Assessing Models of Exposure Therapy

This study is enrolling participants by invitation only.
Sponsor:
Collaborator:
Utah State University
Information provided by (Responsible Party):
Nate Gruner, Mclean Hospital
ClinicalTrials.gov Identifier:
NCT01679457
First received: August 22, 2012
Last updated: September 5, 2012
Last verified: September 2012
  Purpose

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, 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.


Condition Intervention
Obsessive-compulsive Disorders and Symptoms
Behavioral: ACT-Focused ERP
Behavioral: TAU-ERP

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Crossover Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Assessing Models of Exposure Therapy

Resource links provided by NLM:


Further study details as provided by Mclean Hospital:

Primary Outcome Measures:
  • Client Post-ERP Session Questions (Day 1). [ Time Frame: Client Post-ERP Session Questions (Day 1) will be administered immediately after the "Day 1" TAU-ERP session. ] [ Designated as safety issue: No ]
  • Client Post-ERP Session Questions (Day 2). [ Time Frame: Client Post-ERP Session Questions (Day 2) will be administered immediately after the "Day 2" ACT-focused ERP session. ] [ Designated as safety issue: No ]

Estimated Enrollment: 30
Study Start Date: September 2012
Estimated Study Completion Date: September 2013
Estimated Primary Completion Date: September 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: ACT-Focused ERP
One Session.
Behavioral: TAU-ERP
Active Comparator: TAU-ERP
One Session.
Behavioral: ACT-Focused ERP

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
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.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01679457

Locations
United States, Massachusetts
Obsessive Compulsive Disorder Institute at McLean Hospital
Belmont, Massachusetts, United States, 02478
Sponsors and Collaborators
Mclean Hospital
Utah State University
Investigators
Principal Investigator: Nate G Gruner, LICSW Mclean Hospital
  More Information

No publications provided

Responsible Party: Nate Gruner, Staff Behavior Therapist, Mclean Hospital
ClinicalTrials.gov Identifier: NCT01679457     History of Changes
Other Study ID Numbers: 2012-P-001010/1; McLean
Study First Received: August 22, 2012
Last Updated: September 5, 2012
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Obsessive-Compulsive Disorder
Compulsive Personality Disorder
Anxiety Disorders
Mental Disorders
Personality Disorders

ClinicalTrials.gov processed this record on April 16, 2014