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<p>Studies have shown that Exposure and Response Prevention (ERP) delivered via telehealth is effective for children, adolescents, and adults with obsessive-compulsive disorder (OCD). However, what is less known is how patients perceive ERP delivered via telehealth. In this mixed methods study, we used both quantitative measures and a qualitative post-treatment interview to assess the acceptability, feasibility, appropriateness, and effectiveness of videoconference-delivered ERP in a sample of 19 adults, including 14 women (73.7%) and 5 men (26.3%) ranging in age from 18-41 years old. Results show that participants’ OCD symptoms improved significantly from baseline to post-treatment. Although participants rated the therapy as highly acceptable, feasible, and appropriate, qualitative feedback provided information about challenges such as building rapport, privacy concerns, and competing distractions in videoconference-delivered ERP. The current study contributes to a growing body of literature demonstrating that videoconference-delivered ERP is generally effective and well-received by patients. However, they also experienced challenges that have important implications for treatment, thus highlighting the importance of considering patients’ experience of telehealth-based interventions.</p>

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“Zooming” in on Patients’ Experience of Treatment: A Mixed Methods Evaluation of Videoconference-Delivered ERP for OCD

  • 期刊论文

  • 发表日期：

    2026年7月17日

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  • Dianne M. Hezel,
  • David L. Yap,
  • Laura Bernero,
  • Michal Clayton,
  • Andreas Bezahler,
  • H. Blair Simpson,
  • Sapana Patel

摘要

Studies have shown that Exposure and Response Prevention (ERP) delivered via telehealth is effective for children, adolescents, and adults with obsessive-compulsive disorder (OCD). However, what is less known is how patients perceive ERP delivered via telehealth. In this mixed methods study, we used both quantitative measures and a qualitative post-treatment interview to assess the acceptability, feasibility, appropriateness, and effectiveness of videoconference-delivered ERP in a sample of 19 adults, including 14 women (73.7%) and 5 men (26.3%) ranging in age from 18-41 years old. Results show that participants’ OCD symptoms improved significantly from baseline to post-treatment. Although participants rated the therapy as highly acceptable, feasible, and appropriate, qualitative feedback provided information about challenges such as building rapport, privacy concerns, and competing distractions in videoconference-delivered ERP. The current study contributes to a growing body of literature demonstrating that videoconference-delivered ERP is generally effective and well-received by patients. However, they also experienced challenges that have important implications for treatment, thus highlighting the importance of considering patients’ experience of telehealth-based interventions.