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dc.contributor.authorSelles, Robert R
dc.contributor.authorNaqqash, Zainab
dc.contributor.authorBest, John R
dc.contributor.authorFranco-Yamin, Diana
dc.contributor.authorQiu, Serene T
dc.contributor.authorFerreira, Jessica S
dc.contributor.authorDeng, Xiaolei
dc.contributor.authorHannesdottir, Dagmar Kr
dc.contributor.authorOberth, Carla
dc.contributor.authorBelschner, Laura
dc.contributor.authorNegreiros, Juliana
dc.contributor.authorFarrell, Lara J
dc.contributor.authorStewart, S Evelyn
dc.date.accessioned2021-06-08T05:12:33Z
dc.date.available2021-06-08T05:12:33Z
dc.date.issued2021
dc.identifier.issn1664-0640
dc.identifier.doi10.3389/fpsyt.2021.669494
dc.identifier.urihttp://hdl.handle.net/10072/404996
dc.description.abstractIntroduction: Optimizing individual outcomes of cognitive-behavioral therapy (CBT) remains a priority. Methods: Youth were randomized to receive intensive CBT at a hospital clinic (n = 14) or within their home (n = 12). Youth completed 3 × 3 h sessions (Phase I) and up to four additional 3-h sessions as desired/needed (Phase II). An independent evaluator assessed youth after Phase I, Phase II (when applicable), and at 1- and 6-months post-treatment. A range of OCD-related (e.g., severity, impairment) and secondary (e.g., quality of life, comorbid symptoms) outcomes were assessed. Results: Families' satisfaction with the treatment program was high. Of study completers (n = 22), five youth (23%) utilized no Phase II sessions and 9 (41%) utilized all four (Median Phase II sessions: 2.5). Large improvements in OCD-related outcomes and small-to-moderate benefits across secondary domains were observed. Statistically-significant differences in primary outcomes were not observed between settings; however, minor benefits for home-based treatment were observed (e.g., maintenance of gains, youth comfort with treatment). Discussion: Intensive CBT is an efficacious treatment for pediatric OCD. Families opted for differing doses based on their needs. Home-based treatment, while not substantially superior to hospital care, may offer some value, particularly when desired/relevant. Clinical Trial Registration: www.ClinicalTrials.gov; https://clinicaltrials.gov/ct2/show/NCT03672565, identifier: NCT03672565.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherFrontiers Media SA
dc.relation.ispartofpagefrom669494
dc.relation.ispartofjournalFrontiers in Psychiatry
dc.relation.ispartofvolume12
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1701
dc.subject.keywordsexposure and response prevention
dc.subject.keywordsfamily treatment
dc.subject.keywordshome-based treatment
dc.subject.keywordsstepped care
dc.subject.keywordstreatment trial
dc.titleEffects of Treatment Setting on Outcomes of Flexibly-Dosed Intensive Cognitive Behavioral Therapy for Pediatric OCD: A Randomized Controlled Pilot Trial
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationSelles, RR; Naqqash, Z; Best, JR; Franco-Yamin, D; Qiu, ST; Ferreira, JS; Deng, X; Hannesdottir, DK; Oberth, C; Belschner, L; Negreiros, J; Farrell, LJ; Stewart, SE, Effects of Treatment Setting on Outcomes of Flexibly-Dosed Intensive Cognitive Behavioral Therapy for Pediatric OCD: A Randomized Controlled Pilot Trial, Frontiers in Psychiatry, 2021, 12, pp. 669494
dcterms.dateAccepted2021-04-16
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/
dc.date.updated2021-06-08T00:32:11Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2021 Selles, Naqqash, Best, Franco-Yamin, Qiu, Ferreira, Deng, Hannesdottir, Oberth, Belschner, Negreiros, Farrell and Stewart. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
gro.hasfulltextFull Text
gro.griffith.authorFarrell, Lara J.


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