Family-based cognitive behavioural therapy versus family-based relaxation therapy for obsessive-compulsive disorder in children and adolescents: protocol for a randomised clinical trial (the TECTO trial)

Pagsberg, Anne Katrine; Uhre, Camilla; Uhre, Valdemar; Pretzmann, Linea; Christensen, Sofie Heidenheim; Thoustrup, Christine; Clemmesen, Iben; Gudmandsen, Amanda Aaen; Korsbjerg, Nicoline Løcke Jepsen; Mora-Jensen, Anna-Rosa Cecilie; Ritter, Melanie; Thorsen, Emilie D.; Halberg, Klara Sofie Vangstrup; Bugge, Birgitte; Staal, Nina; Ingstrup, Helga Kristensen; Moltke, Birgitte Borgbjerg; Kloster, Anne Murphy; Zoega, Pernille Juul; Mikkelsen, Marie Sommer; Harboe, Gitte Sommer; Larsen, Katrin Frimann; Clemmensen, Line Katrine Harder; Lindschou, Jane; Jakobsen, Janus Christian; Engstrøm, Janus; Gluud, Christian; Siebner, Hartwig Roman; Thomsen, Per Hove; Hybel, Katja; Verhulst, Frank; Jeppesen, Pia; Jepsen, Jens Richardt Møllegaard; Vangkilde, Signe; Olsen, Markus Harboe; Hagstrøm, Julie; Lønfeldt, Nicole Nadine; Plessen, Kerstin Jessica

doi:10.1186/s12888-021-03669-2

Table 2 Similarities and differences between FCBT and FPRT in the TECTO trial

From: Family-based cognitive behavioural therapy versus family-based relaxation therapy for obsessive-compulsive disorder in children and adolescents: protocol for a randomised clinical trial (the TECTO trial)

FCBT & FPRT		FCBT		FPRT
Session	Parent Presence in minutes	Activities/Topics	Parent Themes	Activities/ Topics	Parent Themes
1	75	Establish contact	Role: helper	Establish contact	Establish contact
		Psychoeduation on OCD and FCBT		Psychoeduation on OCD and FPRT
		Psychoeduation on OCD and FCBT		Externalizing OCD
2	75	Externalizing OCD	Expectations for therapy	Psychoeduation on OCD and FPRT	Expectations for therapy
		Symptom list		Goals for therapy
		Symptom hierarchy		Symptom hierarchy
		Homework		Symptom hierarchy
3	30	Cognitive training	Family beliefs and attitude toward OCD Rewards	Symptom hierarchy	Parent relaxation practice
		Mapping OCD symptoms		Rewards
		Test ERP		Identify OCD discomfort/distress in body
		Test ERP		PRT
4	30	ERP	Role	Symptom hierarchy	Facilitate PRT for child
4	30	Toolbox	Guilt and blame	PRT	Facilitate PRT for child
5	30	ERP	FA	Symptom hierarchy	Guilt and blame
5	30	Fight against OCD	FA	PRT	Guilt and blame
6	30	ERP	Child’s responsibility for treatment	Symptom hierarchy	Family beliefs and attitude toward OCD and affected child
6		Get more control over OCD	Child’s responsibility for treatment	PRT	Family beliefs and attitude toward OCD and affected child
7	75	ERP	Role	Symptom hierarchy	PRT practice
		Psychoeduation on OCD and CBT		PRT
				Goals for therapy
				Psychoeduation on OCD and FPRT
8	30	ERP	Motivation	Symptom hierarchy	Child’s responsibility for treatment
8	30	special therapeutic needs	Obstacles	PRT in new environment	Child’s responsibility for treatment
9	30	ERP	Differientiate OCD from other problems	Symptom hierarchy	Differientiate OCD from other problems
9	30	Fight against OCD	Differientiate OCD from other problems	PRT	Differientiate OCD from other problems
10	30	ERP	Cohesion	Symptom hierarchy	Cohesion
10	30	Fight against OCD	Cohesion	PRT	Family engagement in treatment
11	75	ERP	Problem solving	Symptom hierarchy	Problem solving
		Evaluate treatment		Goals for therapy
		Evaluate treatment		PRT
12	30	ERP	Relapse prevention	Symptom hierarchy	Relapse prevention
12	30	Agree on continued focused	Relapse prevention	PRT	Relapse prevention
13	30	ERP	Relapse prevention	Symptom hierarchy	Relapse prevention
13	30	Relapse prevention		PRT	Relapse prevention
14	75	End of therapy ceremony	Future plans	End of therapy ceremony	Future plans
14	75	Review treatment	Future plans	Review treatment	evaluation

FCBT Family-based Cognitive Behavioural Therapy; FPRT Family-based Psychoeducation & Relaxation Training; OCD Obsessive compulsive disorder; ERP Exposure and Response Prevention

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ISSN: 1471-244X

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