%0 Journal Article
%@ 2368-7959
%I JMIR Publications
%V 11
%N 
%P e52790
%T Effectiveness of One Videoconference-Based Exposure and Response Prevention Session at Home in Adjunction to Inpatient Treatment in Persons With Obsessive-Compulsive Disorder: Nonrandomized Study
%A Voderholzer,Ulrich
%A Meule,Adrian
%A Koch,Stefan
%A Pfeuffer,Simone
%A Netter,Anna-Lena
%A Lehr,Dirk
%A Zisler,Eva Maria
%+ Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Nußbaumstraße 7, Munich, 80336, Germany, 49 15205886528, Eva.Zisler@med.uni-muenchen.de
%K obsessive-compulsive disorder
%K videoconference-based treatment
%K therapy
%K exposure
%K response prevention
%K OCD
%K prevention
%K inpatient
%K video
%K videoconference
%K therapist
%K therapists
%K mood
%K positive mood
%K environment
%K clinical setting
%D 2024
%7 13.3.2024
%9 Original Paper
%J JMIR Ment Health
%G English
%X Background: Therapist-guided exposure and response prevention (ERP) for the treatment of obsessive-compulsive disorder (OCD) is frequently conducted within clinical settings but rarely at places where patients are usually confronted with OCD symptom-provoking situations in daily life (eg, at home). Objective: This study aimed to investigate patients’ views on 1 ERP session at home via videoconference and its impact on treatment outcome. Methods: A total of 64 inpatients with OCD received 1 session of therapist-guided videoconference-based ERP at home in adjunction to a multimodal inpatient treatment between 2015 and 2020. Results: Compared with 64 age- and sex-matched controls who received a multimodal inpatient treatment without 1 session of videoconference-based ERP at home, patients who received 1 session of videoconference-based ERP in adjunction to a multimodal inpatient treatment showed stronger reductions in OCD symptom severity from admission to discharge. Before the videoconference-based ERP session, patients reported high rationale credibility and treatment expectancy. After the videoconference-based ERP session, patients reported medium-to-high positive mood as well as depth and smoothness of the session, and they perceived the working alliance as high. Conclusions: Results highlight the importance of administering therapist-guided ERP sessions in patients’ natural environment to enhance treatment response in OCD. Videoconference-based ERP as add-on to treatment as usual is, therefore, a promising approach to facilitate the application of ERP in patients’ natural environment and foster the generalization of ERP conducted in clinical settings. 
%M 38477970
%R 10.2196/52790
%U https://mental.jmir.org/2024/1/e52790
%U https://doi.org/10.2196/52790
%U http://www.ncbi.nlm.nih.gov/pubmed/38477970