Evidence map›Paper›PMID 26169350›Full record

Trial reportJournal of telemedicine and telecare2016

A randomized waitlist-controlled pilot trial of voice over Internet protocol-delivered behavior therapy for youth with chronic tic disorders.

Emily J Ricketts, Amy R Goetz, Matthew R Capriotti, Christopher C Bauer, Natalie G Brei, Michael B Himle, Flint M Espil, Ívar Snorrason, Dagong Ran, Douglas W Woods

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of telemedicine and telecare, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04678180 (Randomized Clinical Study Evaluating the Treatment Outcome of Combined Virtual Tic Training in Children and Adolescents With a Chronic Tic Disorder), which is not on this map. Cited by 47 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04678180 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Randomized Clinical Study Evaluating the Treatment Outcome of Combined Virtual Tic Training in Children and Adolescents With a Chronic Tic Disorder

TypeinterventionalSponsorAarhus University HospitalRan2021 to 2025Enrolled31ConditionsChronic Tic DisorderArmsCombined HRT and ERP
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  17. Meta-anlaysis of Internet-based Behavior Therapy for Tic Disorder.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2025
    Article
  18. Evidence-Based Behavior Therapy for Tourette Syndrome.The Psychiatric clinics of North America · 2025
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Emily J RickettsDivision of Child and Adolescent Psychiatry, University of California, Los Angeles, USA Department of Psychology, University of Wisconsin-Milwaukee, USA.
Amy R GoetzDepartment of Psychology, University of Wisconsin-Milwaukee, USA.
Matthew R CapriottiDepartment of Psychology, University of Wisconsin-Milwaukee, USA.
Christopher C BauerDepartment of Psychology, University of Wisconsin-Milwaukee, USA.
Natalie G BreiDepartment of Psychology, University of Wisconsin-Milwaukee, USA.
Michael B HimleDepartment of Psychology, University of Utah, USA.
Flint M EspilDepartment of Psychology, University of Wisconsin-Milwaukee, USA.
Ívar SnorrasonDepartment of Psychology, University of Wisconsin-Milwaukee, USA.
Dagong RanDepartment of Psychology, University of Wisconsin-Milwaukee, USA.
Douglas W WoodsDepartment of Psychology, Texas A&M University, USA dowoods@tamu.edu.

Funding

Voice over Internet Protocol Delivered Behavior Therapy for Tourette SyndromeF31MH096375 · NIMH · UNIVERSITY OF WISCONSIN MILWAUKEE · PI RICKETTS, EMILY JULIA · 2011 to 2013
$55k
NIMH NIH HHS F31 MH096375NIMH NIH HHS F31MH096375
6 · The paper itself

Abstract

introductionComprehensive 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).

methodsTwenty 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.

resultsIntention-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 η(2 )= 0.15), and parent-reported tic severity, (F(1,18) = 6.37, p < 0.05, partial η(2 )= 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.

Indexed as

VideoconferencingWaiting ListsAdolescentBehavior TherapyChildChronic DiseaseFeasibility StudiesFemaleHumansInternetMaleMental Health ServicesPatient Acceptance of Health CarePilot ProjectsSeverity of Illness IndexTelemedicinechronic tic disordersTourette’s disordervoice over Internet protocolweb-based videoconferencingweb camera

Identifiers

PMID26169350
PMCPMC6033263

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.