Evidence map›Paper›PMID 33770556›Full record

ArticleBehaviour research and therapy2021

Homework adherence predicts therapeutic improvement from behavior therapy in Tourette's disorder.

Joey K-Y Essoe, Emily J Ricketts, Kesley A Ramsey, John Piacentini, Douglas W Woods, Alan L Peterson, Lawrence Scahill, Sabine Wilhelm, John T Walkup, Joseph F McGuire

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Behaviour research and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Evidence-Based Behavior Therapy for Tourette Syndrome.The Psychiatric clinics of North America · 2025
    Review
  7. [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
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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 at 7 institutions in 1 country.

Joey K-Y EssoeDivision of Child and Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Emily J RickettsSemel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA.
Kesley A RamseyDivision of Child and Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
John PiacentiniSemel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA.
Douglas W WoodsDepartment of Psychology, Marquette University, Milwaukee, WI, USA.
Alan L PetersonDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, Texas, USA; Department of Psychology, University of Texas at San Antonio, San Antonio, TX, USA; South Texas Veterans Health Care System, San Antonio, TX, USA.
Lawrence ScahillMarcus Autism Center, Emory University School of Medicine, Atlanta, GA, USA.
Sabine WilhelmMassachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
John T WalkupAnn and Robert H Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Joseph F McGuireDivision of Child and Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: jfmcguire@jhmi.edu.
Johns Hopkins University · USUniversity of California, Los Angeles · USEmory University · USHarvard University · USLurie Children's Hospital · USMarquette University · USThe University of Texas Health Science Center at San Antonio · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
TRAINING THE SCIENCE OF CHILD MENTAL HEALTH TREATMENTT32MH073517 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SUMA JACOB, John C. Piacentini · 2006 to 2026
$5.2M
Behavior Therapy for Children with Chronic Tic DisordersR01MH070802 · NIMH · TOURETTE SYNDROME ASSOCIATION, INC · PI PIACENTINI, JOHN C. · 2004 to 2007
$2.9M
Behavior Therapy for Adults with Tourette SyndromeR01MH069874 · NIMH · YALE UNIVERSITY · PI SCAHILL, LAWRENCE D. · 2005 to 2009
$1.2M
Investigating Circadian Rhythms in Youth with Persistent Tic DisordersK23MH113884 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RICKETTS, EMILY JULIA · 2017 to 2022
$992k
Behavior Therapy for Adults with Tourette SyndromeR01MH069877 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI WILHELM, SABINE · 2005 to 2009
$918k
Behavior Therapy for Adults with Tourette SyndromeR01MH069875 · NIMH · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI PETERSON, ALAN L · 2005 to 2008
$719k
NCATS NIH HHS UL1 TR001863NIMH NIH HHS K23 MH113884NIMH NIH HHS R01 MH069874NIMH NIH HHS R01 MH069875NIMH NIH HHS R01 MH069877NIMH NIH HHS R01 MH070802NIMH NIH HHS T32 MH073517
6 · The paper itself

Abstract

Behavior therapy is a first-line intervention for Tourette's Disorder (TD), and a key component is the practice of therapeutic skills between treatment visits (i.e., homework). This study examined the relationship between homework adherence during behavior therapy for TD and therapeutic outcomes, and explored baseline predictors of homework adherence during treatment. Participants included 119 individuals with TD (70 youth, 49 adults) who received behavior therapy in a clinical trial. After a baseline assessment of tic severity and clinical characteristics, participants received 8 sessions of behavior therapy. Therapists recorded homework adherence at each therapy session. After treatment, tic severity was re-assessed by independent evaluators masked to treatment condition. Greater overall homework adherence predicted tic severity reductions and treatment response across participants. Early homework adherence predicted therapeutic improvement in youth, whereas late adherence predicted improvement in adults. Baseline predictors of greater homework adherence in youth included lower hyperactivity/impulsivity and caregiver strain. Meanwhile in adults, baseline predictors of increased homework adherence included younger age, lower hyperactivity/impulsivity, obsessive-compulsive severity, anger, and greater work-related disability. Homework adherence is an integral component of behavior therapy and linked to therapeutic improvement. Strategies that improve homework adherence may optimize the efficacy of behavioral treatments and improve treatment outcomes.

Indexed as

Tourette SyndromeAdolescentAdultBehavior TherapyHumansTreatment OutcomeBehavior therapyComprehensive behavioral intervention for ticsHomework adherenceTics

Identifiers

PMID33770556
PMCPMC8026681
OpenAlexW3139516433

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.