Dissemination of Comprehensive Behavioral Intervention for Tics (CBIT) to Occupational Therapists: A Feasibility Study
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Psychiatric, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 7 - 17 |
| Updated: | 6/21/2018 |
| Start Date: | November 2013 |
| End Date: | June 2019 |
Comprehensive Behavioral Intervention for Tics (CBIT) is an evidence based intervention for
tic disorders. A recent scientific review of research priorities completed by the Tourette
Syndrome Association recommended widespread dissemination of CBIT as an important next step
in services delivery research. Given early evidence that occupational therapists can deliver
CBIT effectively, a dissemination strategy using occupational therapists may improve
accessibility to this treatment, at lower cost and with decreased stigma. Thus the goal of
this study is to develop and test a training and dissemination model with occupational
therapists (OTs) using an expert, multi-disciplinary team at Weill Cornell/New York
Presbyterian Hospital (WC/NYPH) and University of Alabama at Birmingham (UAB). The
investigators have adapted CBIT, the gold-standard behavioral intervention program for
children with tic disorders (Woods et al, 2008a,b), for eventual use in OT programs across
the country.
tic disorders. A recent scientific review of research priorities completed by the Tourette
Syndrome Association recommended widespread dissemination of CBIT as an important next step
in services delivery research. Given early evidence that occupational therapists can deliver
CBIT effectively, a dissemination strategy using occupational therapists may improve
accessibility to this treatment, at lower cost and with decreased stigma. Thus the goal of
this study is to develop and test a training and dissemination model with occupational
therapists (OTs) using an expert, multi-disciplinary team at Weill Cornell/New York
Presbyterian Hospital (WC/NYPH) and University of Alabama at Birmingham (UAB). The
investigators have adapted CBIT, the gold-standard behavioral intervention program for
children with tic disorders (Woods et al, 2008a,b), for eventual use in OT programs across
the country.
CBIT training materials designed by the study team have been used to train occupational
therapists (OTs) at WC/NYPH and UAB to deliver CBIT, and data has been collected to measure
training acceptability.
OTs will be supervised in the practice of CBIT with youth in the New York City and Birmingham
areas. Pre- and post-treatment assessment measures will be collected from 16 families (8 from
each site) to evaluate intervention acceptability, feasibility, and fidelity. Patient and
parent satisfaction of CBIT-OT will also be documented. The investigators will look within
subjects to ascertain change in reported tic severity.
This study is designed to determine the feasibility and acceptability of treatment,
feasibility of research design, as well as demonstrate the ability to disseminate the study
protocol to a new care discipline in methodologically rigorous fashion across multiple sites.
therapists (OTs) at WC/NYPH and UAB to deliver CBIT, and data has been collected to measure
training acceptability.
OTs will be supervised in the practice of CBIT with youth in the New York City and Birmingham
areas. Pre- and post-treatment assessment measures will be collected from 16 families (8 from
each site) to evaluate intervention acceptability, feasibility, and fidelity. Patient and
parent satisfaction of CBIT-OT will also be documented. The investigators will look within
subjects to ascertain change in reported tic severity.
This study is designed to determine the feasibility and acceptability of treatment,
feasibility of research design, as well as demonstrate the ability to disseminate the study
protocol to a new care discipline in methodologically rigorous fashion across multiple sites.
Inclusion Criteria:
- Age 7-17
- Presence of motor and/or vocal tics for at least 6 months
- Tics are of at least moderate clinical severity as evidenced by a Clinical Global
Impressions Severity (CGI-S) score of 4 or higher (tic symptoms clearly noticeable to
family and occasionally to families and associated with at least some minimal level of
distress and/or interference.
- IQ estimate of 70 or higher
- Comorbid disorder (e.g., ADHD, OCD,ODD) will be allowed provided that the tic symptoms
are of primary concern to parents and comorbid symptoms are not of sufficient severity
to require immediate treatment other than that provided by the current study.
- Pre-existing stable medication, tic or otherwise, will also be allowed provided the
family agrees to refrain from med changes over the course of the study if at all
possible.
- Sufficient command of the English language to comply with study protocol.
Exclusion Criteria:
- Free of PDD or other developmental disability
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