TY  - JOUR
AU  - Lee Yoon Li, Madeline
AU  - Lee Si Min, Stephanie
AU  - Sündermann, Oliver
PY  - 2024
DA  - 2024/12/16
TI  - Efficacy of the mHealth App Intellect in Improving Subclinical Obsessive-Compulsive Disorder in University Students: Randomized Controlled Trial With a 4-Week Follow-Up
JO  - JMIR Mhealth Uhealth
SP  - e63316
VL  - 12
KW  - mobile health app
KW  - self-guided interventions
KW  - obsessive-compulsive disorder
KW  - cognitive behavioral therapy
KW  - maladaptive perfectionism
KW  - randomized controlled trial
KW  - behavioral
KW  - efficacy
KW  - mHealth app
KW  - university students
KW  - Singapore
KW  - symptoms
AB  - Background: Obsessive-compulsive disorder (OCD) is the third most prevalent mental health disorder in Singapore, with a high degree of burden and large treatment gaps. Self-guided programs on mobile apps are accessible and affordable interventions, with the potential to address subclinical OCD before symptoms escalate. Objective: This randomized controlled trial aimed to examine the efficacy of a self-guided OCD program on the mobile health (mHealth) app Intellect in improving subclinical OCD and maladaptive perfectionism (MP) as a potential moderator of this predicted relationship. Methods: University students (N=225) were randomly assigned to an 8-day, self-guided app program on OCD (intervention group) or cooperation (active control). Self-reported measures were obtained at baseline, after the program, and at a 4-week follow-up. The primary outcome measure was OCD symptom severity (Obsessive Compulsive Inventory–Revised [OCI-R]). Baseline MP was assessed as a potential moderator. Depression, anxiety, and stress (Depression Anxiety and Stress Scales-21) were controlled for during statistical analyses. Results: The final sample included 192 participants. The intervention group reported significantly lower OCI-R scores compared with the active control group after the intervention (partial eta-squared [ηp2]=0.031; P=.02) and at 4-week follow-up (ηp2=0.021; P=.044). A significant, weak positive correlation was found between MP and OCI-R levels at baseline (r=0.28; P<.001). MP was not found to moderate the relationship between condition and OCI-R scores at postintervention (P=.70) and at 4-week follow-up (P=.88). Conclusions: This study provides evidence that the self-guided OCD program on the Intellect app is effective in reducing subclinical OCD among university students in Singapore. Future studies should include longer follow-up durations and study MP as a moderator in a broader spectrum of OCD symptom severity. Trial Registration: ClinicalTrials.gov NCT06202677; https://clinicaltrials.gov/study/NCT06202677 
SN  - 2291-5222
UR  - https://mhealth.jmir.org/2024/1/e63316
UR  - https://doi.org/10.2196/63316
DO  - 10.2196/63316
ID  - info:doi/10.2196/63316
ER  -