Families Accessing online Skills Training in Cognitive Behaviour Therapy (FAST-CBT) for Paediatric Obsessive Compulsive Disorder (OCD): A nationwide randomised controlled trial

INTERVENTION: Intervention Condition: FAST‐CBT Parents randomised to the FAST‐CBT group receive a login to the web portal: https://ocdbusters.griffith.edu.au/ which contains physical and informational materials. Specifically, a downloadable parent and child workbook which is aligned with the content of the 8 online modules. The web portal procedures, activities and processes are made up of an evaluation component (parent and child OCD symptom ratings and child‐reported interference ratings, and parent‐reported parental competence ratings), psycho‐education about OCD, CBT with exposure‐response prevention (ERP) techniques and homework to practice content learned. Homework activities will be a minimum of one exposure practice task per week (depending on task, this can take between 10 ‐ 30 minutes to complete). The online modules and workbook content has been designed specifically for this study. Group‐based procedures, activities and processes include reflection, problem‐solving and goal setting. Clinicians (i.e., provisional psychologists, general psychologists or clinical psychologists) with minimum Master of Clinical Psychology qualification and a minimum of 2 years experience will deliver the group sessions (60 minutes per session x4). The intervention is delivered to parents via a mi Xof online modules, workbook content and clinician facilitated group sessions via videoconference. The maximum number of participants per group is 6 (one clinician per group). Groups occur once a week over four weeks. The online modules need to be completed between group sessions. There is anticipated to be between 10 ‐ 15 groups over the 3 years of the trial, and the intervention occurs in the home. The software for the web portal is able to capture parent progress and will a CONDITION: Mental Health ‐ Other mental health disorders Obsessive Compulsive Disorder (OCD); ; Obsessive Compulsive Disorder (OCD) PRIMARY OUTCOME: Child and Parent rated Quality of Life via KiddyKINDL/KidKINDL and EuroQol (EQ) 5D Youth/Proxy[Follow‐up/Week 32 (for FAST‐CBT group only).] OCD symptom severity via the Children's Yale Brown Obsessive Compulsive Scale (CY‐BOCS)[Pre‐treatment/Week 0 (baseline), Post‐treatment/Week 8 (primary timepoint) and Follow‐up/Week 32 (6 months after baseline)] OCD‐related impairment via Child OCD Impact Scale ‐ Parent Rated[Post‐treatment/Week 8 (8‐weeks after baseline)] SECONDARY OUTCOME: Family accommodation via the Family Accommodation Scale for OCD[Pre‐treatment/Week 0 (baseline), Post‐treatment/Week 8 and Follow‐up/Week 32 (6 months after baseline)] Global functioning via the Children's Global Assessment Scale (CGAS)[Post‐treatment/Week 8 (8‐weeks after baseline)] OCD severity via the the National Institute of Mental Health‐Global Obsessive–Compulsive Scale (NIMH‐GOCS)[Follow‐up/Week 32 (for FAST‐CBT group only)] INCLUSION CRITERIA: 4‐12 years; OCD symptoms / diagnosis; willing to participate; if on anti‐depressant medication, stable dose for 8 weeks prior to entry and for duration of trial.