Khan, K;
Hollis, C;
Hall, CL;
Davies, EB;
Murray, E;
Andrén, P;
Mataix-Cols, D;
... Glazebrook, C; + view all
(2022)
Factors influencing the efficacy of an online behavioural intervention for children and young people with tics: Process evaluation of a randomised controlled trial.
Journal of Behavioral and Cognitive Therapy
10.1016/j.jbct.2022.02.005.
(In press).
Preview |
Text
1-s2.0-S2589979122000142-main.pdf - Published Version Download (488kB) | Preview |
Abstract
The Online Remote Behavioural Intervention for Tics (ORBIT) trial found that an internet-delivered, therapist-supported, and parent-assisted Exposure and Response Prevention (ERP) intervention reduced tic severity and improved clinical outcomes. This process evaluation aimed to explore mechanisms of impact and factors influencing efficacy. Participants were 112 children with a tic disorder and their parents randomised to the active intervention arm of the ORBIT trial. Child engagement was assessed by usage metrics and parent engagement by chapter completion. Experiences of the digital intervention were explored by semi-structured interviews. Outcomes (3-months post randomisation) were change in tic severity and overall clinical improvement. Tic severity reduced from baseline to 3-month follow-up and 36% were rated as much improved clinically. Greater tic severity at baseline predicted reduction in tic severity. Parental engagement was the only independent predictor of clinical improvement. There were no statistically significant mediators or moderators of the relationship between level of child engagement and outcome. From the qualitative findings, child participants appreciated working together with parents on the intervention and participants found the intervention engaging. ORBIT may be an effective and acceptable intervention for children and young people with tic disorders, with parental engagement being a key factor in successful outcomes.
| Type: | Article |
|---|---|
| Title: | Factors influencing the efficacy of an online behavioural intervention for children and young people with tics: Process evaluation of a randomised controlled trial |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.jbct.2022.02.005 |
| Publisher version: | https://doi.org/10.1016/j.jbct.2022.02.005 |
| Language: | English |
| Additional information: | © 2022 The Authors. Published by Elsevier Masson SAS on behalf of Association Française de Therapie Comportementale et Cognitive under a Creative Commons license (https://creativecommons.org/licenses/by/4.0/). |
| Keywords: | Digital health, Process evaluation, Mechanisms of impact, Tourette syndrome, Online behavioural intervention, Mixed methods, Children and young people, Exposure and response prevention therapy |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10146795 |
Archive Staff Only
 |
View Item |
