Tourette Syndrome in Adolescence, Social Adjustment, Psychosocial Functioning
Conditions
Keywords
Tourette Syndrome, Depression, social adjustment, board game, Positive mental health
Brief summary
The study aims to investigate the effectiveness of using a board game to improve adolescents' tics, mental health, and interpersonal interactions.
Detailed description
This study utilizes a randomized control study design. According to the situated learning theory and qualitative research findings, this study develops a board game. This study enrolled adolescents with Tourette syndrome aged 12 to 18 as the subjects. Participants played board games at home at least once (about 60 minutes) a week for four consecutive weeks. The control group received the usual standard of care (psychoeducation regarding Tourette Syndrome and one 50-mg tablet of pyridoxine daily). The effectiveness indicators include self-reported status of positive mental health, tics severity, social adjustment, and depression by adolescents with TS.
Interventions
BEHAVIORALboard game
A board game was designed based on situated learning theory and the results of relevant studies. This board game contains a summary, answer booklet, and multiple card game tasks including situations of interpersonal interaction. The participants must discuss, share personal experiences, and find the answer together.
Sponsors
Ministry of Science and Technology, Taiwan
Chang Gung Children's Hospital
National Taipei University of Nursing and Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
12 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Adolescents between the ages of 12 and 18 years were diagnosed with Tourette Syndrome or chronic tics disorder by a pediatrician, according to the DSM V. * Ability to speak and understand Mandarin. * Adolescents and their parents were willing to participate and fill in consent forms.
Exclusion criteria
· Adolescents with Tourette Syndrome have mental illness and serious diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Positive Mental Health Scale | Pre-intervention (baseline), immediately after completion of the intervention (4 weeks after baseline) and at follow-up (12 weeks post-baseline). | This study will use the Positive Mental Health Scale(25 items) to evaluate adolescents' degree of positive mental health. The lowest and highest total scores were 25 and 125, respectively. A high score indicates favorable positive mental health. |
| Yale Global Tic Severity Scale | Pre-intervention (baseline), immediately after completion of the intervention (4 weeks after baseline) and at follow-up (12 weeks post-baseline). | The Yale Global Tic Severity Scale (YGTSS) will assess participants' motor and vocal tics' frequency, intensity, number, complexity, and interference. YGTSS also includes an overall Impairment Rating to determine each participant's interpersonal, academic, and occupational skill domains. Finally, the Global Severity Score will be acquired by adding the Total Motor Tic Score(0-25), Total Vocal Tic Score (0-25), and Overall Impairment Rating (0-50). The YGTSS has a total score ranging from 0 to 100, with the high score indicating a higher tics severity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Social adjustment scale for adolescents with Tourette syndrome | Pre-intervention (baseline), immediately after completion of the intervention (4 weeks after baseline) and at follow-up (12 weeks post-baseline). | This study will use the social adjustment scale for adolescents with Tourette syndrome(17 items) to assess participants' level of social adjustment. The lowest and highest total scores were 17 and 68, respectively. A high score indicates favorable social adjustment. |
| Chinese Version Beck Youth Inventories II (depression inventory) | Pre-intervention (baseline), immediately after completion of the intervention (4 weeks after baseline) and at follow-up (12 weeks post-baseline). | Chinese Version Beck Youth Inventories II (depression inventory)will used in this research to evaluate adolescents' depression. The depression inventory(20 items) has a total score ranging from 0 to 60, with a high score indicating a higher depression. |
Countries
Taiwan
Outcome results
None listed