- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02413216
TicHelper: A Computerized Comprehensive Behavioral Intervention for Tics (CBIT)
December 14, 2017 updated by: Mike Himle, University of Utah
Creating a Computerized Self-administered Version of Comprehensive Behavioral Intervention for Tics
Tic Disorders (including Tourette Disorder) are relatively common in school-age children and for some children can lead to significant psychosocial and physical impairment and diminished quality of life.
Non-pharmacological treatments have been shown to be effective for reducing tics in some children.
These treatment options are desired by parents, but are not widely available.
The investigators recently developed an online, computerized, self-administered version of CBIT called TicHelper.com.
The current study will test the efficacy of TicHelper.com in a randomized clinical trial.
Study Overview
Status
Completed
Intervention / Treatment
Detailed Description
Effective non-pharmacological treatment options such as comprehensive behavioral intervention for tics (CBIT) have been shown to be effective for reducing tics in some children with chronic tic disorders, including Tourette's disorder.
Although effective, many parents and children do not have access to a provider trained in these therapies and practical barriers such as travel and high costs for ongoing therapy limit treatment dissemination and utilization.The investigators recently developed an online, computerized, self-administered version of CBIT called TicHelper.com.
This program is an 8-week online program designed to teach children and families empirically-supported tic management skills.
The current study will test the efficacy of TicHelper.com in a randomized clinical trial in which 64 children with Tourette's Disorder or a persistent (chronic) tic disorder will be randomly assigned to 8-weeks of TicHelper.com
(N=32) or an 8-week internet resource control condition (N=32).
Tic symptoms will be assessed by a condition-blind independent evaluator at baseline, post-treatment, and 1-month follow-up.
Information regarding patient acceptability of the program will also be collected.
This project will test whether TicHelper.com is an efficacious and acceptable way to teach tic-management skills for children with tics.
Study Type
Interventional
Enrollment (Actual)
55
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Utah
-
Salt Lake City, Utah, United States, 84112
- University of Utah
-
-
Wisconsin
-
Milwaukee, Wisconsin, United States, 53201
- Marquette University
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
6 years to 16 years (Child, Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Child and parent are English speaking.
- Child meets diagnostic criteria for Tourette's disorder or persistent (chronic) motor or vocal tic disorder according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders - 5th Edition.
- Child scores >70 on a brief intelligence test
- Child currently engages in at least one motor and/or vocal tic multiple times per day
- Clinician rated tic severity score of > 3 (mildly ill or worse)
- Child is unmedicated for tics or associated conditions or has been on stable psychotropic medication for at least 6 weeks with no changes or planned changes in dosage.
- Family has daily access to a personal computer with internet access and software meeting TicHelper minimum system requirements.
Exclusion Criteria:
- A Yale-Global Tic Severity Scale (YGTSS) score > 30
- Child scores < 70 on intelligence test
- Child meets diagnostic criteria for substance abuse or dependence or conduct disorder (within past 3 months) according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders - 5th Edition.
- Current or past non-drug treatment for tics that consisted of 4 or more sessions of habit reversal training or CBIT.
- Child has lifetime diagnosis of mania or psychotic disorder
- Child has any serious psychiatric or neurological condition not currently being managed, managed ineffectively, or requiring more immediate treatment other than that provided by the study.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: TicHelper
In this condition, participants will be provided with a secure username and login information for TicHelper.com.
Participants will be asked to log in and use TicHelper.com
for 8 weeks as instructed by the program (TicHelper recommends 30-60 minutes of website and therapeutic activity per day).
TicHelper.com
consists of 3 modules: Education, Assessment, and Intervention.
The education module provides information about tic disorders and treatment.
The assessment module tracks progress through the program.
The intervention module uses interactive activities to teach tic management skills including habit reversal training (HRT).
During HRT, patients learn to become more aware of tics and pre-tic sensations and to subsequently interrupt tics.
Participants will also learn ways to interact with each other regarding tics, to identify and alter tic-worsening factors, and relaxation strategies to reduce stress.
|
TicHelper.com is an 8-week online program designed to teach tic management skills.
Content and activities included in TicHelper.com
are based on existing empirically-supported treatments including Habit Reversal Training (HRT) and Comprehensive Behavioral Intervention for Tics (CBIT).
TicHelper.com is designed to teach tic management skills including psychoeducation, relaxation training, awareness training, competing response training, and social support.
It is also designed to teach patients/parents to recognize and reduce tic-exacerbating reactions and activities.
Other Names:
|
Active Comparator: Internet-Based Resources Condition
Participants who are assigned to the Internet-Based Resources (IBR) condition will receive a collection of materials with inks to the best available online resources about tic disorders and their treatment.
The sites that are provided use a variety of online print, video, and animation materials to teach patients about various aspects of chronic tic disorders and their management.
Participants will will be asked to explore and use the website information over the course of 8 weeks in any manner they find helpful.
Participants will be asked to spend 30-60 minutes per day reviewing and discussing the information provided.
|
The Internet-Based Resources (IBR) condition is designed to provide patients/parents with access to a wide range of educational materials.
These materials contain up-to-date information regarding what is known about tic disorders and their management.
