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Software for web-based tic suppression training

Exposure and response prevention (ERP) is a first-line behavior therapy for obsessive-compulsive disorder and Tourette syndrome (TS). However, ERP for tic disorders requires intentional tic suppression, which for some patients is difficult even for brief periods. Additionally, practical access to be...

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Detalles Bibliográficos
Autores principales: Black, Jonathan K., Black, Kevin J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: F1000 Research Limited 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6117856/
https://www.ncbi.nlm.nih.gov/pubmed/30228859
http://dx.doi.org/10.12688/f1000research.13460.2
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author Black, Jonathan K.
Black, Kevin J.
author_facet Black, Jonathan K.
Black, Kevin J.
author_sort Black, Jonathan K.
collection PubMed
description Exposure and response prevention (ERP) is a first-line behavior therapy for obsessive-compulsive disorder and Tourette syndrome (TS). However, ERP for tic disorders requires intentional tic suppression, which for some patients is difficult even for brief periods. Additionally, practical access to behavior therapy is difficult for many patients, especially those in rural areas. The authors present a simple, working web platform (TicTrainer) that implements a strategy called reward-enhanced exposure and response prevention (RE–ERP). This strategy sacrifices most expert therapist components of ERP, focusing only on increasing the duration of time for which the user can suppress tics through automated differential reinforcement of tic-free periods (DRO). RE–ERP requires an external tic monitor, such as a parent, during training sessions. The user sees increasing digital rewards for longer and longer periods of successful tic suppression, similar to a video game score. TicTrainer is designed with security in mind, storing no personally identifiable health information, and has features to facilitate research, including optional masked comparison of tics during DRO vs. noncontingent reward conditions. A working instance of TicTrainer is available from https://tictrainer.com/
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spelling pubmed-61178562018-09-17 Software for web-based tic suppression training Black, Jonathan K. Black, Kevin J. F1000Res Software Tool Article Exposure and response prevention (ERP) is a first-line behavior therapy for obsessive-compulsive disorder and Tourette syndrome (TS). However, ERP for tic disorders requires intentional tic suppression, which for some patients is difficult even for brief periods. Additionally, practical access to behavior therapy is difficult for many patients, especially those in rural areas. The authors present a simple, working web platform (TicTrainer) that implements a strategy called reward-enhanced exposure and response prevention (RE–ERP). This strategy sacrifices most expert therapist components of ERP, focusing only on increasing the duration of time for which the user can suppress tics through automated differential reinforcement of tic-free periods (DRO). RE–ERP requires an external tic monitor, such as a parent, during training sessions. The user sees increasing digital rewards for longer and longer periods of successful tic suppression, similar to a video game score. TicTrainer is designed with security in mind, storing no personally identifiable health information, and has features to facilitate research, including optional masked comparison of tics during DRO vs. noncontingent reward conditions. A working instance of TicTrainer is available from https://tictrainer.com/ F1000 Research Limited 2018-08-06 /pmc/articles/PMC6117856/ /pubmed/30228859 http://dx.doi.org/10.12688/f1000research.13460.2 Text en Copyright: © 2018 Black JK and Black KJ http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Software Tool Article
Black, Jonathan K.
Black, Kevin J.
Software for web-based tic suppression training
title Software for web-based tic suppression training
title_full Software for web-based tic suppression training
title_fullStr Software for web-based tic suppression training
title_full_unstemmed Software for web-based tic suppression training
title_short Software for web-based tic suppression training
title_sort software for web-based tic suppression training
topic Software Tool Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6117856/
https://www.ncbi.nlm.nih.gov/pubmed/30228859
http://dx.doi.org/10.12688/f1000research.13460.2
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