Assessing Models of Exposure Therapy

NCT01679457 | Completed DMC

• 1 other identifier: 2012-P-001010/1; McLean
• Study Type: interventional
• Target: 29
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of this study is to learn how to improve treatment for clients who are working hard in treatment at the McLean Hospital Obsessive Compulsive Disorder Institute (OCDI), but who are not making the progress that would typically be expected. Therefore, the investigators will be comparing the performance of such clients in a treatment as usual (TAU)-Exposure and Response Prevention (ERP) session with their performance in an Acceptance and Commitment Therapy (ACT)-focused ERP session that follows an ACT booster session. The investigators hypothesize that clients will perform significantly better in the ACT-focused ERP session than they will in the TAU-ERP session. More specifically, the investigators hypothesize that clients and an independent rater will report that in the ACT-focused ERP session, clients performed significantly fewer rituals and/or avoidance behaviors, experienced comparable levels of distress, exerted significantly more effort, had significantly less difficulty getting started with the ERP, were significantly less influenced by their uncomfortable thoughts/feelings, were significantly more willing to experience discomfort, were significantly more focused on working towards what is important to the client. The investigators also hypothesize that an independent rater will rate clients as significantly more compliant with the ACT-focused ERP session than with the TAU-ERP session. The investigators also hypothesize that clients will rate the ACT-focused ERP session as significantly more preferable and acceptable than the TAU-ERP session, and that they will report being significantly more willing to do the ACT-focused ERP session again.

Conditions

Obsessive-compulsive Disorders and Symptoms

Outcome Measures

Primary Outcomes (2)

• Client Post-ERP Session Questions (Day 1).

  Client Post-ERP Session Questions (Day 1) will be administered immediately after the "Day 1" TAU-ERP session.

• Client Post-ERP Session Questions (Day 2).

  Client Post-ERP Session Questions (Day 2) will be administered immediately after the "Day 2" ACT-focused ERP session.

Study Arms (2)

ACT-Focused ERP

EXPERIMENTAL

One Session.

Behavioral: TAU-ERP

TAU-ERP

ACTIVE COMPARATOR

One Session.

Behavioral: ACT-Focused ERP

Interventions

ACT-Focused ERP BEHAVIORAL

TAU-ERP

TAU-ERP BEHAVIORAL

ACT-Focused ERP

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants will be adults at least 18 years of age currently enrolled in the residential or day treatment program at the OCDI.

Sponsors & Collaborators

• Mclean Hospital: lead
• Utah State University: collaborator

Study Sites (1)

Obsessive Compulsive Disorder Institute at McLean Hospital

Belmont, Massachusetts, 02478, United States

Location

MeSH Terms

Conditions

Obsessive-Compulsive Disorder

Condition Hierarchy (Ancestors)

Anxiety Disorders; Mental Disorders

Study Officials

• Nate G Gruner, LICSW

  Mclean Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Staff Behavior Therapist

Study Record Dates

• First Submitted: August 22, 2012
• First Posted: September 6, 2012
• Study Start: September 1, 2012
• Primary Completion: August 1, 2019
• Study Completion: August 1, 2019
• Last Updated: August 25, 2022

Record last verified: 2022-08

Locations

US (1)