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The earliest meta-analysis [16] (N=420) found that technology-delivered CBT demonstrated a moderate effect size (d=0.82) for OCD symptom reduction compared to control conditions (although this analysis primarily focused on adults, without specifying results for children or adolescents).
J Med Internet Res 2025;27:e66715
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While most previous studies of ERP efficacy have come from clinical research trials, a meta-analysis of effectiveness studies of CBT in real-world clinical settings found an effect size for reduction of OCD symptoms across 11 studies of d=1.32 (95% CI: 1.19 to 1.45) [7].
J Med Internet Res 2022;24(5):e36431
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