Evidence map›Paper›PMID 25457928›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2014

Telephone cognitive-behavioral therapy for adolescents with obsessive-compulsive disorder: a randomized controlled non-inferiority trial.

Cynthia M Turner, David Mataix-Cols, Karina Lovell, Georgina Krebs, Katie Lang, Sarah Byford, Isobel Heyman

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 6 pooled it
9.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 6 syntheses or guidelines pooled it, 116 citations in OpenAlex.

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  16. Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

Cynthia M TurnerUniversity of Queensland, Brisbane, Australia. Electronic address: cynthia.turner@uq.edu.au.
David Mataix-ColsInstitute of Psychiatry, Psychology, and Neuroscience, King's College London, and the Karolinska Institutet, Stockholm.
Karina LovellSchool of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
Georgina KrebsInstitute of Psychiatry, Psychology, and Neuroscience, King's College London, the OCD and Related Disorders Clinic for Young People, South London, and Maudsley National Health Service (NHS) Foundation Trust, London.
Katie LangInstitute of Psychiatry, Psychology, and Neuroscience, King's College London.
Sarah ByfordInstitute of Psychiatry, Psychology, and Neuroscience, King's College London.
Isobel HeymanInstitute of Psychiatry, Psychology, and Neuroscience, King's College London, the Great Ormond Street Hospital, London, and the Institute of Child Health, University College London.
King's College London · GBUniversity of Manchester · GBUniversity of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMany adolescents with obsessive-compulsive disorder (OCD) do not have access to evidence-based treatment. A randomized controlled non-inferiority trial was conducted in a specialist OCD clinic to evaluate the effectiveness of telephone cognitive-behavioral therapy (TCBT) for adolescents with OCD compared to standard clinic-based, face-to-face CBT.

methodSeventy-two adolescents, aged 11 through 18 years with primary OCD, and their parents were randomized to receive specialist TCBT or CBT. The intervention provided differed only in the method of treatment delivery. All participants received up to 14 sessions of CBT, incorporating exposure with response prevention (E/RP), provided by experienced therapists. The primary outcome measure was the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS). Blind assessor ratings were obtained at midtreatment, posttreatment, 3-month, 6-month, and 12-month follow-up.

resultsIntent-to-treat analyses indicated that TCBT was not inferior to face-to-face CBT at posttreatment, 3-month, and 6-month follow-up. At 12-month follow-up, there were no significant between-group differences on the CY-BOCS, but the confidence intervals exceeded the non-inferiority threshold. All secondary measures confirmed non-inferiority at all assessment points. Improvements made during treatment were maintained through to 12-month follow-up. Participants in each condition reported high levels of satisfaction with the intervention received.

conclusionTCBT is an effective treatment and is not inferior to standard clinic-based CBT, at least in the midterm. This approach provides a means of making a specialized treatment more accessible to many adolescents with OCD. Clinical trial registration information-Evaluation of telephone-administered cognitive-behaviour therapy (CBT) for young people with obsessive-compulsive disorder (OCD); http://www.controlled-trials.com; ISRCTN27070832.

Indexed as

TelephoneAdolescentChildCognitive Behavioral TherapyFemaleHumansMaleObsessive-Compulsive DisorderParentsTreatment OutcomeCBTOCDpsychotherapytelehealth

Identifiers

PMID25457928
PMCPMC4305192
OpenAlexW2158420337

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.