Actively Recruiting

Phase Not Applicable
Age: 11Years - 18Years
All Genders
ID06983301

A Feasibility Study of Brief Cognitive Behaviour Therapy for Adolescent OCD in Routine Clinical Practice

Led by University of Oxford · Updated on 2025-05-21

25

Participants Needed

3

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Obsessive-Compulsive Disorder (OCD) is a common and often disabling condition in young people, marked by distressing and repetitive thoughts and behaviors. This research aims to explore the delivery of a brief cognitive behavioral therapy (CBT) for adolescents aged 11 to 18 years with OCD within routine NHS child and adolescent mental health services (CAMHS). The study focuses on whether this brief CBT approach is feasible, acceptable, and effective, including for young people with co-occurring autism or high autistic traits. The intervention involves five core face-to-face CBT sessions lasting 60 to 90 minutes each, with an option for two additional booster sessions over 24 weeks. These sessions are delivered by trained clinicians in NHS settings and supported by co-designed workbooks completed by the young person between sessions. Parents or carers also receive a workbook to support the young person's progress. Sessions start weekly and become less frequent over time, focusing on understanding OCD, goal setting, cognitive flexibility, and behavioral experiments. Involvement of parents and other adults is encouraged to help apply learning in daily life. Participants will engage in assessments at baseline, post-treatment (12 weeks), and 3-month follow-up (24 weeks), including interviews, questionnaires, and routine clinical measures of OCD symptoms, anxiety, and depression. Clinician adherence and treatment acceptability will be monitored through session attendance, engagement, and feedback from young people, parents/carers, and clinicians. Qualitative interviews will assess experiences, and data will be analyzed to explore changes in symptoms and treatment processes, including for those with autism. The study runs from May 2025 to March 2026 with 20 to 30 young people and 8 to 10 clinicians involved.

CONDITIONS

Brief Title

Brief Cognitive Behaviour Therapy (CBT) for Adolescent OCD in Routine Clinical Practice

Who Can Participate

Age: 11Years - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Young people aged 11 to 18 years at recruitment
  • Diagnosed with OCD as the primary problem using the Anxiety Disorders Interview Schedule (ADIS)
  • Willing and able to give informed assent (if aged 11-15) or consent (if aged 16-18)
  • Stable dose of pharmacotherapy for OCD for at least 6 weeks before trial entry (if applicable)
  • Able to speak and read English sufficiently to use the workbooks and complete exercises
  • Willing to engage in treatment and comply with trial requirements
  • Willing to allow notification of their General Practitioner and consultant about participation
  • Parents/carers able and willing to provide consent and participate
  • Clinicians must have relevant psychological therapy qualifications including CBT training and approval to participate
Not Eligible

You will not qualify if you...

  • Risk or safeguarding concerns that cannot be safely managed within the service
  • Any other significant disease or disorder that may pose risk or affect participation or trial results
  • Learning difficulties that would prevent participation in cognitive therapy components
  • Currently receiving psychological treatment for OCD
  • No exclusion criteria for parents/carers or clinicians

AI-Screening

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Your Study Journey

Screening

Duration - Up to 6 months prior to enrolment

Participants are screened for eligibility to participate in the trial.

1 eligibility assessment visit (part of routine clinical service)

Treatment

Duration - Up to 24 weeks

Participants receive brief Cognitive Behavioural Therapy (CBT) for OCD consisting of 5 sessions of 60 to 90 minutes, with an option of 2 additional booster sessions, delivered over a total of 24 weeks. Participants complete therapy workbooks, home tasks, and routine outcome measures during this period.

5 to 7 therapy sessions (in-person or via routine clinical services) plus additional home-based activities

Follow-up

Duration - Up to 12 weeks after treatment ends

Participants complete self-report questionnaires and clinical interviews at 3 months post-treatment to assess treatment outcomes, with some participants invited to participate in qualitative interviews.

2 assessment visits (in-person or remote) during follow-up period

Trial Site Locations

Total: 3 locations

1

AnDY Research Clinic

Reading, Berkshire, United Kingdom, RG6 6AL

Actively Recruiting

2

Department of Experimental Psychology

Oxford, Oxfordshire, United Kingdom, OX2 6GG

Not Yet Recruiting

3

AnDY Research Clinic Oxford

Oxford, Oxfordshire, United Kingdom, OX4 3LX

Not Yet Recruiting

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Research Team

P

Polly Waite

L

Lucas Shelemy

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Published Research Related To This Trial

Childhood, adolescent and adult age at onset and related clinical correlates in obsessive-compulsive disorder: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS).

Bernardo Dell'Osso, Beatrice Benatti, Eric Hollander...

https://pubmed.ncbi.nlm.nih.gov/27433835

Randomized controlled trial of full and brief cognitive-behaviour therapy and wait-list for paediatric obsessive-compulsive disorder.

Derek Bolton, Tim Williams, Sean Perrin...

https://pubmed.ncbi.nlm.nih.gov/21644984