A randomized waitlist-controlled pilot trial of voice over Internet protocol-delivered behavior therapy for youth with chronic tic disorders
Introduction Comprehensive Behavioral Intervention for Tics (CBIT) has been shown to be efficacious for chronic tic disorders (CTDs), but utilization is limited by a lack of treatment providers and perceived financial and time burden of commuting to treatment. A promising alternative to in-person de...
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| Veröffentlicht in: | Journal of telemedicine and telecare 2016-04, Vol.22 (3), p.153-162 |
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| creator | Ricketts, Emily J Goetz, Amy R Capriotti, Matthew R Bauer, Christopher C Brei, Natalie G Himle, Michael B Espil, Flint M Snorrason, Ívar Ran, Dagong Woods, Douglas W |
| description | Introduction
Comprehensive Behavioral Intervention for Tics (CBIT) has been shown to be efficacious for chronic tic disorders (CTDs), but utilization is limited by a lack of treatment providers and perceived financial and time burden of commuting to treatment. A promising alternative to in-person delivery is voice over Internet protocol (VoIP), allowing for remote, real-time treatment delivery to patients’ homes. However, little is known about the effectiveness of VoIP for CTDs. Therefore, the present study examined the preliminary efficacy, feasibility, and acceptability of VoIP-delivered CBIT (CBIT-VoIP).
Methods
Twenty youth (8–16 years) with CTDs participated in a randomized, waitlist-controlled pilot trial of CBIT-VoIP. The main outcome was pre- to post-treatment change in clinician-rated tic severity (Yale Global Tic Severity Scale). The secondary outcome was clinical responder rate (Clinical Global Impressions – Improvement Scale), assessed using ratings of ‘very much improved’ or ‘much improved’ indicating positive treatment response.
Results
Intention-to-treat analyses with the last observation carried forward were performed. At post-treatment (10-weeks), significantly greater reductions in clinician-rated, (F(1,18) = 3.05, p |
| doi_str_mv | 10.1177/1357633X15593192 |
| format | Article |
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Comprehensive Behavioral Intervention for Tics (CBIT) has been shown to be efficacious for chronic tic disorders (CTDs), but utilization is limited by a lack of treatment providers and perceived financial and time burden of commuting to treatment. A promising alternative to in-person delivery is voice over Internet protocol (VoIP), allowing for remote, real-time treatment delivery to patients’ homes. However, little is known about the effectiveness of VoIP for CTDs. Therefore, the present study examined the preliminary efficacy, feasibility, and acceptability of VoIP-delivered CBIT (CBIT-VoIP).
Methods
Twenty youth (8–16 years) with CTDs participated in a randomized, waitlist-controlled pilot trial of CBIT-VoIP. The main outcome was pre- to post-treatment change in clinician-rated tic severity (Yale Global Tic Severity Scale). The secondary outcome was clinical responder rate (Clinical Global Impressions – Improvement Scale), assessed using ratings of ‘very much improved’ or ‘much improved’ indicating positive treatment response.
Results
Intention-to-treat analyses with the last observation carried forward were performed. At post-treatment (10-weeks), significantly greater reductions in clinician-rated, (F(1,18) = 3.05, p < 0.05, partial η2 = 0.15), and parent-reported tic severity, (F(1,18) = 6.37, p < 0.05, partial η2 = 0.26) were found in CBIT-VoIP relative to waitlist. One-third (n = 4) of those in CBIT-VoIP were considered treatment responders. Treatment satisfaction and therapeutic alliance were high.
Discussion
CBIT can be delivered via VoIP with high patient satisfaction, using accessible, low-cost equipment. CBIT-VoIP was generally feasible to implement, with some audio and visual challenges. Modifications to enhance treatment delivery are suggested.</description><identifier>ISSN: 1357-633X</identifier><identifier>EISSN: 1758-1109</identifier><identifier>DOI: 10.1177/1357633X15593192</identifier><identifier>PMID: 26169350</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Behavior modification ; Behavior Therapy - methods ; Child ; Chronic Disease ; Disorders ; Effectiveness ; Feasibility Studies ; Female ; Humans ; Internet ; Male ; Mental Health Services - organization & administration ; Patient Acceptance of Health Care ; Patients ; Pilot Projects ; Pilots ; Severity of Illness Index ; Telemedicine - methods ; Telephones ; Tic Disorders - therapy ; Videoconferencing ; Voice ; VoIP (protocol) ; Waiting Lists ; Youth</subject><ispartof>Journal of telemedicine and telecare, 2016-04, Vol.22 (3), p.153-162</ispartof><rights>The Author(s) 2015</rights><rights>The Author(s) 2015.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-6fa9b6134e24101171ca6ae8497688ea0d5726a4df30217f5906e4fa9dc438363</citedby><cites>FETCH-LOGICAL-c495t-6fa9b6134e24101171ca6ae8497688ea0d5726a4df30217f5906e4fa9dc438363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1357633X15593192$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1357633X15593192$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>230,314,780,784,885,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26169350$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ricketts, Emily J</creatorcontrib><creatorcontrib>Goetz, Amy R</creatorcontrib><creatorcontrib>Capriotti, Matthew R</creatorcontrib><creatorcontrib>Bauer, Christopher C</creatorcontrib><creatorcontrib>Brei, Natalie G</creatorcontrib><creatorcontrib>Himle, Michael B</creatorcontrib><creatorcontrib>Espil, Flint M</creatorcontrib><creatorcontrib>Snorrason, Ívar</creatorcontrib><creatorcontrib>Ran, Dagong</creatorcontrib><creatorcontrib>Woods, Douglas W</creatorcontrib><title>A randomized waitlist-controlled pilot trial of voice over Internet protocol-delivered behavior therapy for youth with chronic tic disorders</title><title>Journal of telemedicine and telecare</title><addtitle>J Telemed Telecare</addtitle><description>Introduction
Comprehensive Behavioral Intervention for Tics (CBIT) has been shown to be efficacious for chronic tic disorders (CTDs), but utilization is limited by a lack of treatment providers and perceived financial and time burden of commuting to treatment. A promising alternative to in-person delivery is voice over Internet protocol (VoIP), allowing for remote, real-time treatment delivery to patients’ homes. However, little is known about the effectiveness of VoIP for CTDs. Therefore, the present study examined the preliminary efficacy, feasibility, and acceptability of VoIP-delivered CBIT (CBIT-VoIP).
