Telephone administered cognitive behaviour therapy for treatment of obsessive compulsive disorder: randomised controlled non-inferiority trial

doi:10.1136/bmj.38940.355602.80

BMJ 2006;333:883 (28 October), doi:10.1136/bmj.38940.355602.80 (published 25 August 2006)

Research

Telephone administered cognitive behaviour therapy for treatment of obsessive compulsive disorder: randomised controlled non-inferiority trial

Karina Lovell, professor of mental health¹, Debbie Cox, cognitive behaviour psychotherapist⁴, Gillian Haddock, professor of clinical psychology², Christopher Jones, health economist⁵, David Raines, cognitive behaviour therapist⁶, Rachel Garvey, cognitive behavioural psychotherapist⁷, Chris Roberts, senior lecturer in medical statistics³, Sarah Hadley, research assistant³

¹ Department of Nursing, Midwifery, and Social Work, University of Manchester, Manchester M13 9PL, ² School of Psychological Sciences, University of Manchester, Manchester M15 6SZ, ³ Biostatistics Group, Division of Epidemiology and Health Sciences, University of Manchester, Manchester M13 9PT, ⁴ CBT Department, Cheshire and Wirral NHS Partnership NHS Trust, Macclesfield District General Hospital, Macclesfield SK10 3BL, ⁵ British Psychological Society, Centre for Clinical, Outcomes, Research, and Effectiveness, Sub-department of Clinical Health Psychology, University College London, London WC1E 6BT, ⁶ Department of Clinical Psychology, Pennine Care NHS Trust, Stepping Hill Hospital, Stockport SK2 7JE, ⁷ Leicestershire Partnership NHS Trust, Department of Cognitive and Behavioural Psychotherapy, Leicester LE3 1AR

Correspondence to: K Lovell Karina.Lovell{at}manchester.ac.uk

Abstract

Objectives To compare the effectiveness of cognitive behaviourtherapy delivered by telephone with the same therapy given faceto face in the treatment of obsessive compulsive disorder.

Design Randomised controlled non-inferiority trial.

Setting Two psychology outpatient departments in the UnitedKingdom.

Participants 72 patients with obsessive compulsive disorder.

Intervention 10 weekly sessions of exposure therapy and responseprevention delivered by telephone or face to face.

Main outcome measures Yale Brown obsessive compulsive disorderscale, Beck depression inventory, and client satisfaction questionnaire.

Results Difference in the Yale Brown obsessive compulsive disorderchecklist score between the two treatments at six months was-0.55 (95% confidence interval -4.26 to 3.15). Patient satisfactionwas high for both forms of treatment.

Conclusion The clinical outcome of cognitive behaviour therapydelivered by telephone was equivalent to treatment deliveredface to face and similar levels of satisfaction were reported.

Trial registration Current Controlled Trials ISRCTN500103984 [controlled-trials.com] .

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Telephone therapy works for obsessive compulsive disorder
BMJ 2006 333: 0. [Full Text]

Trials to assess equivalence: the importance of rigorous methods: B Jones, P Jarvis, J A Lewis, and A F Ebbutt
BMJ 1996 313: 36-39. [Extract] [Full Text]

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