Acceptability of internet-delivered cognitive behavioural therapy for adults with symptoms of obsessive-compulsive disorder: A meta-analysis.

Waks, S; Moses, K; Wootton, BM

Acceptability of internet-delivered cognitive behavioural therapy for adults with symptoms of obsessive-compulsive disorder: A meta-analysis.

Waks, S Moses, K Wootton, BM

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Br J Clin Psychol, 2024, 63, (3), pp. 315-329
Issue Date:: 2024-09

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Field	Value	Language
dc.contributor.author	Waks, S
dc.contributor.author	Moses, K
dc.contributor.author	Wootton, BM
dc.date.accessioned	2025-06-13T03:51:36Z
dc.date.available	2024-02-27
dc.date.available	2025-06-13T03:51:36Z
dc.date.issued	2024-09
dc.identifier.citation	Br J Clin Psychol, 2024, 63, (3), pp. 315-329
dc.identifier.issn	0144-6657
dc.identifier.issn	2044-8260
dc.identifier.uri	http://hdl.handle.net/10453/187729
dc.description.abstract	OBJECTIVES: Obsessive-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. METHOD: Seventeen studies (N = 1661; Mage range = 28-41 years; 58%-93% female) were included in this analysis. RESULTS: The 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. CONCLUSIONS: This study has important implications in the dissemination of ICBT for OCD.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Br J Clin Psychol
dc.relation.isbasedon	10.1111/bjc.12462
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1701 Psychology, 1702 Cognitive Sciences
dc.subject.classification	Clinical Psychology
dc.subject.classification	5201 Applied and developmental psychology
dc.subject.classification	5203 Clinical and health psychology
dc.subject.classification	5205 Social and personality psychology
dc.subject.mesh	Humans
dc.subject.mesh	Obsessive-Compulsive Disorder
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Adult
dc.subject.mesh	Internet-Based Intervention
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Internet
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Humans
dc.subject.mesh	Obsessive-Compulsive Disorder
dc.subject.mesh	Internet
dc.subject.mesh	Adult
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Internet-Based Intervention
dc.subject.mesh	Humans
dc.subject.mesh	Obsessive-Compulsive Disorder
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Adult
dc.subject.mesh	Internet-Based Intervention
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Internet
dc.subject.mesh	Patient Satisfaction
dc.title	Acceptability of internet-delivered cognitive behavioural therapy for adults with symptoms of obsessive-compulsive disorder: A meta-analysis.
dc.type	Journal Article
utslib.citation.volume	63
utslib.location.activity	England
utslib.for	1701 Psychology
utslib.for	1702 Cognitive Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2025-06-13T03:51:35Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	63
utslib.citation.issue	3

Abstract:

OBJECTIVES: Obsessive-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. METHOD: Seventeen studies (N = 1661; Mage range = 28-41 years; 58%-93% female) were included in this analysis. RESULTS: The 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. CONCLUSIONS: This study has important implications in the dissemination of ICBT for OCD.

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http://hdl.handle.net/10453/187729