Tic Treatment Goes Tech: A Review of TicHelper.com

Conelea, Christine A.; Wellen, Brianna

doi:10.1016/j.cbpra.2017.01.003

Cited by 32 publications

(16 citation statements)

References 14 publications

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“…Therapist-guided internet-delivered self-help programmes have proven to be effective for a range of different mental health problems in both children and adults,9 10 but have yet to be evaluated in TD/PTD. To our knowledge, two unguided internet-delivered programmes11 12 are currently being evaluated in children and adults with TD/PTD (both based on HRT protocols). While pure self-help approaches are attractive due to the low costs of implementation, concerns have been raised about low adherence rates 13…”

Section: Introductionmentioning

confidence: 99%

Therapist-guided and parent-guided internet-delivered behaviour therapy for paediatric Tourette’s disorder: a pilot randomised controlled trial with long-term follow-up

Andrén¹,

Aspvall²,

Cruz³

et al. 2019

BMJ Open

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ObjectiveBehaviour therapy (BT) for Tourette’s disorder (TD) and persistent (chronic) motor or vocal tic disorder (PTD) is rarely available. We evaluated the feasibility of adapting two existing BT protocols for TD/PTD (habit reversal training (HRT) and exposure and response prevention (ERP)) into a therapist-guided and parent-guided online self-help format.DesignA pilot, single-blind, parallel group randomised controlled trial.SettingA specialist outpatient clinic in Sweden.ParticipantsTwenty-three young people with TD/PTD, aged 8–16.InterventionsTwo 10-week therapist-guided and parent-guided internet-delivered programmes (called BIP TIC HRT and BIP TIC ERP).OutcomeThe primary outcome measure was the Yale Global Tic Severity Scale. Blinded evaluators rated symptoms at baseline, post-treatment and 3-month follow-up (primary endpoint). All participants were naturalistically followed up to 12 months after treatment.ResultsPatients and parents rated the interventions as highly acceptable, credible and satisfactory. While both interventions resulted in reduced tic-related impairment, parent-rated tic severity and improved quality of life, only BIP TIC ERP resulted in a significant improvement on the primary outcome measure. Within-group effect sizes and responder rates were, respectively: d=1.12 and 75% for BIP TIC ERP, and d=0.50 and 55% for BIP TIC HRT. The therapeutic gains were maintained up to 12 months after the end of the treatment. Adverse events were rare in both groups. The average therapist support time was around 25 min per participant per week.ConclusionsInternet-delivered BT has the potential to greatly increase access to evidence-based treatment for young people with TD/PTD. Further evaluation of the efficacy and cost-effectiveness of this treatment modality is warranted.Trial registration numberNCT02864589; Pre-results.

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Section: Introductionmentioning

confidence: 99%

Therapist-guided and parent-guided internet-delivered behaviour therapy for paediatric Tourette’s disorder: a pilot randomised controlled trial with long-term follow-up

Andrén¹,

Aspvall²,

Cruz³

et al. 2019

BMJ Open

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“…An internet-based, therapist-guided behavior therapy for tics is being studied in the BiP-TIC project ( Karlsson, 2016 ). The TicHelper.com internet-based CBIT program went live in late 2017 and received a positive review ( Conelea & Wellen, 2017 ).…”

Section: Resultsmentioning

confidence: 99%

Tourette syndrome research highlights from 2017

2018

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This is the fourth yearly article in the Tourette Syndrome Research Highlights series, summarizing research from 2017 relevant to Tourette syndrome and other tic disorders. The authors briefly summarize reports they consider most important or interesting. The highlights from 2018 article is being drafted on the Authorea online authoring platform, and readers are encouraged to add references or give feedback on our selections using the comments feature on that page. After the calendar year ends, the article is submitted as the annual update for the Tics collection on F1000Research.

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“…One of such examples, which has been already implemented is (“TicHelper”), an interactive online treatment program for youth with chronic tic disorders or TS and their parents. This treatment program is easily navigable, provides clear instructions and appropriate content, and thus it is a potentially useful dissemination tool to make CBIT more accessible to families and patients ( 27 ).…”

Section: Discussionmentioning

confidence: 99%

Tourette Syndrome: A Mini-Review

2018

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The purpose of this mini-review is to provide the latest information on epidemiology, pathophysiology, diagnosis, and treatment of Tourette syndrome (TS). The authors conducted a literature search of available sources describing the issue of tic disorders with special focus on TS and made a comparison and evaluation of relevant findings. The results of this mini-review indicate that TS is a complex disorder, which has a significant impact on the quality of life of both the patients and his/her family. Therefore, early and proper diagnosis and treatment are necessary in order to reduce or even eliminate both symptoms and social burden of the patient. This requires a multidisciplinary management approach in order to meet the patients’ special needs. Future research should focus on neuroimaging, new neurotransmitter targets, in functional neurosurgery, as well as the effect of non-pharmacological psychotherapies for these people.

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Tic Treatment Goes Tech: A Review of TicHelper.com

Cited by 32 publications

References 14 publications

Therapist-guided and parent-guided internet-delivered behaviour therapy for paediatric Tourette’s disorder: a pilot randomised controlled trial with long-term follow-up

Therapist-guided and parent-guided internet-delivered behaviour therapy for paediatric Tourette’s disorder: a pilot randomised controlled trial with long-term follow-up

Tourette syndrome research highlights from 2017

Tourette Syndrome: A Mini-Review

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