%0 Journal Article
%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 U
%A Meule A
%A Koch S
%A Pfeuffer S
%A Netter AL
%A Lehr D
%A Zisler EM
%J JMIR Ment Health
%V 11
%N 0
%D 2024 Mar 13
%M 38477970
%F 6.332
%R 10.2196/52790
%X <B>BACKGROUND: </B>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).<BR><B>OBJECTIVE: </B>This study aimed to investigate patients' views on 1 ERP session at home via videoconference and its impact on treatment outcome.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>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.