OC-Go: Facilitating fidelity and dissemination of evidence based treatment for childhood OCD via an interactive crowd-sourced patient-provider tool

OC-Go：通过交互式众包患者提供工具促进儿童强迫症循证治疗的保真度和传播

• 批准号: 9346990
• 负责人: John C. Piacentini
• 金额: $ 22.47万
• 依托单位: VIRTUALLY BETTER, INC.
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-05-01 至 2018-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9346990
• 关键词: Accountability; Address; Adherence; Adopted; Adult; Anxiety; Cartoons; Child; Childhood; Clinic; Clinical; Clinical Trials; Collaborations; Communication; Communities; Computer software; Consultations; Custom; Databases; Development; Diagnosis; Disease; Drops; Evidence based treatment; Feedback; Funding; Health Insurance Portability and Accountability Act; Impairment; Instruction; Joints; Learning; Letters; Libraries; Measures; Mediation; Methods; Multimedia; Obsessive-Compulsive Disorder; Online Systems; Outcome; Parents; Patients; Phase; Play; Prevention; Privatization; Protocols documentation; Provider; Public Health; Quality Control; Sampling; Seeds; Side; Source; Specific qualifier value; Stimulus; Symptoms; Technology; Testing; Therapeutic; Touch sensation; Treatment outcome; United States; Update; Videoconferences; Writing; base; clinical efficacy; clinically relevant; compliance behavior; crowdsourcing; design; effective therapy; empowered; handheld mobile device; individual patient; medical specialties; mobile application; mobile computing; primary outcome; prototype; randomized trial; response; secondary outcome; tool; usability

Project Summary OC-Go: Facilitating fidelity and dissemination of evidence based treatment for childhood OCD via an interactive crowd-sourced patient-provider tool. The long-term objective of this project is to leverage mobile technologies and crowdsourcing to create a new paradigm of evidence-based treatment delivery and dissemination, as current methods are often insufficient. The project seeks to refine and assess OC-Go, a HIPAA-compliant web-based clinician portal and patient-side mobile application designed to increase patient adherence to evidence-based treatment (EBT) for Obsessive Compulsive Disorder (OCD), a common and impairing condition, and provider ability to effectively implement EBTs. OC-Go allows clinicians to create and push tailored assignments to patients on their mobile devices with an optimized user interface that includes patient accountability and support features. Accordingly, patients can be guided to do assignments by themselves between sessions with increased fidelity over the course of treatment. OC-Go also directly empowers clinicians to learn from and teach one another via a searchable crowd-sourced (i.e., clinician-sourced) library of exposures, multimedia assignments, and assessments related to specific symptoms or search terms. Interactive assignments are created by clinicians or supervisors using a drop and drag toolkit and can include step-by-step written or audio instructions, patient video capture of exposures, writing assignments, speaking assignments, anxiety-cuing stimuli, exposure- oriented puzzles, cartoons, gaming templates, joint child-parent assignments, and many other types of creative technology-enabled activities. Once created and shared to the public library, any clinician can assign any task to any patient for homework or in-session use with one touch. The crowd-sourced library is rated by clinicians and curated for quality control. Use of OC-Go is expected to increase patient engagement, compliance, treatment efficiency, dissemination of EBTs, and therapist confidence and expertise. Phase I Specific Aims: Complete development of OC-Go: 1) Refine user interface via collaborative consultation and user acceptance testing (UAT) with community clinicians drawn from several treatment contexts and expert clinicians at a UCLA OCD specialty clinic; 2) Refine crowd-sourced library usability, expand search tools, and enable curating; 3) Assess strengths and weaknesses and refine key functions based on clinically- relevant outcomes and UAT in clinical piloting with OCD-diagnosed children (N=50 sessions/6 therapists). Phase II Specific Aims: Continued Development/Patient and clinician product testing: 1) Conduct randomized trial (N=32) to test compliance with therapeutic assignments (primary outcome), and treatment efficiency as defined by slope of clinical improvement over course of 6 sessions (secondary outcome) in EBT with and without OC-Go; 2) Simultaneously continue iterative improvements with UAT and seed the crowd- sourced library via partnership-sourcing with three prominent Child OCD clinics; 3) Then sequentially partner with community users in the field (N=100) to examine adoptability measures, product educational value, and to continue iterative product improvement given a large volume of users in ecologically valid settings.

项目摘要 OC-GO：促进忠诚度和基于证据的儿童期限内证据治疗 通过互动式众培养的患者提供工具。 该项目的长期目标是利用移动技术和众包创建新的 基于循证的治疗交付和传播的范式，因为当前方法通常不足。 该项目旨在完善和评估OC-GO，这是一个符合HIPAA的基于Web的临床医生门户和患者侧 移动应用旨在提高患者对基于证据的治疗（EBT）的依从性 强迫症（OCD），一种常见和损害的状况，提供者有效实施的能力 EBT。 OC-GO允许临床医生在其移动设备上为患者创建并推动量身定制的任务 具有优化的用户界面，其中包括患者问责制和支持功能。因此， 可以指导患者在会议之间自行进行任务，而忠诚度提高了 治疗过程。 OC-Go还直接使临床医生通过 可搜索的众群体（即临床医生）的曝光库，多媒体任务和 与特定症状或搜索术语有关的评估。互动任务是由临床医生或 主管使用滴和拖动工具包，可以包括逐步书面或音频说明，患者 视频捕获暴露，写作作业，讲话作业，焦虑刺激刺激，暴露 - 定向难题，卡通，游戏模板，共同的儿童任务以及许多其他类型的 创意技术的活动。一旦创建并共享给公共图书馆，任何临床医生都可以分配 任何患者的家庭作业或课内用途的任务。众包图书馆由 临床医生并策划质量控制。 OC-GO的使用有望增加患者的参与度， 合规性，治疗效率，EBT的传播以及治疗师的信心和专业知识。 第一阶段的特定目的：OC-GO的完整开发：1）通过协作咨询来完善用户界面 以及从几种治疗环境中吸引的社区临床医生和用户接受测试（UAT）和 UCLA OCD专业诊所的专业临床医生； 2）完善众包库可用性，扩展搜索 工具，并启用策展； 3）评估基于临床的优势和劣势，并完善关键功能 与OCD诊断的儿童进行临床驾驶的相关结果和UAT（n = 50次课程/6个治疗师）。 第二阶段的特定目的：持续开发/患者和临床医生产品测试：1） 随机试验（n = 32），以测试符合治疗分配（主要结果）和治疗 EBT中6个会话（第二结果）的临床改善斜率所定义的效率 有无OC-GO； 2）同时继续进行迭代改进，并播种人群 - 通过与三个著名儿童强迫症诊所的合作伙伴关系来源的图书馆； 3）然后顺序合作 该领域的社区用户（n = 100）检查可采用措施，产品教育价值和 鉴于在生态有效的设置中大量用户，继续迭代产品改进。