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Related Experiment Video

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The Measurement and Treatment of Suppression in Amblyopia
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Software for web-based tic suppression training.

Jonathan K Black1, Kevin J Black2

  • 1Ira A. Fulton College of Engineering and Technology, Brigham Young University, Provo, UT, 84602, USA.

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|September 29, 2018
PubMed
Summary
This summary is machine-generated.

Reward-enhanced exposure and response prevention (RE-ERP) offers a novel approach for managing tic disorders. This web-based platform, TicTrainer, uses digital rewards to help patients increase tic suppression duration, improving accessibility for those with Tourette syndrome.

Keywords:
Tourette syndromebehavior therapyrewardsoftwaretic disorders

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Area of Science:

  • Behavioral therapy
  • Neuroscience
  • Digital health

Background:

  • Exposure and response prevention (ERP) is a primary treatment for obsessive-compulsive disorder and Tourette syndrome (TS).
  • ERP for tic disorders necessitates voluntary tic suppression, which can be challenging for some individuals.
  • Limited access to behavioral therapy, particularly in rural areas, poses a significant barrier for patients.

Purpose of the Study:

  • To introduce TicTrainer, a web platform designed to implement reward-enhanced exposure and response prevention (RE-ERP).
  • To simplify ERP by focusing on automated differential reinforcement of tic-free periods (DRO) using digital rewards.
  • To provide a secure and research-facilitating tool for tic suppression training.

Main Methods:

  • TicTrainer employs an automated DRO strategy to reward extended tic-free intervals.
  • The platform requires an external monitor (e.g., a parent) to verify tic suppression during training.
  • Users receive escalating digital rewards, akin to a video game, for successful tic suppression.
  • The system is designed for data security, avoiding storage of personally identifiable health information.

Main Results:

  • TicTrainer provides a functional web platform for implementing RE-ERP.
  • The system automates the reinforcement of tic-free periods, simplifying the ERP process.
  • It includes features for research, such as masked comparisons of DRO versus noncontingent reward conditions.

Conclusions:

  • TicTrainer offers a practical and accessible tool for individuals with tic disorders seeking to improve tic suppression.
  • The RE-ERP strategy implemented by TicTrainer simplifies ERP, making it more manageable for patients and potentially increasing treatment accessibility.
  • The platform's design prioritizes user engagement through gamified rewards and ensures data security for research purposes.