TY  - JOUR
AU  - Voderholzer, Ulrich
AU  - Meule, Adrian
AU  - Koch, Stefan
AU  - Pfeuffer, Simone
AU  - Netter, Anna-Lena
AU  - Lehr, Dirk
AU  - Zisler, Eva Maria
PY  - 2024
DA  - 2024/3/13
TI  - 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
JO  - JMIR Ment Health
SP  - e52790
VL  - 11
KW  - obsessive-compulsive disorder
KW  - videoconference-based treatment
KW  - therapy
KW  - exposure
KW  - response prevention
KW  - OCD
KW  - prevention
KW  - inpatient
KW  - video
KW  - videoconference
KW  - therapist
KW  - therapists
KW  - mood
KW  - positive mood
KW  - environment
KW  - clinical setting
AB  - 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. 
SN  - 2368-7959
UR  - https://mental.jmir.org/2024/1/e52790
UR  - https://doi.org/10.2196/52790
UR  - http://www.ncbi.nlm.nih.gov/pubmed/38477970
DO  - 10.2196/52790
ID  - info:doi/10.2196/52790
ER  -