Assessing Models of Exposure Therapy

NCT ID: NCT01679457

Last Updated: 2022-08-25

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 29 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2012-09-30
• Study Completion Date: 2019-08-31

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

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: CROSSOVER
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

ACT-Focused ERP

One Session.

Group Type: EXPERIMENTAL

TAU-ERP

Intervention Type: BEHAVIORAL

TAU-ERP

One Session.

Group Type: ACTIVE_COMPARATOR

ACT-Focused ERP

Intervention Type: BEHAVIORAL

Interventions

ACT-Focused ERP

Intervention Type: BEHAVIORAL

TAU-ERP

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

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

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Utah State University

OTHER

Sponsor Role: collaborator

Mclean Hospital

OTHER

Sponsor Role: lead

Responsible Party

Nate Gruner

Staff Behavior Therapist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Nate G Gruner, LICSW

Role: PRINCIPAL_INVESTIGATOR

Mclean Hospital

Locations

Obsessive Compulsive Disorder Institute at McLean Hospital

Belmont, Massachusetts, United States

Countries

United States

Other Identifiers

2012-P-001010/1; McLean

Identifier Type: -

Identifier Source: org_study_id