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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004264naa a2200529 4500
001oai:gup.ub.gu.se/294162
003SwePub
008240528s2020 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:144196383
024a https://gup.ub.gu.se/publication/2941622 URI
024a https://doi.org/10.1016/j.invent.2020.1003082 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1441963832 URI
040 a (SwePub)gud (SwePub)ki
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Aspvall, K.u Karolinska Institutet4 aut
2451 0a Implementation of internet-delivered cognitive behaviour therapy for pediatric obsessive-compulsive disorder: Lessons from clinics in Sweden, United Kingdom and Australia
264 1b Elsevier BV,c 2020
520 a Obsessive-compulsive disorder (OCD) can be successfully treated with cognitive behaviour therapy (CBT). However, as few patients have access to CBT, there is a strong push to develop and evaluate scalable and cost-effective internet-delivered interventions. BIP OCD is a therapist-guided online CBT intervention for pediatric OCD that has shown promise in trials conducted at a single site in Stockholm, Sweden. In this study, we evaluated if BIP OCD is an acceptable, feasible, and effective treatment in other countries and clinical contexts. Thirty-one patients were recruited at three different sites; a specialist OCD clinic in Gothenburg (Sweden), a specialist OCD clinic in London (United Kingdom), and a university-based clinic in Brisbane (Australia). Acceptability and feasibility measures included treatment adherence and feedback from therapists. Clinician assessments were conducted at baseline, post-treatment, and 3-month follow-up. The average module completion for the participants was 8.1/12 (SD = 3.2) and the majority of patients completed the BIP OCD treatment (100% in Gothenburg, and 55.6% in both London and Brisbane). Pooling data from the three sites, the within-group effect sizes from baseline to post-treatment on the Children's Yale-Brown Obsessive-Compulsive Scale were in the expected range (bootstrapped Cohen's d = 1.78; 95% CI 1.18–2.39), with an additional symptom reduction to the 3-month follow-up (bootstrapped Cohen's d = 0.27; 95% CI 0.02–0.51). Participating therapists identified both advantages and difficulties supporting patients in this digital format. The results of this study suggest that the treatment effects obtained in the original BIP OCD trials can be generalized to other clinical contexts nationally and internationally. Lessons learned provide important information for successful implementation of BIP OCD in regular healthcare contexts. © 2020 The Authors
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Psykiatri0 (SwePub)302152 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Psychiatry0 (SwePub)302152 hsv//eng
653 a Adolescent
653 a Child
653 a Cognitive behaviour therapy
653 a Exposure with response prevention
653 a Internet
653 a Obsessive-compulsive disorder
653 a Self-help
700a Lenhard, F.u Karolinska Institutet4 aut
700a Melin, Karin,d 1964u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology4 aut0 (Swepub:gu)xhokar
700a Krebs, G.4 aut
700a Norlin, L.4 aut
700a Näsström, K.4 aut
700a Jassi, A.4 aut
700a Turner, C.4 aut
700a Knoetze, E.4 aut
700a Serlachius, E.u Karolinska Institutet4 aut
700a Andersson, E.u Karolinska Institutet4 aut
700a Mataix-Cols, D.u Karolinska Institutet4 aut
710a Karolinska Institutetb Institutionen för neurovetenskap och fysiologi4 org
773t Internet Interventionsd : Elsevier BVg 20q 20x 2214-7829
856u https://doi.org/10.1016/j.invent.2020.100308
8564 8u https://gup.ub.gu.se/publication/294162
8564 8u https://doi.org/10.1016/j.invent.2020.100308
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:144196383

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