Self-treatment for obsessive compulsive disorder using a manual and a computerized telephone interview: a U.S.-U.K. study

MD Comput. 1998 May-Jun;15(3):149-57.


Bt steps is a patient-centered behavioral therapy program that uses a manual and a computer-driven interactive voice response system to assess and treat obsessive compulsive disorder. This nine-step program contains a self-assessment module and a self-treatment module that provides teaching on exposure and ritual prevention. The patient reads about the steps in a manual and then uses a touch-tone telephone to contact the program, in which a recorded voice conducts the interview. Of 40 patients in an open 12-week trial in the United States and London, 35 completed the self-assessment module, and 17 completed at least two sessions of exposure and ritual prevention. The system produced statistically significant improvements on measures of obsessive compulsive disorder.

Publication types

  • Clinical Trial
  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Behavior Therapy / methods*
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Obsessive-Compulsive Disorder / therapy*
  • Patient Participation
  • Patient Satisfaction
  • Pilot Projects
  • Reproducibility of Results
  • Self Care / methods*
  • Self-Assessment
  • Therapy, Computer-Assisted*
  • Treatment Outcome
  • United Kingdom
  • United States