Evidence map›Paper›PMID 33231786›Full record

Trial reportEuropean child & adolescent psychiatry2022

Internet-based guided self-help comprehensive behavioral intervention for tics (ICBIT) for youth with tic disorders: a feasibility and effectiveness study with 6 month-follow-up.

Lilach Rachamim, Sharon Zimmerman-Brenner, Osnat Rachamim, Hila Mualem, Netanel Zingboim, Michael Rotstein

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European child & adolescent psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04087616 (Internet-based -Guided Self-help Intervention for Children With Chronic Tics Syndrome or Tourette Syndrome), which is not on this map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 7% of its field
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.

NCT04087616 naunknown statusnot on this map

Internet-based -Guided Self-help Intervention for Children With Chronic Tics Syndrome or Tourette Syndrome: Comprehensive Behavioral Intervention for Tics (CBIT) Versus Waiting List: Reduction of Tic Severity and Quality of Life Measures

TypeinterventionalSponsorTel Aviv Medical CenterRan2019 to 2020Enrolled40ConditionsTourette Syndrome in Children, Tourette Syndrome in Adolescence, Chronic Tic DisorderArmsICBIT, waiting list
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Trial
  6. Trial
  7. Contemporary Perspectives on Neurobiology and Treatment of Tic Disorders: A Narrative Review.Journal of the Korean Academy of Child and Adolescent Psychiatry · 2026
    Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. 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
  14. Article
  15. Evidence-Based Behavior Therapy for Tourette Syndrome.The Psychiatric clinics of North America · 2025
    Review
  16. Review
  17. [Advances in the application of comprehensive behavioral intervention in tic disorder].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Review
  18. Article
  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

6 authors at 3 institutions in 1 country.

Lilach RachamimSchool of Psychology, Interdisciplinary Center Herzliya, Herzliya, Israel. rlilach@idc.ac.il.
Sharon Zimmerman-BrennerSchool of Psychology, Interdisciplinary Center Herzliya, Herzliya, Israel.
Osnat RachamimPediatric Movement Disorders Clinic, Pediatric Neurology Unit, Dana-Dwek Children's Hospital - Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Hila MualemSchool of Psychology, Interdisciplinary Center Herzliya, Herzliya, Israel.
Netanel ZingboimSchool of Psychology, Interdisciplinary Center Herzliya, Herzliya, Israel.
Michael RotsteinPediatric Movement Disorders Clinic, Pediatric Neurology Unit, Dana-Dwek Children's Hospital - Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Reichman University · ILTel Aviv Sourasky Medical Center · ILAssociation for Children at Risk · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Practice guidelines endorse comprehensive behavioral intervention for tics (CBIT) as first-line treatment for tic disorders (TD) in youth. Nevertheless, CBIT is rarely available due to various barriers. This study evaluated the feasibility and potential effectiveness of an Internet-based, self-help CBIT program (ICBIT) guided by parents with minimal therapist support delivered via telepsychotherapy. Forty-one youths, aged 7-18 years, were randomly assigned to receive either ICBIT (n = 25) or a wait-list (WL) condition (n = 16) in a crossover design. ICBIT was feasible to implement and at post-treatment, 64% of the participants have improved significantly. Results demonstrated clinically meaningful reductions in tic severity and improved youth global impairment and functioning. Gains were maintained over a 6-month follow-up period. The effect size for the primary outcome measure (Yale Global Tic Severity Scale) ranged between large effect size (Cohen"s d = 0.91) at post-intervention to very large effect size (Cohen's d = 2.25) 6 months after the end of the acute intervention. These were comparable to face-to-face delivery treatment trials for TD. Participants rated the intervention as highly acceptable and satisfactory. Youth receiving ICBIT experienced improvement in self-esteem and comorbidity. Finally, during the COVID-19 pandemic, the ICBIT program enabled the delivery of the intervention consecutively without interruption. The results observed provide preliminary evidence of the feasibility and effectiveness of this innovative modality to assist youth with TD and remove various barriers to treatment, including those during a public crisis, such as the COVID-19 pandemic. Larger studies with an active control group are warranted.Trial registration URL: http://clinicaltrials.gov, ClinicalTrials.gov Identifier: NCT04087616.

Indexed as

COVID-19TelemedicineTic DisordersTicsAdolescentChildFeasibility StudiesFollow-Up StudiesHumansInternetPandemicsPsychotherapySARS-CoV-2Treatment OutcomeChild tic disordersComprehensive behavioral intervention for ticsCOVID-19 pandemicGuided self-helpInternet-based CBIT

Identifiers

PMID33231786
PMCPMC7683326
OpenAlexW3109170858

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.