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 disseminationas current methods are often insufficientThe project seeks to refine and assess OC Goa HIPAA compliant web based clinician portal and patient side mobile application designed to increase patient adherence to evidence based treatmentEBTfor Obsessive Compulsive DisorderOCDa common and impairing conditionand provider ability to effectively implement EBTsOC 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 featuresAccordinglypatients can be guided to do assignments by themselves between sessions with increased fidelity over the course of treatmentOC Go also directly empowers clinicians to learn from and teach one another via a searchable crowd sourcedi eclinician sourcedlibrary of exposuresmultimedia assignmentsand assessments related to specific symptoms or search termsInteractive assignments are created by clinicians or supervisors using a drop and drag toolkit and can include step by step written or audio instructionspatient video capture of exposureswriting assignmentsspeaking assignmentsanxiety cuing stimuliexposureoriented puzzlescartoonsgaming templatesjoint child parent assignmentsand many other types of creative technology enabled activitiesOnce created and shared to the public libraryany clinician can assign any task to any patient for homework or in session use with one touchThe crowd sourced library is rated by clinicians and curated for quality controlUse of OC Go is expected to increase patient engagementcompliancetreatment efficiencydissemination of EBTsand therapist confidence and expertisePhase I Specific AimsComplete development of OC GoRefine user interface via collaborative consultation and user acceptance testingUATwith community clinicians drawn from several treatment contexts and expert clinicians at a UCLA OCD specialty clinicRefine crowd sourced library usabilityexpand search toolsand enable curatingAssess strengths and weaknesses and refine key functions based on clinicallyrelevant outcomes and UAT in clinical piloting with OCD diagnosed childrenNsessionstherapistsPhase II Specific AimsContinued Development Patient and clinician product testingConduct randomized trialNto test compliance with therapeutic assignmentsprimary outcomeand treatment efficiency as defined by slope of clinical improvement over course ofsessionssecondary outcomein EBT with and without OC GoSimultaneously continue iterative improvements with UAT and seed the crowdsourced library via partnership sourcing with three prominent Child OCD clinicsThen sequentially partner with community users in the fieldNto examine adoptability measuresproduct educational valueand to continue iterative product improvement given a large volume of users in ecologically valid settings In the United States there are approximatelymillion children andmillion adults with ObsessiveCompulsiveDisorderOCDEffectiveevidencebasedtreatmentsEBTsforthedisorderexistbutpatientengagementineffectivetreatmentandthelackofclinicianswiththenecessaryexpertiseseriouslylimitpublichealtheffortstoaddressthisdebilitatingdisorderThe current application is directly related to public health because the proposed mobile and crowd sourced technology has the potential to increase patient engagement and adherence to effective treatmentwhile also directly empowering clinicians to learn from and teach one another about effective methods to address specific patient symptoms