title: Optimising treatment resources for OCD: a review of the evidence base for technology-enhanced delivery.
abstract: BACKGROUND
  Obsessive-compulsive disorder (OCD) is a chronic and disabling mental health problem. Only a minority of people receive evidence-based psychological treatments, and this deficit has prompted an increasing focus on delivering cognitive behaviour therapy (CBT) in new and innovative ways.
  
  
  OBJECTIVE
  To conduct a scoping review of the published evidence base for CBT-based interventions incorporating a health technology in the treatment of OCD. The questions posed by the review were (a) are technology-assisted treatments clinically effective, (b) are patient outcomes durable and (c) are more innovative services deemed acceptable by those individuals who engage in them?
  
  
  METHODS
  Scoping review of published studies using any study design examining CBT interventions incorporating a health technology for OCD. Electronic databases searched included MEDLINE (1966-2010), PsycInfo (1967-2010), EMBASE (1980-2010) and CINAHL databases (1982-2010).
  
  
  RESULTS
  Thirteen studies were identified, of these, five used bibliotherapy, five examined computerised CBT (cCBT), two investigated telephone delivered CBT and one evaluated video conferencing. Overall studies were small and methodologically flawed, which precludes definitive conclusions of clinical effectiveness, durability or stakeholder satisfaction.
  
  
  CONCLUSIONS
  To date the evidence base for technology-enhanced OCD treatments has undergone limited development. Future research should seek to overcome the methodological shortcomings of published work by conducting large-scale trials that incorporate clinical, cost and acceptability outcomes.
authors: School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK. karina.lovell@manchester.ac.uk
authors: Karina
authors: K
authors: Lovell
authors: Penny
authors: P
authors: Bee
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D009771:Obsessive-Compulsive Disorder / Q000628:therapy*; D017060:Patient Satisfaction; D013672:Technology; D013689:Telephone; D013813:Therapy, Computer-Assisted; D049269:Videoconferencing