A targeted strategic peer support intervention to increase adherence to video teletherapy exposure and response prevention treatment for obsessive-compulsive disorder: a retrospective observational analysis

A targeted strategic peer support intervention to increase adherence to video teletherapy exposure and response prevention treatment for obsessive-compulsive disorder: a retrospective observational analysis

Exposure and response prevention (ERP) therapy, a form of cognitive-behavioral therapy, is a first-line, evidence-based treatment for obsessive-compulsive disorder (OCD) for adults and children. It is effective for the majority of those who engage in it, but treatment adherence can be challenging fo...

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Bibliographic Details
Published in:Frontiers in human neuroscience Vol. 17; p. 1251194
Main Authors: Murphy, Christopher E., Rhode, Andreas, Kreyling, Jeremy, Appel, Scott, Heintz, Jonathan, Osborn, Kerry, Lucas, Kyle, Mohideen, Reza, Trusky, Larry, Smith, Stephen, Feusner, Jamie D.
Format: Journal Article
Language:English
Published: Lausanne Frontiers Research Foundation 30-10-2023
Frontiers Media S.A
Subjects:
adherence
Cognitive ability
cognitive-behavioral therapy
Intervention
Machine learning
Medicin och hälsovetenskap
Mental disorders
Mental health
Neuroses
Obsessive compulsive disorder
OCD
Out of pocket costs
Patient satisfaction
peer support
Peer tutoring
Regression analysis
Response prevention
Statistical analysis
telehealth
Therapy
United Kingdom > UK
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Summary:Exposure and response prevention (ERP) therapy, a form of cognitive-behavioral therapy, is a first-line, evidence-based treatment for obsessive-compulsive disorder (OCD) for adults and children. It is effective for the majority of those who engage in it, but treatment adherence can be challenging for some due to the stress involved in the treatment as well as different life circumstances that arise. To help improve treatment adherence, NOCD, a provider of video teletherapy ERP, identifies those at risk of non-adherence using a prediction algorithm trained on a data set of N  = 13,809 and provides targeted peer support interventions by individuals (“Member Advocates”) who successfully completed ERP treatment for OCD. Member Advocates, using lived OCD experience as well as experience with ERP, engage at-risk patients through digital messaging to engage, educate, and encourage patients in the early stages of treatment. From June 2022 to August 2022, N  = 815 patients deemed at risk were reached out to and n  = 251 responded and engaged with the Member Advocates. In the at-risk patients who engaged, the intervention resulted in a significant mean 30.4% more therapy hours completed compared to those who did not engage. Additionally, engaged patients had greater reductions in OCD severity. These results have implications for how data science, digital interventions, and strategic peer-to-peer communication and support can be combined to enhance the effectiveness of treatment.
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ISSN:1662-5161
1662-5161
DOI:10.3389/fnhum.2023.1251194