BACKGROUND
Obsessive-compulsive
disorder
(OCD)
is
a
disabling
associated
with
high
interference
in
people’s
lives.
However,
patients
OCD
either
do
not
seek
help
or
delay
seeking
help.
Research
suggests
that
this
could
be
explained
by
poor
mental
health
literacy
about
the
and
stigma.
OBJECTIVE
This
study
aims
to
evaluate
feasibility,
acceptability,
preliminary
effectiveness
of
mobile
app,
esTOCma,
developed
improve
knowledge
its
treatment,
increase
help-seeking
intention,
reduce
stigmatizing
attitudes
social
distance
OCD.
METHODS
We
used
preintervention,
postintervention,
3-month
follow-up
assessments
single-arm
pilot
intervention.
Overall,
90
participants
were
recruited
from
community
using
snowball
sampling
method.
esTOCma
defeat
“stigma
monster”
over
course
10
missions.
The
completed
sociodemographic
information
Obsessive-Compulsive
Inventory–Revised
at
preassessment
an
acceptability
questionnaire
postassessment.
All
other
measures
preassessment,
postassessment,
(ie,
Spanish
Mental
Illness
Stigma
Attribution
Questionnaire–27,
General
Help-Seeking
Questionnaire,
Social
Distance
Scale,
Health
Literacy
Questionnaire).
RESULTS
Of
assessed
for
eligibility,
86%
(n=78)
allocated
these
78
participants,
79%
(n=62)
game
answered
postintervention
assessment
(completer
group).
69%
(43/62)
also
assessment.
completing
older
(<i>P</i>=.003)
had
higher
baseline
(<i>P</i>=.05).
took
average
13.64
(SD
10.50)
days
complete
intervention,
including
pre-
postassessments.
spent
4.56
3.33)
missions
included
app.
Each
mission
mean
between
2
3.01)
9.35
3.06)
minutes.
app
was
rated
as
useful
very
vast
majority
90%
(56/62).
Moreover,
(56/62)
reported
they
learned
lot,
98%
(61/62)
would
recommend
friend.
Repeated
ANOVA
(43/62,
69%)
showed
after
intervention
increased
intention
well
fewer
less
distance.
CONCLUSIONS
Preliminary
data
show
feasible
acceptable
missions,
there
understanding
along
decrease
stigma
lasts
least
3
months.
results
support
potential
technology-based
interventions
A
larger,
community-controlled
recommended.
BACKGROUND
Obsessive-compulsive
disorder
(OCD)
is
a
disabling
associated
with
high
interference
in
people’s
lives.
However,
patients
OCD
either
do
not
seek
help
or
delay
seeking
help.
Research
suggests
that
this
could
be
explained
by
poor
mental
health
literacy
about
the
and
stigma.
OBJECTIVE
This
study
aims
to
evaluate
feasibility,
acceptability,
preliminary
effectiveness
of
mobile
app,
esTOCma,
developed
improve
knowledge
its
treatment,
increase
help-seeking
intention,
reduce
stigmatizing
attitudes
social
distance
OCD.
METHODS
We
used
preintervention,
postintervention,
3-month
follow-up
assessments
single-arm
pilot
intervention.
Overall,
90
participants
were
recruited
from
community
using
snowball
sampling
method.
esTOCma
defeat
“stigma
monster”
over
course
10
missions.
The
completed
sociodemographic
information
Obsessive-Compulsive
Inventory–Revised
at
preassessment
an
acceptability
questionnaire
postassessment.
All
other
measures
preassessment,
postassessment,
(ie,
Spanish
Mental
Illness
Stigma
Attribution
Questionnaire–27,
General
Help-Seeking
Questionnaire,
Social
Distance
Scale,
Health
Literacy
Questionnaire).
RESULTS
Of
assessed
for
eligibility,
86%
(n=78)
allocated
these
78
participants,
79%
(n=62)
game
answered
postintervention
assessment
(completer
group).
69%
(43/62)
also
assessment.
completing
older
(<i>P</i>=.003)
had
higher
baseline
(<i>P</i>=.05).
took
average
13.64
(SD
10.50)
days
complete
intervention,
including
pre-
postassessments.
spent
4.56
3.33)
missions
included
app.
Each
mission
mean
between
2
3.01)
9.35
3.06)
minutes.
app
was
rated
as
useful
very
vast
majority
90%
(56/62).
Moreover,
(56/62)
reported
they
learned
lot,
98%
(61/62)
would
recommend
friend.
Repeated
ANOVA
(43/62,
69%)
showed
after
intervention
increased
intention
well
fewer
less
distance.
CONCLUSIONS
Preliminary
data
show
feasible
acceptable
missions,
there
understanding
along
decrease
stigma
lasts
least
3
months.
results
support
potential
technology-based
interventions
A
larger,
community-controlled
recommended.