CBIT Therapist Training for Tourette Syndrome
(CBIT-Trainer Trial)
Recruiting in Palo Alto (17 mi)
+1 other location
Age: Any Age
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: University of Utah
Disqualifiers: Serious psychiatric, neurological conditions, others
No Placebo Group
Trial Summary
What is the purpose of this trial?Tic disorders are a class of childhood-onset neuropsychiatric disorders that occur in 1-3% of the population. Studies have shown that a non-drug treatment known as Comprehensive Behavioral Intervention for Tics (CBIT) is more effective than supportive therapy for reducing tics in children and adults. Although CBIT is now recommended as a first-line intervention for tic disorders, many patients do not have access to CBIT, in part due to a lack of trained therapists. Currently, the only option available for training therapists in CBIT is an intensive, two day, in-person behavior therapy training institute (BTTI). This study will compare the traditional in-person training approach to a recently developed online, self-paced CBIT therapist training program called CBIT-Trainer with regard to (1) therapists' ability to accurately administer CBIT and (2) change in the severity of patients' tic symptoms after being treated by a CBIT-trained therapist.
Do I need to stop my current medications to join the trial?
The trial information does not specify whether you need to stop taking your current medications. It focuses on a behavioral therapy for tics, so it's best to discuss your medications with the study team or your doctor.
What data supports the effectiveness of this treatment for Tourette Syndrome?
Research shows that Comprehensive Behavioral Intervention for Tics (CBIT) is effective in reducing tic symptoms in people with Tourette Syndrome. Studies have demonstrated that CBIT can significantly decrease tic severity and improve daily functioning, making it a recommended first-line treatment for tic disorders.
12345Is CBIT safe for treating Tourette Syndrome?
CBIT is considered a safe treatment for managing tics in Tourette Syndrome, with evidence from multiple studies supporting its safety and effectiveness compared to medications.
12356How is the CBIT treatment different from other treatments for Tourette Syndrome?
CBIT (Comprehensive Behavioral Intervention for Tics) is unique because it is a non-drug therapy that focuses on behavioral techniques to manage tics, unlike most treatments that rely on medication. It has been shown to be effective in reducing tic severity and maintaining benefits over time, making it a first-line treatment option for Tourette Syndrome.
12567Eligibility Criteria
This trial is for licensed therapists with a Master's degree or higher in mental/behavioral health, medical, or related fields. They must be able to travel for training and find at least one patient with tic disorders to participate. Patients should have a diagnosed tic disorder, be 7 years old or older, speak English fluently, and have internet access.Inclusion Criteria
Speaks fluent English
Access to a private computer with high-speed internet access
I am at least 7 years old. If under 18, I have a consenting adult.
+10 more
Exclusion Criteria
Patient is a first, second, or third degree biological relative of the study-matched therapist or if the study-matched therapist is the patient's legal guardian
I cannot participate if a suitable therapist for me is not found.
You have a serious mental or neurological condition that needs urgent treatment or would make it hard for you to take part in the study, according to your doctor or the study team.
+1 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2 weeks
Training
Therapists undergo either in-person or online training to deliver CBIT
2 weeks
1 visit (in-person) or self-paced online
Treatment
Therapists administer CBIT to patients, and outcomes are assessed
10 weeks
Regular sessions with patients
Follow-up
Participants are monitored for safety and effectiveness after treatment
14 weeks
Assessments at 6-month follow-up
Participant Groups
The study compares traditional in-person CBIT therapist training to an online self-paced program called CBIT-Trainer. It evaluates the effectiveness of each method by assessing therapists' ability to administer CBIT and the resulting change in patients' tic severity.
2Treatment groups
Experimental Treatment
Active Control
Group I: Online Therapist TrainingExperimental Treatment1 Intervention
Group II: In-Person Therapist TrainingActive Control1 Intervention
Behavior Therapy Training Institute is already approved in United States, European Union for the following indications:
🇺🇸 Approved in United States as Comprehensive Behavioral Intervention for Tics for:
- Tic disorders
- Tourette syndrome
🇪🇺 Approved in European Union as Comprehensive Behavioral Intervention for Tics for:
- Tic disorders
- Tourette syndrome
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
University of UtahSalt Lake City, UT
Marquette UniversityMilwaukee, WI
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Who Is Running the Clinical Trial?
University of UtahLead Sponsor
PsycTech, LLCCollaborator
Marquette UniversityCollaborator
References
Current controversies on the role of behavior therapy in Tourette syndrome. [2021]Comprehensive behavioral intervention for tics (CBIT) is a safe and effective treatment for managing the tics of Tourette syndrome (TS). In contrast to most current medications used for the treatment of tics, the efficacy of CBIT has been demonstrated in 2 relatively large, multisite trials. It also shows durability of benefit over time. Similar to psychopharmacological intervention, skilled practitioners are required to implement the intervention. Despite concerns about the effort required to participate in CBIT, patients with TS and parents of children with TS appear willing to meet the requirements of the CBIT program. Efforts are under way to increase the number of trained CBIT providers in the United States. Based on available evidence, recent published guidelines suggest that CBIT can be considered a first-line treatment for persons with tic disorders. © 2013 Movement Disorder Society.
