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Cognitive Checking Intervention for Maladaptive Beliefs About Memory

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ClinicalTrials.gov Identifier: NCT03241056
Recruitment Status : Recruiting
First Posted : August 7, 2017
Last Update Posted : August 29, 2019
Sponsor:
Information provided by (Responsible Party):
Gillian Alcolado, University of Manitoba

Brief Summary:
A small (N = 24) pilot study developed a new and brief cognitive-behavioural therapy (CBT) module for checking symptoms (CBT-C) in obsessive-compulsive disorder (OCD). CBT-C targets maladaptive beliefs about memory and results show that it is effective at significantly decreasing checking symptoms as compared to a waitlist control. The objectives of the current investigation are to further investigate CBT-C by (1) replicating the pilot results in a larger sample; (2) using an active control condition (treatment as usual) as the comparison condition (3) including a 6-month follow-up, and (4) determining whether the association between maladaptive beliefs about memory at pre-treatment assessment are related to degree of checking symptom reduction following CBT-C. The findings of the study will have theoretical significance in adding to our understanding of the maladaptive belief domains relevant to the development and maintenance of OCD and supporting the cognitive model of compulsive checking. The relevant clinical significance is the further development of an intervention that could improve outcomes in treatment of persons with OCD. The key practical outcome of the research would be to add a stepped care offering to patients with OCD.

Condition or disease Intervention/treatment Phase
Obsessive-Compulsive Disorder Behavioral: CBT for Maladaptive Beliefs about Memory Other: Treatment as Usual Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 50 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Increasing Memory Confidence: A Novel Intervention for Obsessive-Compulsive Disorder
Actual Study Start Date : January 4, 2018
Estimated Primary Completion Date : June 30, 2020
Estimated Study Completion Date : June 30, 2020

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: CBT for Maladaptive Beliefs about Memory
Using cognitive-behavioural therapy principles, this therapy is intended to examine and change maladaptive beliefs about memory as they pertain to compulsive checking.
Behavioral: CBT for Maladaptive Beliefs about Memory
The novel intervention is a manualized 2-session cognitive behavioural therapy. Agenda elements, including psycho-education, discussion prompts, and homework exercises are standardized across participants. In session 1, participants are taught about the cognitive theory of checking, the research support behind this theory, and how it may apply to their own checking behavior. A homework exercise is introduced and practiced to test out this theory. In session 2, the homework results are reviewed. Further education is shared on the nature of memory and the relationship to checking, and a discussion regarding how this applies to the participant's checking then takes place. A second homework exercise is introduced to test this theory.

Active Comparator: Treatment as Usual
This is a control treatment, Treatment as Usual (TAU), which is what patients or community members would otherwise normally receive.
Other: Treatment as Usual
Treatment as Usual (TAU) during patients' time on our waitlist in our clinic will depend on at what point they have been recruited. It may consist of a 2-session group psychoeducational intervention on anxiety, any medications prescribed by their referring physicians, and/or independent therapy/counseling they may be seeking on the side. TAU for community participants will include any treatments they are currently seeking. Information about participation in such interventions will be collected during the course of the study (at each assessment visit) in order to accurately characterize participants' TAU in the current study.




Primary Outcome Measures :
  1. Vancouver Obsessional Compulsive Inventory - checking subscale (change) [ Time Frame: Change in checking symptoms from pre-treatment to post-treatment at 3 weeks later ]
    This six-item subscale of a self-report questionnaire measure assesses severity of checking-related OCD symptoms.

  2. Average time spent checking per week (change) [ Time Frame: Change in average time spent checking from pre-treatment to post-treatment at 3 weeks later ]
    Participants record their daily time spent checking in daily diary records while in the active phase of the study.

  3. Vancouver Obsessional Compulsive Inventory - checking subscale [ Time Frame: Avarege time spent checking at 6-month follow-up ]
    This six-item subscale of a self-report questionnaire measure assesses severity of checking-related OCD symptoms.


Secondary Outcome Measures :
  1. Beliefs about Memory Inventory (change) [ Time Frame: Change in beliefs about memory from pre-treatment to post-treatment at 3 weeks later ]
    Self-report questionnaire that assesses extent participant believes they have a bad memory.

  2. Beliefs about Memory Inventory [ Time Frame: Beliefs about memory at 6 month follow-up ]
    Self-report questionnaire that assesses extent participant believes they have a bad memory.

  3. Obsessive Beliefs Questionnaire (change) [ Time Frame: Change in obsessive beliefs from pre-treatment to post-treatment at 3 weeks later ]
    Self-report questionnaire that assesses maladaptive belief domains known to be related to checking. The responsibility/threat subscale is of particular interest as it is known to be related to checking behaviour.

  4. Obsessive Beliefs Questionnaire [ Time Frame: Obsessive beliefs at 6-month follow-up ]
    Self-report questionnaire that assesses maladaptive belief domains known to be related to checking. The responsibility/threat subscale is of particular interest as it is known to be related to checking behaviour.



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Adult over the age of 18
  • Diagnosis of OCD with clinically significant levels of compulsive checking (i.e., able to meet the diagnostic criteria for OCD according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition based solely on checking symptoms. Other OCD symptoms may be present and checking does not need to be the primary symptom.)

Exclusion Criteria:

  • Active psychosis
  • Active Mania
  • Presence of a substance use disorder that would interfere with participation in the treatment

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03241056


Locations
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Canada, Manitoba
St. Boniface Hospital Recruiting
Winnipeg, Manitoba, Canada, R2H2A6
Contact: Gillian M Alcolado, PhD    204-237-2694    gillian.alcolado@umanitoba.ca   
Sponsors and Collaborators
University of Manitoba

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Responsible Party: Gillian Alcolado, Assistant Professor, University of Manitoba
ClinicalTrials.gov Identifier: NCT03241056     History of Changes
Other Study ID Numbers: H2017:142
First Posted: August 7, 2017    Key Record Dates
Last Update Posted: August 29, 2019
Last Verified: August 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Compulsive Personality Disorder
Obsessive-Compulsive Disorder
Personality Disorders
Mental Disorders
Anxiety Disorders