Dissemination of Comprehensive Behavioral Intervention for Tics (CBIT) to Occupational Therapists: A Feasibility Study

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Brief Title

Dissemination of Comprehensive Behavioral Intervention for Tics (CBIT) to Occupational Therapists: A Feasibility Study

Official Title

Dissemination of Comprehensive Behavioral Intervention for Tics (CBIT) to Occupational Therapists: A Feasibility Study

Brief Summary

      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.
    

Detailed Description

      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.
    


Study Type

Interventional


Primary Outcome

Treatment Acceptability Questionnaire


Condition

Tourette Disorder

Intervention

OTs Trained and Deliver CBIT

Study Arms / Comparison Groups

 OTs Trained and Deliver CBIT
Description:  CBIT certified clinicians will train OTs in delivering CBIT to affected youth. 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.

Publications

* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.

Recruitment Information


Recruitment Status

Behavioral

Estimated Enrollment

13

Start Date

November 2013

Completion Date

August 2015

Primary Completion Date

August 2015

Eligibility Criteria

        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
      

Gender

All

Ages

7 Years - 17 Years

Accepts Healthy Volunteers

No

Contacts

Shannon Bennett, PhD, , 

Location Countries

United States

Location Countries

United States

Administrative Informations


NCT ID

NCT02114905

Organization ID

1208012814


Responsible Party

Sponsor

Study Sponsor

Weill Medical College of Cornell University

Collaborators

 University of Alabama at Birmingham

Study Sponsor

Shannon Bennett, PhD, Principal Investigator, Weill Medical College of Cornell University


Verification Date

September 2019