Methods
Twenty youth (8–16 years) with CTDs participated in a randomized, waitlist-controlled pilot trial of CBIT-VoIP. The main outcome was pre- to post-treatment change in clinician-rated tic severity (Yale Global Tic Severity Scale). The secondary outcome was clinical responder rate (Clinical Global Impressions – Improvement Scale), assessed using ratings of ‘very much improved’ or ‘much improved’ indicating positive treatment response.
Results
Intention-to-treat analyses with the last observation carried forward were performed. At post-treatment (10-weeks), significantly greater reductions in clinician-rated, (F(1,18) = 3.05, p < 0.05, partial η2 = 0.15), and parent-reported tic severity, (F(1,18) = 6.37, p < 0.05, partial η2 = 0.26) were found in CBIT-VoIP relative to waitlist. One-third (n = 4) of those in CBIT-VoIP were considered treatment responders. Treatment satisfaction and therapeutic alliance were high.
Discussion
CBIT can be delivered via VoIP with high patient satisfaction, using accessible, low-cost equipment. CBIT-VoIP was generally feasible to implement, with some audio and visual challenges. Modifications to enhance treatment delivery are suggested.</description><subject>Adolescent</subject><subject>Behavior modification</subject><subject>Behavior Therapy - methods</subject><subject>Child</subject><subject>Chronic Disease</subject><subject>Disorders</subject><subject>Effectiveness</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Internet</subject><subject>Male</subject><subject>Mental Health Services - organization & administration</subject><subject>Patient Acceptance of Health Care</subject><subject>Patients</subject><subject>Pilot Projects</subject><subject>Pilots</subject><subject>Severity of Illness Index</subject><subject>Telemedicine - methods</subject><subject>Telephones</subject><subject>Tic Disorders - therapy</subject><subject>Videoconferencing</subject><subject>Voice</subject><subject>VoIP (protocol)</subject><subject>Waiting Lists</subject><subject>Youth</subject><issn>1357-633X</issn><issn>1758-1109</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk1rFTEUhoMotl7du5KAGzej-c7MRijFj0LBjYK7kJs500nJnYxJ5pbb39Af3VxvrVoQF0kOeZ_3JOdwEHpJyVtKtX5HudSK8-9Uyo7Tjj1Cx1TLtqGUdI9rXOVmrx-hZzlfEsKokN1TdMQUVR2X5BjdnOBkpz5u_DX0-Mr6EnwujYtTSTGEejf7EAsuyduA44C30TvAcQsJn00F0gQFzymW6GJoegi-KtW1htFufUy4jJDsvMNDjXdxKSO-8nVzY4qTd7jU1fscUw8pP0dPBhsyvLg7V-jbxw9fTz83518-nZ2enDdOdLI0arDdWlEugAlKaiOos8pCKzqt2hYs6aVmyop-4LViPciOKBDV1DvBW674Cr0_5J2X9QZ6B7VYG8yc_MamnYnWm7-VyY_mIm6NIpyz2tAVenOXIMUfC-RiNj47CMFOEJdsaEuI0IRp_X9Ua0EVJz_R1w_Qy7ikqXbCMEZIJ5kWe4ocKJdizgmG-39TYvZTYR5ORbW8-rPee8OvMahAcwCyvYDfr_4z4S2excIz</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Ricketts, Emily J</creator><creator>Goetz, Amy R</creator><creator>Capriotti, Matthew R</creator><creator>Bauer, Christopher C</creator><creator>Brei, Natalie G</creator><creator>Himle, Michael B</creator><creator>Espil, Flint M</creator><creator>Snorrason, Ívar</creator><creator>Ran, Dagong</creator><creator>Woods, Douglas W</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>7U5</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>L7M</scope><scope>5PM</scope></search><sort><creationdate>20160401</creationdate><title>A randomized waitlist-controlled pilot trial of voice over Internet protocol-delivered behavior therapy for youth with chronic tic disorders</title><author>Ricketts, Emily J ; Goetz, Amy R ; Capriotti, Matthew R ; Bauer, Christopher C ; Brei, Natalie G ; Himle, Michael B ; Espil, Flint M ; Snorrason, Ívar ; Ran, Dagong ; Woods, Douglas W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c495t-6fa9b6134e24101171ca6ae8497688ea0d5726a4df30217f5906e4fa9dc438363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Behavior modification</topic><topic>Behavior Therapy - methods</topic><topic>Child</topic><topic>Chronic Disease</topic><topic>Disorders</topic><topic>Effectiveness</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Internet</topic><topic>Male</topic><topic>Mental Health Services - organization & administration</topic><topic>Patient Acceptance of Health Care</topic><topic>Patients</topic><topic>Pilot Projects</topic><topic>Pilots</topic><topic>Severity of Illness Index</topic><topic>Telemedicine - methods</topic><topic>Telephones</topic><topic>Tic Disorders - therapy</topic><topic>Videoconferencing</topic><topic>Voice</topic><topic>VoIP (protocol)</topic><topic>Waiting Lists</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ricketts, Emily J</creatorcontrib><creatorcontrib>Goetz, Amy R</creatorcontrib><creatorcontrib>Capriotti, Matthew R</creatorcontrib><creatorcontrib>Bauer, Christopher C</creatorcontrib><creatorcontrib>Brei, Natalie G</creatorcontrib><creatorcontrib>Himle, Michael B</creatorcontrib><creatorcontrib>Espil, Flint M</creatorcontrib><creatorcontrib>Snorrason, Ívar</creatorcontrib><creatorcontrib>Ran, Dagong</creatorcontrib><creatorcontrib>Woods, Douglas W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of telemedicine and telecare</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ricketts, Emily J</au><au>Goetz, Amy R</au><au>Capriotti, Matthew R</au><au>Bauer, Christopher C</au><au>Brei, Natalie G</au><au>Himle, Michael B</au><au>Espil, Flint M</au><au>Snorrason, Ívar</au><au>Ran, Dagong</au><au>Woods, Douglas W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomized waitlist-controlled pilot trial of voice over Internet protocol-delivered behavior therapy for youth with chronic tic disorders</atitle><jtitle>Journal of telemedicine and telecare</jtitle><addtitle>J Telemed Telecare</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>22</volume><issue>3</issue><spage>153</spage><epage>162</epage><pages>153-162</pages><issn>1357-633X</issn><eissn>1758-1109</eissn><abstract>Introduction
Comprehensive Behavioral Intervention for Tics (CBIT) has been shown to be efficacious for chronic tic disorders (CTDs), but utilization is limited by a lack of treatment providers and perceived financial and time burden of commuting to treatment. A promising alternative to in-person delivery is voice over Internet protocol (VoIP), allowing for remote, real-time treatment delivery to patients’ homes. However, little is known about the effectiveness of VoIP for CTDs. Therefore, the present study examined the preliminary efficacy, feasibility, and acceptability of VoIP-delivered CBIT (CBIT-VoIP).
Methods
Twenty youth (8–16 years) with CTDs participated in a randomized, waitlist-controlled pilot trial of CBIT-VoIP. The main outcome was pre- to post-treatment change in clinician-rated tic severity (Yale Global Tic Severity Scale). The secondary outcome was clinical responder rate (Clinical Global Impressions – Improvement Scale), assessed using ratings of ‘very much improved’ or ‘much improved’ indicating positive treatment response.
Results
Intention-to-treat analyses with the last observation carried forward were performed. At post-treatment (10-weeks), significantly greater reductions in clinician-rated, (F(1,18) = 3.05, p < 0.05, partial η2 = 0.15), and parent-reported tic severity, (F(1,18) = 6.37, p < 0.05, partial η2 = 0.26) were found in CBIT-VoIP relative to waitlist. One-third (n = 4) of those in CBIT-VoIP were considered treatment responders. Treatment satisfaction and therapeutic alliance were high.
Discussion
CBIT can be delivered via VoIP with high patient satisfaction, using accessible, low-cost equipment. CBIT-VoIP was generally feasible to implement, with some audio and visual challenges. Modifications to enhance treatment delivery are suggested.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>26169350</pmid><doi>10.1177/1357633X15593192</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 1357-633X 1758-1109 |
| language | eng |
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| source | Access via SAGE; MEDLINE |
| subjects | Adolescent Behavior modification Behavior Therapy - methods Child Chronic Disease Disorders Effectiveness Feasibility Studies Female Humans Internet Male Mental Health Services - organization & administration Patient Acceptance of Health Care Patients Pilot Projects Pilots Severity of Illness Index Telemedicine - methods Telephones Tic Disorders - therapy Videoconferencing Voice VoIP (protocol) Waiting Lists Youth |
| title | A randomized waitlist-controlled pilot trial of voice over Internet protocol-delivered behavior therapy for youth with chronic tic disorders |
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