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Cognitive behavioral therapy (CBT) is well-documented as first choice treatment for pediatric OCD. Traditionally delivered face-to-face CBT has limitations in terms of accessibility, availability, and quality of delivery. Online CBT using video conferencing (online-CBT) at home aims to address some of these barriers. In this pilot study, we aimed to compare acceptability, feasibility and effectiveness of online CBT against face-to-face CBT. Online CBT outcomes of 29 children with OCD were analyzed benchmarked against outcomes of face-to-face CBT (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009269) from the Nordic Long-term OCD Treatment Study, the largest CBT follow up study in pediatric OCD to date. Acceptability rated by online CBT participants and their parents was very high (Client Satisfaction Questionnaire total scores about 30, range 8\u201332). Feasibility assessed as dropout rate was comparable to NordLOTS (10.3% versus 9.7%). The online CBT group compared to NordLOTS showed a higher response rate (90% versus 60%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.002) and remission rate (81% versus 53%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.231). Our results suggest that the trusting therapeutic relationship necessary for demanding exposure-based treatment can be established by online CBT. Online CBT seems to be at least as effective in reducing OCD symptoms than standard CBT. Trial ID: ISRCTN37530113.\n                  <\/jats:p>","DOI":"10.1007\/s10578-024-01745-8","type":"journal-article","created":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T22:02:05Z","timestamp":1723845725000},"page":"833-845","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Online CBT Versus Standard CBT for Pediatric Obsessive-Compulsive Disorder"],"prefix":"10.1007","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1822-7671","authenticated-orcid":false,"given":"Bernhard","family":"Weidle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc\u00eda","family":"Babiano-Espinosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norbert","family":"Skokauskas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lidewij H.","family":"Wolters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marit","family":"Henriksen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jostein","family":"Arntzen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Skare","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tord","family":"Ivarsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tricia","family":"Groff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gudmundur","family":"Skarphedinsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,8,17]]},"reference":[{"issue":"1","key":"1745_CR1","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1097\/00004583-200001000-00016","volume":"39","author":"PJ Ambrosini","year":"2000","unstructured":"Ambrosini PJ (2000) Historical development and present status of the schedule for affective disorders and schizophrenia for school-age children (K-SADS). 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Dr. Wolters receives royalties from Springer Media and Lannoo for (co-)authorship of books on pediatric OCD. Bernhard Weidle and Gudmundur Skarphedinsson are Editorial Board Members of Child Psychiatry & Human Development. The rest of the co-authors have nothing to declare.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}]}}