UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059610
Receipt number R000067935
Scientific Title A Pilot Open Trial of a Parent-Child Behavioral Therapy Online Program for Tics : Preparation for a Randomized Controlled Trial
Date of disclosure of the study information 2025/11/01
Last modified on 2025/10/31 23:50:42

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Basic information

Public title

Tic Manager : An Online Parent-Child Behavioral Therapy Program for Tics (Pilot Open Trial)

Acronym

Tic Manager

Scientific Title

A Pilot Open Trial of a Parent-Child Behavioral Therapy Online Program for Tics : Preparation for a Randomized Controlled Trial

Scientific Title:Acronym

Tic Manager Pilot

Region

Japan


Condition

Condition

Tourette's Disorder, Persistent Motor or Vocal Tic Disorder, Tic disorders

Classification by specialty

Neurology Pediatrics Psychiatry
Child

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to develop and examine the effectiveness of a behavioral therapy program for Tourette's disorder and persistent motor or vocal tic disorder, which combines nine online self-learning (e-learning) sessions with three online therapist-guided sessions.
The program is designed to enable parents and children to work together at home while receiving professional support, thereby reducing the burden on both clinical settings and participants and effectively promoting improvement of tic symptoms.
In this study, a pilot open trial will be conducted prior to a randomized controlled trial (RCT) to examine the feasibility and validity of the program.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Changes in tic symptom severity from baseline to post-intervention and at follow-up will be assessed using the Yale Global Tic Severity Scale-Total Tic Severity Score (YGTSS-TTS).

Key secondary outcomes

Secondary outcomes include the YGTSS Impairment score, social functioning (Modified Global Assessment of Functioning: m-GAF), premonitory urges (Premonitory Urge for Tics Scale: PUTS), quality of life (KINDL-R), awareness and rumination about tic-related sensations (Rumination and Awareness Scale for tic-associated sensations : RASTS), tic suppressibility (Tic Suppressibility Scale), parental stress (Stress Response Scale-18: SRS-18), parent-rated tic symptoms (Parent Tic Questionnaire: PTQ), treatment satisfaction (Client Satisfaction Questionnaire-8: CSQ-8), and clinician-rated global improvement (Clinician Global Impression-Improvement: CGI-I). These outcomes will be assessed at baseline, post-intervention, and follow-up.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

A behavioral therapy program for tic disorders, combining nine e-learning sessions and three online therapist-guided meetings, developed with reference to the Comprehensive Behavioral Intervention for Tics (CBIT).

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

8 years-old <=

Age-upper limit

15 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Age: Participants aged 8 to 15 years (equivalent to Japanese elementary school grade 3 to junior high school grade 3) at the time of consent.
2. Diagnosis: Diagnosed with a tic disorder (Tourette's disorder or persistent/chronic motor or vocal tic disorder).
3. Treatment stability: No changes in medication or other treatments for at least six weeks prior to program initiation, and no planned changes during the study period.
4. Physician approval: Participation approved by the treating physician.
5. Technical environment: A personal computer or tablet available at home with an internet environment capable of using Zoom.
6. Parental involvement: A parent or guardian who can participate with the child in practicing habit reversal exercises.
7. Consent: Written informed consent obtained from both the participant and the parent/guardian.
8. Language ability: Sufficient Japanese language ability for reading, writing, watching videos, and engaging in face-to-face communication.

Key exclusion criteria

1. Individuals with severe psychiatric disorders that require treatment prior to intervention for tic symptoms.
2. Individuals with an IQ of 85 or below on a standardized intelligence test (e.g., WISC-IV/V or Tanaka-Binet Intelligence Test V), if such testing has been conducted.
3. Individuals who have previously received four or more sessions of behavioral therapy for tics (e.g., Habit Reversal Training (HRT) or Exposure and Response Prevention (ERP)). (Each session defined as 30 minutes or longer, including both individual and group formats.)

Target sample size

15


Research contact person

Name of lead principal investigator

1st name Natsumi
Middle name
Last name Matsuda

Organization

Shirayuri University

Division name

Department of Developmental Psychology

Zip code

182-8525

Address

1-25, Midorigaoka, Chofu-shi, Tokyo

TEL

03-3326-4942

Email

nmatsuda@shirayuri.ac.jp


Public contact

Name of contact person

1st name Natsumi
Middle name
Last name Matsuda

Organization

Shirayuri University

Division name

Department of Developmental Psychology

Zip code

182-8525

Address

1-25, Midorigaoka, Chofu-shi, Tokyo

TEL

03-3326-4942

Homepage URL


Email

bti-tj@tourette.jp


Sponsor or person

Institute

Shirayuri University

Institute

Department

Personal name

Matsuda Natsumi


Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology (MEXT), Japan

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Shirayuri University

Address

1-25, Midorigaoka, Chofu-shi, Tokyo

Tel

03-3326-4942

Email

nmatsuda@shirayuri.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東京都調布市白百合女子大学


Other administrative information

Date of disclosure of the study information

2025 Year 11 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2025 Year 10 Month 31 Day

Date of IRB

2024 Year 08 Month 06 Day

Anticipated trial start date

2025 Year 10 Month 31 Day

Last follow-up date

2026 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 10 Month 31 Day

Last modified on

2025 Year 10 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067935