Cargando…

A targeted strategic peer support intervention to increase adherence to video teletherapy exposure and response prevention treatment for obsessive-compulsive disorder: a retrospective observational analysis

Exposure and response prevention (ERP) therapy, a form of cognitive-behavioral therapy, is a first-line, evidence-based treatment for obsessive-compulsive disorder (OCD) for adults and children. It is effective for the majority of those who engage in it, but treatment adherence can be challenging fo...

Descripción completa

Detalles Bibliográficos
Autores principales: Murphy, Christopher E., Rhode, Andreas, Kreyling, Jeremy, Appel, Scott, Heintz, Jonathan, Osborn, Kerry, Lucas, Kyle, Mohideen, Reza, Trusky, Larry, Smith, Stephen, Feusner, Jamie D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10643166/
https://www.ncbi.nlm.nih.gov/pubmed/38021248
http://dx.doi.org/10.3389/fnhum.2023.1251194
_version_ 1785134295727210496
author Murphy, Christopher E.
Rhode, Andreas
Kreyling, Jeremy
Appel, Scott
Heintz, Jonathan
Osborn, Kerry
Lucas, Kyle
Mohideen, Reza
Trusky, Larry
Smith, Stephen
Feusner, Jamie D.
author_facet Murphy, Christopher E.
Rhode, Andreas
Kreyling, Jeremy
Appel, Scott
Heintz, Jonathan
Osborn, Kerry
Lucas, Kyle
Mohideen, Reza
Trusky, Larry
Smith, Stephen
Feusner, Jamie D.
author_sort Murphy, Christopher E.
collection PubMed
description Exposure and response prevention (ERP) therapy, a form of cognitive-behavioral therapy, is a first-line, evidence-based treatment for obsessive-compulsive disorder (OCD) for adults and children. It is effective for the majority of those who engage in it, but treatment adherence can be challenging for some due to the stress involved in the treatment as well as different life circumstances that arise. To help improve treatment adherence, NOCD, a provider of video teletherapy ERP, identifies those at risk of non-adherence using a prediction algorithm trained on a data set of N = 13,809 and provides targeted peer support interventions by individuals (“Member Advocates”) who successfully completed ERP treatment for OCD. Member Advocates, using lived OCD experience as well as experience with ERP, engage at-risk patients through digital messaging to engage, educate, and encourage patients in the early stages of treatment. From June 2022 to August 2022, N = 815 patients deemed at risk were reached out to and n = 251 responded and engaged with the Member Advocates. In the at-risk patients who engaged, the intervention resulted in a significant mean 30.4% more therapy hours completed compared to those who did not engage. Additionally, engaged patients had greater reductions in OCD severity. These results have implications for how data science, digital interventions, and strategic peer-to-peer communication and support can be combined to enhance the effectiveness of treatment.
format Online
Article
Text
id pubmed-10643166
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-106431662023-01-01 A targeted strategic peer support intervention to increase adherence to video teletherapy exposure and response prevention treatment for obsessive-compulsive disorder: a retrospective observational analysis Murphy, Christopher E. Rhode, Andreas Kreyling, Jeremy Appel, Scott Heintz, Jonathan Osborn, Kerry Lucas, Kyle Mohideen, Reza Trusky, Larry Smith, Stephen Feusner, Jamie D. Front Hum Neurosci Human Neuroscience Exposure and response prevention (ERP) therapy, a form of cognitive-behavioral therapy, is a first-line, evidence-based treatment for obsessive-compulsive disorder (OCD) for adults and children. It is effective for the majority of those who engage in it, but treatment adherence can be challenging for some due to the stress involved in the treatment as well as different life circumstances that arise. To help improve treatment adherence, NOCD, a provider of video teletherapy ERP, identifies those at risk of non-adherence using a prediction algorithm trained on a data set of N = 13,809 and provides targeted peer support interventions by individuals (“Member Advocates”) who successfully completed ERP treatment for OCD. Member Advocates, using lived OCD experience as well as experience with ERP, engage at-risk patients through digital messaging to engage, educate, and encourage patients in the early stages of treatment. From June 2022 to August 2022, N = 815 patients deemed at risk were reached out to and n = 251 responded and engaged with the Member Advocates. In the at-risk patients who engaged, the intervention resulted in a significant mean 30.4% more therapy hours completed compared to those who did not engage. Additionally, engaged patients had greater reductions in OCD severity. These results have implications for how data science, digital interventions, and strategic peer-to-peer communication and support can be combined to enhance the effectiveness of treatment. Frontiers Media S.A. 2023-10-30 /pmc/articles/PMC10643166/ /pubmed/38021248 http://dx.doi.org/10.3389/fnhum.2023.1251194 Text en Copyright © 2023 Murphy, Rhode, Kreyling, Appel, Heintz, Osborn, Lucas, Mohideen, Trusky, Smith and Feusner. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Human Neuroscience
Murphy, Christopher E.
Rhode, Andreas
Kreyling, Jeremy
Appel, Scott
Heintz, Jonathan
Osborn, Kerry
Lucas, Kyle
Mohideen, Reza
Trusky, Larry
Smith, Stephen
Feusner, Jamie D.
A targeted strategic peer support intervention to increase adherence to video teletherapy exposure and response prevention treatment for obsessive-compulsive disorder: a retrospective observational analysis
title A targeted strategic peer support intervention to increase adherence to video teletherapy exposure and response prevention treatment for obsessive-compulsive disorder: a retrospective observational analysis
title_full A targeted strategic peer support intervention to increase adherence to video teletherapy exposure and response prevention treatment for obsessive-compulsive disorder: a retrospective observational analysis
title_fullStr A targeted strategic peer support intervention to increase adherence to video teletherapy exposure and response prevention treatment for obsessive-compulsive disorder: a retrospective observational analysis
title_full_unstemmed A targeted strategic peer support intervention to increase adherence to video teletherapy exposure and response prevention treatment for obsessive-compulsive disorder: a retrospective observational analysis
title_short A targeted strategic peer support intervention to increase adherence to video teletherapy exposure and response prevention treatment for obsessive-compulsive disorder: a retrospective observational analysis
title_sort targeted strategic peer support intervention to increase adherence to video teletherapy exposure and response prevention treatment for obsessive-compulsive disorder: a retrospective observational analysis
topic Human Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10643166/
https://www.ncbi.nlm.nih.gov/pubmed/38021248
http://dx.doi.org/10.3389/fnhum.2023.1251194
work_keys_str_mv AT murphychristophere atargetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT rhodeandreas atargetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT kreylingjeremy atargetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT appelscott atargetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT heintzjonathan atargetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT osbornkerry atargetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT lucaskyle atargetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT mohideenreza atargetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT truskylarry atargetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT smithstephen atargetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT feusnerjamied atargetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT murphychristophere targetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT rhodeandreas targetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT kreylingjeremy targetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT appelscott targetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT heintzjonathan targetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT osbornkerry targetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT lucaskyle targetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT mohideenreza targetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT truskylarry targetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT smithstephen targetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis
AT feusnerjamied targetedstrategicpeersupportinterventiontoincreaseadherencetovideoteletherapyexposureandresponsepreventiontreatmentforobsessivecompulsivedisorderaretrospectiveobservationalanalysis