title: Home self-assessment of obsessive-compulsive disorder. Use of a manual and a computer-conducted telephone interview: two UK-US studies.
abstract: BACKGROUND
  Two studies tested whether subjects with obsessive-compulsive disorder could successfully use BT STEPS, a computer-aided system, to perform self-assessment for self-treatment of obsessive-compulsive disorder by exposure and ritual prevention.
  
  
  METHODS
  Subjects were given a self-guiding manual and could use a touch-tone telephone to access computer-controlled Interactive Voice Response interviews at their convenience from home. Using the BT STEPS system, patients rated themselves and worked out a plan for individually tailored self-exposure therapy.
  
  
  RESULTS
  Outcomes were similar in the two studies. Of the 63 subjects who used BT STEPS, 84% completed the self-assessment module. Most calls were made outside usual office hours. As expected, subjects did not improve merely by completing self-assessment. However, completion of self-assessment predicted later improvement with self-exposure therapy.
  
  
  CONCLUSIONS
  Most subjects successfully completed self-assessment using BT STEPS from their homes.
  
  
  BACKGROUND
  BT STEPS is a trademark of Pfizer, Inc. I.M.M., L.B. and J.H.G. have a financial interest in BT STEPS.
authors.affiliation: Institute of Psychiatry, London. I.Marks@iop.bpmf.ac.uk
authors.forename: I M
authors.initials: IM
authors.lastname: Marks
authors.forename: L
authors.initials: L
authors.lastname: Baer
authors.forename: J H
authors.initials: JH
authors.lastname: Greist
authors.forename: J M
authors.initials: JM
authors.lastname: Park
authors.forename: M
authors.initials: M
authors.lastname: Bachofen
authors.forename: A
authors.initials: A
authors.lastname: Nakagawa
authors.forename: K W
authors.initials: KW
authors.lastname: Wenzel
authors.forename: J R
authors.initials: JR
authors.lastname: Parkin
authors.forename: P A
authors.initials: PA
authors.lastname: Manzo
authors.forename: S L
authors.initials: SL
authors.lastname: Dottl
authors.forename: J M
authors.initials: JM
authors.lastname: Mantle
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D008370:Manuals as Topic; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis* / Q000628:therapy; D012647:Self-Assessment; D013689:Telephone; D013813:Therapy, Computer-Assisted; D016896:Treatment Outcome