title: Internet-delivered, family-based treatment for early-onset OCD: A pilot randomized trial.
abstract: OBJECTIVE
  Despite advances in supported treatments for early onset obsessive-compulsive disorder (OCD), progress has been constrained by regionally limited expertise in pediatric OCD. Videoteleconferencing (VTC) methods have proved useful for extending the reach of services for older individuals, but no randomized clinical trials (RCTs) have evaluated VTC for treating early onset OCD.
  
  
  METHODS
  RCT comparing VTC-delivered family based cognitive-behavioral therapy (FB-CBT) versus clinic-based FB-CBT in the treatment of children ages 4-8 with OCD (N = 22). Pretreatment, posttreatment, and 6-month follow-up assessments included mother-/therapist-reports and independent evaluations masked to treatment condition. Primary analyses focused on treatment retention, engagement and satisfaction. Hierarchical linear modeling preliminarily evaluated the effects of time, treatment condition, and their interactions. "Excellent response" was defined as a 1 or 2 on the Clinical Global Impressions-Improvement Scale.
  
  
  RESULTS
  Treatment retention, engagement, alliance and satisfaction were high across conditions. Symptom trajectories and family accommodation across both conditions showed outcomes improving from baseline to posttreatment, and continuing through follow-up. At posttreatment, 72.7% of Internet cases and 60% of Clinic cases showed "excellent response," and at follow-up 80% of Internet cases and 66.7% of Clinic cases showed "excellent response." Significant condition differences were not found across outcomes.
  
  
  CONCLUSIONS
  VTC methods may offer solutions to overcoming traditional barriers to care for early onset OCD by extending the reach of real-time expert services regardless of children's geographic proximity to quality care. (PsycINFO Database Record
authors.affiliation: Department of Psychology, Florida International University.
authors.forename: Jonathan S
authors.initials: JS
authors.lastname: Comer
authors.affiliation: Department of Psychology, Florida International University.
authors.forename: Jami M
authors.initials: JM
authors.lastname: Furr
authors.affiliation: Department of Psychological and Brain Sciences, Boston University.
authors.forename: Caroline E
authors.initials: CE
authors.lastname: Kerns
authors.affiliation: Department of Psychology, Florida International University.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Miguel
authors.affiliation: Department of Psychology, Florida International University.
authors.forename: Stefany
authors.initials: S
authors.lastname: Coxe
authors.affiliation: Department of Psychological and Brain Sciences, Boston University.
authors.forename: R Meredith
authors.initials: RM
authors.lastname: Elkins
authors.affiliation: Department of Psychological and Brain Sciences, Boston University.
authors.forename: Aubrey L
authors.initials: AL
authors.lastname: Carpenter
authors.affiliation: Department of Psychology, Florida International University.
authors.forename: Danielle
authors.initials: D
authors.lastname: Cornacchio
authors.affiliation: Massachusetts General Hospital.
authors.forename: Christine E
authors.initials: CE
authors.lastname: Cooper-Vince
authors.affiliation: Department of Psychology, Fordham University.
authors.forename: Mariah
authors.initials: M
authors.lastname: DeSerisy
authors.affiliation: Department of Psychology, Florida International University.
authors.forename: Tommy
authors.initials: T
authors.lastname: Chou
authors.affiliation: Department of Psychology, Florida International University.
authors.forename: Amanda L
authors.initials: AL
authors.lastname: Sanchez
authors.affiliation: Children's Hospital of Philadelphia.
authors.forename: Muniya
authors.initials: M
authors.lastname: Khanna
authors.affiliation: Department of Psychiatry, University of Pennsylvania.
authors.forename: Martin E
authors.initials: ME
authors.lastname: Franklin
authors.affiliation: Department of Psychiatry and Human Behavior, Brown University.
authors.forename: Abbe M
authors.initials: AM
authors.lastname: Garcia
authors.affiliation: Department of Psychiatry and Human Behavior, Brown University.
authors.forename: Jennifer B
authors.initials: JB
authors.lastname: Freeman
mesh_terms: D002648:Child; D002675:Child, Preschool; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005196:Family Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020407:Internet; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000628:therapy*; D010865:Pilot Projects; D017216:Telemedicine / Q000379:methods*; D016896:Treatment Outcome; D049269:Videoconferencing