A randomized pilot trial comparing videoconference versus face-to-face delivery of behavior therapy for childhood tic disorders

Himle, Michael B.; Freitag, Malinda; Walther, Michael; Franklin, Shana A.; Ely, Laura; Woods, Douglas W.

doi:10.1016/j.brat.2012.05.009

Cited by 162 publications

(154 citation statements)

References 16 publications

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“…In Study 2, the preliminary efficacy, feasibility, and acceptability of VoIP-delivered CBIT were assessed. Results showed a 29.44% average decrease in YGTSS tic severity from pre to post, which is similar to the 31% decrease found in the original CBIT trial in children and in line with the respective ratings of 33% and 27% found in both VC and in-person modalities in the randomized comparison by Himle et al (2012). Two of the four participants (50%) were classified as treatment responders at posttreatment.…”

Section: Discussionsupporting

confidence: 84%

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Pilot Open Case Series of Voice over Internet Protocol-Delivered Assessment and Behavior Therapy for Chronic Tic Disorders

Ricketts

Bauer

Ran³

et al. 2016

Cognitive and Behavioral Practice

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Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment for children with Chronic Tic Disorders (CTDs). Nevertheless, many families of children with CTDs are unable to access CBIT due to a lack of adequately trained treatment providers, time commitment, and travel distance. This study established the interrater reliability between in-person and VoIP administrations of the Yale Global Tic Severity Scale (YGTSS), and examined the preliminary efficacy, feasibility, and acceptability of Voice over Internet Protocol (VoIP)-delivered CBIT for reducing tics in children with CTDs in an open case series. Across in-person and VoIP administrations of the YGTSS, results showed mean agreement of 91%, 96%, and 95% for motor, phonic, and total tic severity subscales. In the pilot feasibility study, four children received 8-weekly sessions of CBIT via VoIP and were assessed at pre- and post-treatment by an independent evaluator. Results showed a 29.44% decrease in clinician-rated tic severity from pre to post-assessment on the YGTSS. Two of the four patients were considered treatment responders at post treatment, using Clinical Global Impressions-Improvement ratings. Therapeutic alliance, parent and child treatment satisfaction and videoconferencing satisfaction ratings were high. CBIT was considered feasible to implement via VoIP, although further testing is recommended.

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Section: Discussionsupporting

confidence: 84%

“…Additionally, both treatment modalities were rated as highly acceptable by parents and children, with no significant differences between groups. There were also no significant differences in parent and child-reported therapeutic alliance between groups (Himle et al, 2012).…”

mentioning

confidence: 78%

Pilot Open Case Series of Voice over Internet Protocol-Delivered Assessment and Behavior Therapy for Chronic Tic Disorders

Ricketts

Bauer

Ran³

et al. 2016

Cognitive and Behavioral Practice

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“…CBIT delivered via teleconferencing devices have been shown to be as effective as face-to-face delivery 156 , and CBIT has also been shown to be effectively delivered via Skype 157 , and in abbreviated format as delivered by nurse practitioners 158 .…”

Section: Thoughts For Dougmentioning

confidence: 99%

Gilles de la Tourette syndrome

Robertson

Eapen

Singer

et al. 2017

Nat Rev Dis Primers

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The unstructured abstract of 200 words maximum should summarize the main points of the article. All information mentioned in the abstract must be addressed somewhere in the main article. The abstract should not contain references or display item citations. Gilles de la Tourette Syndrome (GTS), a reasonably common disorder, has had a long, tortuous and somewhat controversial history. First and well described in the 18th century 1,2 , the main features of GTS have, however, remained fairly constant. The core diagnostic features are multiple motor and one or more vocal (phonic) tics lasting for over a year. In addition, almost pathognomic, but not necessary, features described in the early documentations include coprolalia (involuntary, inappropriate swearing), and echophenomena (copying behaviours), as well as many co-morbidities and psychopathologies 3 . Introduction [suggested 500 words, is 544 words -8 refs] Mary Robertson Thoughts for Mary -Your word count when combining sections 1 and 2 is 1001 (1000 limit)-so OKGTS was originally described in France and the majority of early literature came from and standardised schedules such as diagnostic confidence, measurement of severity, QoL, and assessment of both co-morbidities and co-existent psychopathologies are currently available.Large international collaborative consortia are engaged in studies exploring aetiological factors in particular, and some international treatment studies are also underway. Perhaps as a result of earlier small patient numbers, the treatment trials have given good clues to management, but unsurprisingly systematic reviews and meta-analyses have been hampered, giving disappointing, if not unexpected, results. Intriguingly medications from the typical NRDP -Gilles de la Tourette Syndrome 3 antipsychotic family including haloperidol, which first had documented success in 1961 6,7 are still being used, although successive generations of "atypicals" are currently more in vogue,as are medications such as alpha-2-adrenergic agonists. Interestingly, haloperidol remains the only medication prescribed on licence in many parts of the world. In contrast to disorders such as ADHD, in which it is clear which treatments work and which do not require further study 8 , a variety of treatment studies in GTS are still being undertaken, including using other medications (trying to improve efficacy and reduce side effects), behavioural therapies, deep brain stimulation (for refractory cases), and other more "alternative" methods such as "orthotics" (teeth braces). The GTS community has to first agree on how common GTS is and then seek funding for research in the areas of major importance.2. Epidemiology [suggested 500 words, is 444 words, 6 additional refs] Mary Robertson GTS was for many years thought to be not only very rare, but a bizarre curiosity, with sporadic case reports peppering the literature. The belief that GTS was uncommon at the very least was held by many until Comings 9 controversially suggested that GTS occurred in between 0.66% and...

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“…At least three published studies have investigated the feasibility and efficacy of doing CBIT remotely via teleconferencing (Himle et al, 2012;Ricketts, Goetz, et al, 2016). In these studies, CBIT has demonstrated efficacy when delivered entirely via videoconferencing.…”

Section: Planning For Treatment Generalization and Maintenancementioning

confidence: 99%

On Protocols and Principles in the Case of Hiro

Capriotti¹

2017

PCSP

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Dr. Jeremy Lichtman (2017, in this issue) presents a case of successful behavioral treatment of tics in "Hiro," a 10-year-old boy with Tourette Syndrome (TS) and attention-deficit/hyperactivity disorder (ADHD). This commentary discusses the case of Hiro from a principle-oriented approach, with particular focus on issues related to parental involvement in treatment, addressing comorbidity and therapy-interfering behavior, and planning for generalization and long-term maintenance.

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A randomized pilot trial comparing videoconference versus face-to-face delivery of behavior therapy for childhood tic disorders

Cited by 162 publications

References 16 publications

Pilot Open Case Series of Voice over Internet Protocol-Delivered Assessment and Behavior Therapy for Chronic Tic Disorders

Pilot Open Case Series of Voice over Internet Protocol-Delivered Assessment and Behavior Therapy for Chronic Tic Disorders

Gilles de la Tourette syndrome

On Protocols and Principles in the Case of Hiro

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