Self-treatment for obsessive compulsive disorder using a manual and a computerized telephone interview: a U.S.-U.K. study.
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.
Greist
J H
JH
Foundation for Health, Research and Education, Middleton, Wisconsin 53562, USA.
Marks
I M
IM
Baer
L
L
Parkin
J R
JR
Manzo
P A
PA
Mantle
J M
JM
Wenzel
K W
KW
Spierings
C J
CJ
Kobak
K A
KA
Dottl
S L
SL
Bailey
T M
TM
Forman
L
L
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