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Acceptability of internet‐delivered cognitive behavioural therapy for adults with symptoms of obsessive‐compulsive disorder: A meta‐analysis
British Journal of Clinical Psychology ( IF 3.984 ) Pub Date : 2024-03-15 , DOI: 10.1111/bjc.12462
Shifra Waks 1 , Karen Moses 2 , Bethany M. Wootton 1
Affiliation  

ObjectivesObsessive‐compulsive disorder (OCD) is a chronic mental health disorder. Internet‐delivered cognitive behaviour therapy (ICBT) is demonstrated to be effective for OCD; however little is known about the acceptability of the treatment. Therefore the aim of this study was to examine the acceptability of ICBT for adults with OCD symptoms using a meta‐analytic approach.MethodSeventeen studies (N = 1661; Mage range = 28–41 years; 58%–93% female) were included in this analysis.ResultsThe random effects pooled estimates indicated that 16.3% (95% CI: 9.8%–25.7%) of participants did not commence the treatment once they were enrolled in the study, 27.6% (95% CI: 19.0%–38.2%) did not complete the treatment, and 27.0% (95% CI: 18.2%–38.0%) did not complete the post‐treatment questionnaires of the study. The mean score on the Client Satisfaction Questionnaire ranged from 22.4 to 26.5. Overall, pooled estimates indicated that 81.6% (95% CI: 76.1%–86.0%) of participants were satisfied with the ICBT intervention and 84.7% (95% CI: 72.8%–92.0%) indicated that they would recommend the treatment to a friend. Some of the acceptability moderator analyses indicated that self‐guided ICBT interventions had lower levels of acceptability compared with clinician‐guided interventions. However, given low power, these results should be considered preliminary.ConclusionsThis study has important implications in the dissemination of ICBT for OCD.

中文翻译:

对于有强迫症症状的成年人来说,互联网提供的认知行为疗法的可接受性:一项荟萃分析

目的 强迫症(OCD)是一种慢性精神健康障碍。互联网提供的认知行为疗法(ICBT)被证明对强迫症有效;然而,人们对治疗的可接受性知之甚少。因此,本研究的目的是使用荟萃分析方法来检查 ICBT 对于患有强迫症症状的成年人的可接受性。方法十七项研究(= 1661;中号年龄范围 = 28–41 岁;58%–93% 女性)被纳入该分析中。结果随机效应汇总估计表明,16.3%(95% CI:9.8%–25.7%)的参与者在加入研究后没有开始治疗,27.6% (95% CI: 19.0%–38.2%) 没有完成治疗,27.0% (95% CI: 18.2%–38.0%) 没有完成研究的治疗后调查问卷。客户满意度调查问卷的平均得分为 22.4 至 26.5。总体而言,汇总估计表明,81.6%(95% CI:76.1%–86.0%)的参与者对 ICBT 干预感到满意,84.7%(95% CI:72.8%–92.0%)的参与者表示他们会向患者推荐该治疗。朋友。一些可接受性调节分析表明,与临床医生指导的干预措施相比,自我引导的 ICBT 干预措施的可接受性水平较低。然而,由于功效较低,这些结果应被视为初步结果。结论本研究对于传播 ICBT 治疗强迫症具有重要意义。
更新日期:2024-03-15
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