Board Game Project for Adolescents with Tourette Syndrome

NCT05566236 | Completed

• 1 other identifier: 201801998B0C501
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

The study aims to investigate the effectiveness of using a board game to improve adolescents' tics, mental health, and interpersonal interactions.

Conditions

Tourette Syndrome in Adolescence; Social Adjustment; Psychosocial Functioning

Keywords

Tourette Syndrome; Depression; social adjustment; board game; Positive mental health

Outcome Measures

Primary Outcomes (2)

• Positive Mental Health Scale

  This study will use the Positive Mental Health Scale(25 items) to evaluate adolescents' degree of positive mental health. The lowest and highest total scores were 25 and 125, respectively. A high score indicates favorable positive mental health.

  Pre-intervention (baseline), immediately after completion of the intervention (4 weeks after baseline) and at follow-up (12 weeks post-baseline).

• Yale Global Tic Severity Scale

  The Yale Global Tic Severity Scale (YGTSS) will assess participants' motor and vocal tics' frequency, intensity, number, complexity, and interference. YGTSS also includes an overall Impairment Rating to determine each participant's interpersonal, academic, and occupational skill domains. Finally, the Global Severity Score will be acquired by adding the Total Motor Tic Score(0-25), Total Vocal Tic Score (0-25), and Overall Impairment Rating (0-50). The YGTSS has a total score ranging from 0 to 100, with the high score indicating a higher tics severity.

  Pre-intervention (baseline), immediately after completion of the intervention (4 weeks after baseline) and at follow-up (12 weeks post-baseline).

Secondary Outcomes (2)

• Social adjustment scale for adolescents with Tourette syndrome

  Pre-intervention (baseline), immediately after completion of the intervention (4 weeks after baseline) and at follow-up (12 weeks post-baseline).

• Chinese Version Beck Youth Inventories II (depression inventory)

  Pre-intervention (baseline), immediately after completion of the intervention (4 weeks after baseline) and at follow-up (12 weeks post-baseline).

Study Arms (2)

board game

EXPERIMENTAL

The participants received the usual standard of care(psychoeducation regarding Tourette Syndrome and one 50-mg tablet of pyridoxine daily), and they played the 60-minute parent-child board game at least once at home for consecutive 4 weeks.

Behavioral: board game

Care as usual

NO INTERVENTION

The participants received the usual standard of care (psychoeducation regarding Tourette Syndrome and one 50-mg tablet of pyridoxine daily).

Interventions

board game BEHAVIORAL

A board game was designed based on situated learning theory and the results of relevant studies. This board game contains a summary, answer booklet, and multiple card game tasks including situations of interpersonal interaction. The participants must discuss, share personal experiences, and find the answer together.

Also known as: Non

board game

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Adolescents between the ages of 12 and 18 years were diagnosed with Tourette Syndrome or chronic tics disorder by a pediatrician, according to the DSM V.
• Ability to speak and understand Mandarin.
• Adolescents and their parents were willing to participate and fill in consent forms.

You may not qualify if:

• · Adolescents with Tourette Syndrome have mental illness and serious diseases.

Sponsors & Collaborators

• National Taipei University of Nursing and Health Sciences: lead
• Ministry of Science and Technology, Taiwan: collaborator
• Chang Gung Children's Hospital: collaborator

Study Sites (1)

Chang Gung hospital

Taoyuan, 333, Taiwan

Location

Related Publications (4)

• Lee MY, Wang HS, Chen CJ, Lee MH. Social adjustment experiences of adolescents with Tourette syndrome. J Clin Nurs. 2019 Jan;28(1-2):279-288. doi: 10.1111/jocn.14564. Epub 2018 Jul 23.

  PMID: 29893437 BACKGROUND

• Kennedy A, Semple L, Alderson K, Bouskill V, Karasevich J, Riske B, van Gunst S. Don't Push Your Luck! Educational Family Board (Not Bored) Game for School-Age Children Living with Chronic Conditions. J Pediatr Nurs. 2017 Jul-Aug;35:57-64. doi: 10.1016/j.pedn.2017.02.032. Epub 2017 Mar 14.

  PMID: 28728770 BACKGROUND

• Malli MA, Forrester-Jones R, Murphy G. Stigma in youth with Tourette's syndrome: a systematic review and synthesis. Eur Child Adolesc Psychiatry. 2016 Feb;25(2):127-39. doi: 10.1007/s00787-015-0761-x. Epub 2015 Aug 28.

  PMID: 26316059 BACKGROUND

• Lee MY, Wang HS, Lien CY, Chen ZH. Effects of a Board Game on Tic Management and Psychosocial Functioning in Adolescents With Tourette Syndrome: Randomized Controlled Trial. JMIR Serious Games. 2025 Sep 9;13:e76208. doi: 10.2196/76208.

  PMID: 40925588 DERIVED

MeSH Terms

Conditions

Social Adjustment; Tourette Syndrome; Depression

Condition Hierarchy (Ancestors)

Social Behavior; Behavior; Basal Ganglia Diseases; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Tic Disorders; Movement Disorders; Heredodegenerative Disorders, Nervous System; Neurodegenerative Diseases; Genetic Diseases, Inborn; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Neurodevelopmental Disorders; Mental Disorders; Behavioral Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: September 27, 2022
• First Posted: October 4, 2022
• Study Start: September 20, 2022
• Primary Completion: July 1, 2024
• Study Completion: August 1, 2024
• Last Updated: November 4, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)