Evidence map›Paper›PMID 29937263›Full record

Trial reportBehavior therapy2018

Acceptability, Feasibility, and Effectiveness of Internet-Based Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder in New York.

Sapana R Patel, Michael G Wheaton, Erik Andersson, Christian Rück, Andrew B Schmidt, Christopher N La Lima, Hanga Galfavy, Olivia Pascucci, Robert W Myers, Lisa B Dixon and 1 more

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Behavior therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06658756 (Implementation of Internet-Based Psychotherapy for Obsessive-Compulsive Disorder), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% 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.

NCT06658756 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Implementation of Internet-Based Psychotherapy for Obsessive-Compulsive Disorder (OCD) in Primary Health Care in Two Cities in the State of São Paulo

TypeinterventionalSponsorUniversity of Sao Paulo General HospitalRan2025 to 2028Enrolled140ConditionsObsessive-Compulsive DisorderArmsinternet-CBT
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

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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

11 authors at 6 institutions in 4 countries.

Sapana R PatelNew York State Psychiatric Institute, Research Foundation for Mental Hygiene; Columbia University, College of Physicians and Surgeons. Electronic address: sapatel@nyspi.columbia.edu.
Michael G WheatonBarnard College.
Erik AnderssonKarolinska Institutet.
Christian RückKarolinska Institutet.
Andrew B SchmidtNew York State Psychiatric Institute, Research Foundation for Mental Hygiene.
Christopher N La LimaNew York State Psychiatric Institute, Research Foundation for Mental Hygiene.
Hanga GalfavyColumbia University, College of Physicians and Surgeons; Mailman School of Public Health.
Olivia PascucciNew York State Psychiatric Institute, Research Foundation for Mental Hygiene.
Robert W MyersNew York State Office of Mental Health.
Lisa B DixonNew York State Psychiatric Institute, Research Foundation for Mental Hygiene; Columbia University, College of Physicians and Surgeons.
Helen Blair SimpsonNew York State Psychiatric Institute, Research Foundation for Mental Hygiene; Columbia University, College of Physicians and Surgeons.
Research Foundation For Mental Hygiene · USKarolinska Institutet · SEBarnard College · USColumbia College · CAColumbia University · USNew York State Office of Mental Health · US

Funding

Enhancing Patient-Oriented Research and Training in OCDK24MH091555 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SIMPSON, HELEN BLAIR · 2010 to 2014
$742k
NIMH NIH HHS K24 MH091555
6 · The paper itself

Abstract

Cognitive-behavioral therapy (CBT), consisting of exposure and response prevention (EX/RP), is both efficacious and preferred by patients with obsessive-compulsive disorder (OCD), yet few receive this treatment in practice. This study describes the implementation of an Internet-based CBT program (ICBT) developed in Sweden in individuals seeking OCD treatment in New York. After translating and adapting the Swedish ICBT for OCD, we conducted an open trial with 40 adults with OCD. Using the RE-AIM implementation science framework, we assessed the acceptability, feasibility, and effectiveness of ICBT. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was the primary outcome measure. Of 40 enrolled, 28 participants completed the 10-week ICBT. In the intent-to-treat sample (N = 40), Y-BOCS scores decreased significantly over time (F = 28.12, df = 2, 49, p < . 001). Depressive severity (F = 5.87, df = 2, 48, p < . 001), and quality of life (F = 12.34, df = 2, 48, p < . 001) also improved. Sensitivity analyses among treatment completers (N = 28) confirmed the intent-to-treat results, with a large effect size for Y-BOCS change (Cohen's d = 1.38). ICBT took less time to implement than face-to face EX/RP and participants were very to mostly satisfied with ICBT. On a par with results in Sweden, the adapted ICBT program reduced OCD and depressive symptoms and improved quality of life among individuals with moderate to severe OCD. Given its acceptability and feasibility, ICBT deserves further study as a way to increase access to CBT for OCD in the United States.

Indexed as

InternetAdultCognitive Behavioral TherapyFeasibility StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedNew YorkObsessive-Compulsive DisorderPatient Acceptance of Health CarePilot ProjectsQuality of LifeTherapy, Computer-AssistedTreatment Outcomecognitive-behavioral therapyInternetOCDtreatment

Identifiers

PMID29937263
PMCPMC6945297
OpenAlexW2754690906

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.