Therapist-Supported Internet-Delivered Exposure and Response Prevention for Children and Adolescents With Tourette Syndrome

Andrén, Per; Holmsved, Moa; Ringberg, Helene; Wachtmeister, Vera; Isomura, Kayoko; Aspvall, Kristina; Lenhard, Fabian; Hall, Charlotte L; Davies, E Bethan; Murphy, Tara; Hollis, Chris; Sampaio, Filipa; Feldman, Inna; Bottai, Matteo; Serlachius, Eva; Andersson, Erik; Cruz, Lorena Fernández de la; Mataix‐Cols, David

doi:10.1001/jamanetworkopen.2022.25614

Cited by 14 publications

(22 citation statements)

References 39 publications

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“…In ERP, patients are trained to suppress any or all tics as they are exposed to greater and greater stimuli (whether it be premonitory urges or environmental factors that elicit tics) for long periods of time [ 44 ]. The most recent ERP vs. psychoeducation RCT had 221 participants between the ages of 9–17 years old [ 45 ]. The treatment response rates were significantly higher in the ERP arm than the psychoeducation arm (47% vs. 29%; p = 0.05) [ 45 ].…”

Section: Epidemiologymentioning

confidence: 99%

“…The most recent ERP vs. psychoeducation RCT had 221 participants between the ages of 9–17 years old [ 45 ]. The treatment response rates were significantly higher in the ERP arm than the psychoeducation arm (47% vs. 29%; p = 0.05) [ 45 ]. A unique aspect to this study was that it was all done through internet visits and still showed significant improvement in treatment response with ERP.…”

Section: Epidemiologymentioning

confidence: 99%

See 1 more Smart Citation

Emerging therapies and recent advances for Tourette syndrome

Chou

Agin‐Liebes

Kuo

2023

Heliyon

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Section: Epidemiologymentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

Emerging therapies and recent advances for Tourette syndrome

Chou

Agin‐Liebes

Kuo

2023

Heliyon

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“…In addition, the results indicated that the internet delivered version had equal effects compared to the face-to-face version 35 . A Swedish RCT published in 2022 compared therapist-supported internet delivered ERP with therapistsupported internet delivered psychoeducation and found that both were associated with reduction in tic severity, but response rates and satisfaction were significantly higher in the ERP group 36 .…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Exposure and Response Prevention for Children and Adolescents with Tourette Syndrome Delivered via Web-Based Videoconference versus Face-to-Face Method

et al. 2022

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Chronic tic disorders, such as Tourette Syndrome, are characterized by motor and vocal tics. Tics present a considerable burden for some patients, and therefore effective treatment is important. One evidence-based treatment option is a behavioral therapy called Exposure and Response Prevention (ERP). Despite its effectiveness, access to ERP remains limited due to a lack of treatment sites. Web-based videoconferences can connect patients at home with a therapist located in the hospital, allowing for treatment delivery over a wide geographic area. The primary aim of this study was to compare the development of tics during and one year after ERP delivered respectively via web-based videoconferences and traditional face-to-face methods in a naturalistic setting. 116 patients treated using either the face-to-face method (n = 72) or web-based videoconferences (n = 44) were included. The primary outcome measure was tic severity. In both training modalities, tic severity decreased during ERP and the effect lasted in the follow-up period. No statistically significant differences in tic severity between the training modalities were found at baseline, last training session or at follow-up. Our results suggest that ERP delivered via web-based videoconferences is a good alternative to the traditional face-to-face method.

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“…education for tics 21,25 . In guidelines from The American Academy of neurology 29 , insufficient evidence was found to recommend ERP as first-line treatment, since only one study with very low confidence in evidence has compared the effect of HRT vs. ERP 28 .…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…BT is traditionally offered as face-to-face with a clinician in a hospital environment, but during recent years more novel treatment delivery modalities have been tested, including web-based videoconferencing and online approaches [21][22][23][24][25] .…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Exposure and Response Prevention: Evaluation of Tic Severity Over Time for Children and Adolescents with Tourette Syndrome and Chronic Tic Disorders

et al. 2022

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Tourette Syndrome and Chronic tic disorders are characterized by the presence of tics. Different behavioral therapies have shown to be efficacious for treating tics in children and adolescents, but Exposure and Response Prevention (ERP) is a less researched method. However, ERP is a method often used in the clinical setting. Therefore, the present study evaluated the severity of tics over time from beginning of ERP to follow-up approximately one year after last training session. 116 patients treated with ERP face-to-face or ERP via web-based videoconferencing were included. Primary outcome measure was tic severity measured with the Danish version of the Yale Global Tic Severity Scale. The results showed that tic severity decreased during ERP and lasted in the follow-up period, with a statistically higher decrease in the group with patients who completed ERP as planned and the group that stopped earlier than planned because of reduction in tics, compared to those who dropped out due to lack of motivation (p<0.001). The study concludes that ERP seems to have an immediate and a long-term effect on severity of tics, especially in those who complete the programme or those who discontinue earlier due to good results.

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Therapist-Supported Internet-Delivered Exposure and Response Prevention for Children and Adolescents With Tourette Syndrome

Cited by 14 publications

References 39 publications

Emerging therapies and recent advances for Tourette syndrome

Emerging therapies and recent advances for Tourette syndrome

Exposure and Response Prevention for Children and Adolescents with Tourette Syndrome Delivered via Web-Based Videoconference versus Face-to-Face Method

Exposure and Response Prevention: Evaluation of Tic Severity Over Time for Children and Adolescents with Tourette Syndrome and Chronic Tic Disorders

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