BMJ, 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 ^1*, Debbie Cox ², Gillian Haddock ³, Christopher Jones ⁴, David Raines ⁵, Rachel Garvey ⁶, Chris Roberts ⁷, Sarah Hadley ⁷

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

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

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

Design Randomised controlled non-inferiority trial.

Setting Two psychology outpatient departments in the United Kingdom.

Participants 72 patients with obsessive compulsive disorder.

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

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

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

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

Trial registration Current Controlled Trials ISRCTN500103984.

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(Accepted 21 July 2006)
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