Tourette'
Conditions
Interventions
A behavioral therapy program for tic disorders, combining nine e-learning sessions and three online therapist-guided meetings, developed with reference to the Comprehensive Behavioral Intervention for
Sponsors
Shirayuri University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age: Participants aged 8 to 15 years (equivalent to Japanese elementary school grade 3 to junior high school grade 3) at the time of consent. 2. Diagnosis: Diagnosed with a tic disorder (Tourette's disorder or persistent/chronic motor or vocal tic disorder). 3. Treatment stability: No changes in medication or other treatments for at least six weeks prior to program initiation, and no planned changes during the study period. 4. Physician approval: Participation approved by the treating physician. 5. Technical environment: A personal computer or tablet available at home with an internet environment capable of using Zoom. 6. Parental involvement: A parent or guardian who can participate with the child in practicing habit reversal exercises. 7. Consent: Written informed consent obtained from both the participant and the parent/guardian. 8. Language ability: Sufficient Japanese language ability for reading, writing, watching videos, and engaging in face-to-face communication.
Exclusion criteria
Exclusion criteria: 1. Individuals with severe psychiatric disorders that require treatment prior to intervention for tic symptoms. 2. Individuals with an IQ of 85 or below on a standardized intelligence test (e.g., WISC-IV/V or Tanaka-Binet Intelligence Test V), if such testing has been conducted. 3. Individuals who have previously received four or more sessions of behavioral therapy for tics (e.g., Habit Reversal Training (HRT) or Exposure and Response Prevention (ERP)). (Each session defined as 30 minutes or longer, including both individual and group formats.)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in tic symptom severity from baseline to post-intervention and at follow-up will be assessed using the Yale Global Tic Severity Scale-Total Tic Severity Score (YGTSS-TTS). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes include the YGTSS Impairment score, social functioning (Modified Global Assessment of Functioning: m-GAF), premonitory urges (Premonitory Urge for Tics Scale: PUTS), quality of life (KINDL-R), awareness and rumination about tic-related sensations (Rumination and Awareness Scale for tic-associated sensations : RASTS), tic suppressibility (Tic Suppressibility Scale), parental stress (Stress Response Scale-18: SRS-18), parent-rated tic symptoms (Parent Tic Questionnaire: PTQ), treatment satisfaction (Client Satisfaction Questionnaire-8: CSQ-8), and clinician-rated global improvement (Clinician Global Impression-Improvement: CGI-I). These outcomes will be assessed at baseline, post-intervention, and follow-up. | — |
Countries
Japan
Contacts
Public ContactNatsumi Matsuda
Shirayuri University Department of Developmental Psychology
Outcome results
None listed