Pilot Testing Behavior Therapy for Chronic Tic Disorders in Neurology and Developmental Pediatrics Clinics. [2016]Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment with limited regional availability. As neurology and pediatric clinics are often the first point of therapeutic contact for individuals with tics, the present study assessed preliminary treatment response, acceptability, and feasibility of an abbreviated version, modified for child neurology and developmental pediatrics clinics. Fourteen youth (9-17) with Tourette disorder across 2 child neurology clinics and one developmental pediatrics clinic participated in a small case series. Clinician-rated tic severity (Yale Global Tic Severity Scale) decreased from pre- to posttreatment, z = -2.0, P
Effects of Group Comprehensive Behavioral Intervention for Tics in Children With Tourette's Disorder and Chronic Tic Disorder. [2022]Comprehensive behavioral intervention for tics (CBIT) is effective in children with chronic tic disorders. This study aimed to assess the effect of group-based CBIT (group-CBIT) on tic severity and comorbid symptoms. We compared the efficacy of group CBIT with that of a control.
Comprehensive behavioral intervention to improve occupational performance in children with Tourette disorder. [2013]OBJECTIVE. We evaluated the efficacy of a comprehensive behavioral intervention for tics (CBIT) program to reduce tic severity and improve occupational performance in children with tic disorder using a one-group pretest-posttest design. METHOD. Thirty children with tic disorder completed an eight-session CBIT program. The program focused on habit reversal, relaxation training, and function-based approaches to address how the environment and social situations (antecedents and consequences) sustain or influence tic severity. RESULTS. We observed significant reduction in the number of tics and improvement in scores on the Parent Tic Questionnaire, Subjective Units of Distress Scale, and Child Occupational Self Assessment after CBIT compared with scores at baseline. CONCLUSION. Findings provided support that CBIT reduced the number of tic expressions, tic severity, and level of distress associated with tic and improved these children's self-perception of their competence in and importance of performing everyday activities (i.e., occupational performance).
The therapeutic effect of habit reversal training for Tourette syndrome: a meta-analysis of randomized control trials. [2021]Comprehensive behavioral intervention for tics (CBIT) and habit reversal training (HRT) are forms of cognitive behavioral therapy that can effectively reduce tic symptoms in patients with tic disorders, but their efficacies and potential moderators were needed to be clarified.
Group behavioral interventions for tics and comorbid symptoms in children with chronic tic disorders. [2022]Exposure and Response Prevention (ERP), Habit Reversal Training (HRT) and Comprehensive Behavioral Intervention for Tics (CBIT) are effective in reducing tic severity. ERP and HRT have recently gained primary support in a group setting, while CBIT has not been examined similarly. We compared the efficacy of group-CBIT to group-Educational Intervention for Tics (group-EIT) for tics and comorbid symptoms. Children with Tourette Syndrome (TS) or Chronic Tic Disorder (CTD) were randomized to group-CBIT or group-EIT. Tics and comorbid symptoms were assessed in forty-six children pre- and postintervention, and 3-month later. Yale Global Tic Severity Scale (YGTSS) Motor tic severity decreased following both interventions, and was maintained at follow-up for group-CBIT only. The Parent Tic Questionnaire (PTQ) showed significant decrease in total and motor tic severity following group-CBIT only, a gain maintained three months later. YGTSS impairment score decreased following both interventions and was maintained at follow-up. YGTSS vocal tic severity score increased following both interventions, and then decreased significantly at follow up. Co-morbid symptoms including anxiety, behavioral problems, and aggressive behavior decreased following both interventions. Children with behavioral problems benefitted less while children with higher intellectual ability benefit more from intervention. Both group interventions showed efficacy in reducing tic impairment and comorbid symptoms. Group-CBIT was superior to group-EIT in reducing motor tic severity at 3-month follow-up, showing an advantage for tic-focused treatment. Based on the PTQ, group-CBIT was superior to group-EIT in reducing motor, vocal, and total tic scores, a gain maintained three months later. Clinical trial registry information-Group Intervention for Children with Chronic Tics Syndrome: CBIT vs Psychoeducational Intervention URL: http://clinicaltrials.gov , Identifier: NCT02407951, http://www.controlled-trials.com ).
Habit reversal training for children with tourette syndrome: update and review. [2018]Habit reversal training (HRT) is emerging as an efficacious behavioral intervention for Tourette syndrome in children and adults.