Materials covering medical, educational, and behavioral/psychological topics are provided.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in the Total Tic Severity Score on the Yale Global Tic Severity Scale (YGTSS)
Time Frame: Baseline, Week 8 (post-treatment), Week 12 (1-month follow-up)
|
Clinician interview to assess overall severity of tics
|
Baseline, Week 8 (post-treatment), Week 12 (1-month follow-up)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in overall tic severity on the Clinician Global Impressions-Severity Scale
Time Frame: Baseline, Week 8 (post-treatment), Week 12 (1-month follow-up)
|
Measures clinician's impression of overall severity
|
Baseline, Week 8 (post-treatment), Week 12 (1-month follow-up)
|
Clinician Global Impressions-Improvement Scale
Time Frame: Week 8 (post-treatment)
|
Measures clinician's impression of improvement since starting treatment
|
Week 8 (post-treatment)
|
Clinician Global Impressions- Improvement Scale
Time Frame: Week 12 (1-month follow-up)
|
Measures clinician's impression of improvement since starting treatment
|
Week 12 (1-month follow-up)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Michael B Himle, Ph.D., University of Utah
- Principal Investigator: Douglas W Woods, Ph.D., Marquette University
- Principal Investigator: Suzanne Mouton-Odum, Ph.D., PsycTech, Ltd.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Piacentini J, Woods DW, Scahill L, Wilhelm S, Peterson AL, Chang S, Ginsburg GS, Deckersbach T, Dziura J, Levi-Pearl S, Walkup JT. Behavior therapy for children with Tourette disorder: a randomized controlled trial. JAMA. 2010 May 19;303(19):1929-37. doi: 10.1001/jama.2010.607.
- Woods DW, Piacentini JC, Scahill L, Peterson AL, Wilhelm S, Chang S, Deckersbach T, McGuire J, Specht M, Conelea CA, Rozenman M, Dzuria J, Liu H, Levi-Pearl S, Walkup JT. Behavior therapy for tics in children: acute and long-term effects on psychiatric and psychosocial functioning. J Child Neurol. 2011 Jul;26(7):858-65. doi: 10.1177/0883073810397046. Epub 2011 May 9.
- Jakubovski E, Reichert C, Karch A, Buddensiek N, Breuer D, Muller-Vahl K. The ONLINE-TICS Study Protocol: A Randomized Observer-Blind Clinical Trial to Demonstrate the Efficacy and Safety of Internet-Delivered Behavioral Treatment for Adults with Chronic Tic Disorders. Front Psychiatry. 2016 Jun 30;7:119. doi: 10.3389/fpsyt.2016.00119. eCollection 2016.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
August 1, 2015
Primary Completion (Actual)
June 1, 2017
Study Completion (Actual)
August 31, 2017
Study Registration Dates
First Submitted
April 1, 2015
First Submitted That Met QC Criteria
April 6, 2015
First Posted (Estimate)
April 9, 2015
Study Record Updates
Last Update Posted (Actual)
December 18, 2017
Last Update Submitted That Met QC Criteria
December 14, 2017
Last Verified
December 1, 2017
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Mental Disorders
- Pathologic Processes
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Neurologic Manifestations
- Genetic Diseases, Inborn
- Basal Ganglia Diseases
- Movement Disorders
- Neurodegenerative Diseases
- Dyskinesias
- Heredodegenerative Disorders, Nervous System
- Neurodevelopmental Disorders
- Disease
- Tourette Syndrome
- Tic Disorders
- Tics
Other Study ID Numbers
- 2R44MH096344-02 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Tourette's Disorder
-
Weill Medical College of Cornell UniversityUniversity of California, Los Angeles; University of Wisconsin, MilwaukeeCompletedTourette's Syndrome | Tourette's Disorder | Tourette Disorder | Gilles de la Tourette Syndrome | Tourette's Disease | Tourette Disease | Tic Disorder, Combined Vocal and Multiple Motor | Multiple Motor and Vocal Tic Disorder, Combined | Gilles de La Tourette's Disease | Gilles De La Tourette's Syndrome | Combined... and other conditions
-
Otsuka Pharmaceutical Development & Commercialization...TerminatedTourette's Disorder (TD)United States, Canada, Hungary
-
China Medical University HospitalCompletedTic Disorders | Tourette DisorderTaiwan
-
University of California, Los AngelesCompletedTourette Disorder | Chronic Tic DisorderUnited States
-
Emalex Biosciences Inc.RecruitingTourette DisorderUnited States, Canada, Spain, Poland, Italy, Bulgaria, Denmark, France, Germany, Hungary, Serbia, Romania
-
Washington University School of MedicineNational Institute of Mental Health (NIMH)CompletedTourette Syndrome | Tic Disorders | Tourette's Disorder | Chronic Motor or Vocal Tic Disorder | Transient Tic Disorder | Provisional Tic DisorderUnited States
-
Weill Medical College of Cornell UniversityUniversity of Alabama at BirminghamCompletedTourette Disorder | Chronic Tic DisorderUnited States
-
Shalvata Mental Health CenterUnknownObsessive Compulsive Disorder | Tourette's SyndromeIsrael
-
University of California, Los AngelesNational Institute of Mental Health (NIMH)CompletedTourette's DisorderUnited States
-
Marquette UniversityUniversity of UtahRecruitingTourette Disorder | Persistent Tic DisordersUnited States