Evaluation of an Online Comprehensive Behavioral Intervention for Tics (CBIT) Therapist Training Program

Last updated: August 16, 2023
Sponsor: University of Utah
Overall Status: Active - Recruiting

Phase

N/A

Condition

Autism

Tic Disorders

Treatment

Behavior Therapy Training Institute

CBIT-Trainer

Clinical Study ID

NCT05547854
00158298
  • Ages > 7
  • All Genders

Study Summary

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.

Eligibility Criteria

Inclusion

This study will recruit therapist-patient dyads who meet the criteria below: Therapist Inclusion Criteria:

  1. Have the equivalent of a Master's degree (or higher) in a mental/behavioral health,medical, or related discipline.
  2. Professionally licensed or certified to practice in their area of speciality.
  3. Attest that providing comprehensive behavioral intervention for tics (CBIT) to treatchildren and/or adults with tic disorders falls within their scope of practiceaccording to state licensing laws and regulations in the therapist's jurisdiction.
  4. Have never attended the Tourette Association of America's Behavior Therapy TrainingInstitute or an equivalent focused on CBIT.
  5. Have access to a secure personal computer with high-speed internet access.
  6. Speaks fluent English.
  7. Has identified, or is willing to try to identify, at least 1 child or adult patientwith a tic disorder who meets the patient inclusion criteria and who might be willingto participate in the study as a member of the therapist-patient dyad, and for whomthe therapist is licensed or certified to treat with CBIT according to state licensinglaws and regulations in the therapist's jurisdiction.
  8. Is willing to be randomly assigned to training condition.
  9. Is willing, able, and has the necessary resources to travel to, and attend, one ofseveral in-person training sites if assigned to the in-person training condition.

Exclusion

Therapist Exclusion Criteria:

(1) Therapist is a first, second, or third degree biological relative, stepparent, or legalguardian of the study-matched patient. Patient Inclusion Criteria:

  1. 7 years of age or older (with consenting adult for minors).
  2. Self- or parent-reported diagnosis of a tic disorder (e.g., provisional tic disorder,persistent motor/vocal tic disorder, or Tourette's disorder) issued by a qualifiedprofessional.
  3. Currently engages in at least one motor and/or vocal tic multiple times per day.
  4. Patient (and consenting adult for minors) speaks fluent English.
  5. Access to a private computer with high-speed internet access. Patient Exclusion Criteria:
  6. Patients will be excluded if the study team is unable to identify and enroll apatient-matched therapist who meets the therapist inclusion criteria.
  7. Patient is a first, second, or third degree biological relative of the study-matchedtherapist or if the study-matched therapist is the patient's legal guardian.
  8. Any serious psychiatric or neurological condition that requires more immediateintervention or would interfere with study participation, based on the assessment ofthe treating therapist or the study investigators.

Study Design

Total Participants: 234
Treatment Group(s): 2
Primary Treatment: Behavior Therapy Training Institute
Phase:
Study Start date:
June 27, 2023
Estimated Completion Date:
June 30, 2025

Study Description

Tic disorders are a class of childhood-onset neuropsychiatric disorders that occur in 1-3% of the population and often cause significant impairment in physical, social, academic, and interpersonal functioning and reduced quality of life. There is currently no cure for tic disorders, however large-scale randomized controlled trials have shown that a non-drug treatment known as Comprehensive Behavioral Intervention for Tics (CBIT) is more effective than supportive psychotherapy for reducing tics in both 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. Given the need and desire for CBIT among individuals with tic disorders, high demand for therapist trainings, and the lack of therapists adequately trained in CBIT, there is a clear need for innovative ways to train more providers in this evidence-based treatment. To address this gap, the investigators recently developed an innovative online program for training therapists to deliver CBIT (called CBIT-Trainer). This study will test CBIT-Trainer against an intensive in-person therapist training program in a randomized controlled trial. This study will accomplish four aims: (1) to compare CBIT-Trainer to traditional in-person training on therapists' ability to administer CBIT with fidelity, (2) to compare CBIT-Trainer to in-person training on patient outcomes when patients are treated by a CBIT-trained therapist, (3) to identify therapist factors that might improve (or limit) adoption and use of CBIT-Trainer, and (4) to identify therapist factors likely to influence continued use of CBIT after training. These aims will be tested using an effectiveness-implementation hybrid randomized controlled trial comparing CBIT-Trainer (online therapist training) to the Tourette Association of America's Behavior Therapy Training Institute (in-person therapist training), which is the current gold-standard for training CBIT therapists. Therapist-patient dyads will be recruited to participate. The primary therapist outcome will be therapists' skill in delivering CBIT in a standardized role-play, which will be assessed at post-training (Week 0), after administering CBIT with a patient (Week 10), and at 6-month follow-up (Week 24). The primary patient outcome will be overall clinical improvement, which will be assessed at pre-treatment (Week 0), post-treatment (Week 10), and 6-month follow up (Week 24). Secondary therapist outcomes that will be assessed include changes in knowledge of tic disorders and CBIT; changes in comfort and self-efficacy in delivering CBIT; adherence to the CBIT protocol when treating a patient with tics; attitudes toward evidence-based practice and CBIT; and therapists' ratings of the acceptability, appropriateness, and feasibility of the training. Secondary patient outcomes that will be assessed include changes in motor and/or vocal tic severity; changes in overall psychological/behavioral, physical, and social functioning; and satisfaction with the treatment received.

Connect with a study center

  • University of Utah

    Salt Lake City, Utah 84112
    United States

    Active - Recruiting

  • Marquette University

    Milwaukee, Wisconsin 53201
    United States

    Active - Recruiting

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