename: K A
authors.initials: KA
authors.lastname: Kobak
authors.forename: S L
authors.initials: SL
authors.lastname: Dottl
authors.forename: T M
authors.initials: TM
authors.lastname: Bailey
authors.forename: L
authors.initials: L
authors.lastname: Forman
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000628:therapy*; D010358:Patient Participation; D017060:Patient Satisfaction; D010865:Pilot Projects; D015203:Reproducibility of Results; D012648:Self Care / Q000379:methods*; D012647:Self-Assessment; D013813:Therapy, Computer-Assisted; D016896:Treatment Outcome; D006113:United Kingdom; D014481:United States