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Remote delivery of a mindfulness-based intervention for adults with tics: Protocol of a randomized controlled trial.

Hannah E. Reese, W Alan Brown, Yaerin H Wallenberger, Kesley A Ramsey, Lauren E Browning, Joshua Rooks, Neda F Gould, Jeannie‐marie Leoutsakos, Tamar Mendelson, Alexandria H Chang, Joseph F McGuire

Contemporary Clinical Trials January 13, 2026 DOI: 10.1016/j.cct.2026.108224 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 150
Population Adults with Tourette Syndrome and persistent tic disorders
Interventions Mindfulness-based group intervention for tics (MBIT) Psychoeducation with relaxation and supportive therapy (PRST)
Duration 6-month follow-up
Topics Meditation
Keywords Humans Tourette syndrome Tic disorders Tics Quality of life Adult Female Relaxation therapy Mental health teletherapy Randomized clinical trial
Key findings The paper outlines a randomized controlled trial designed to test whether a remotely delivered mindfulness-based group intervention for tics (MBIT) reduces tic severity compared with psychoeducation with relaxation and supportive therapy (PRST) in 150 adults with Tourette Syndrome, and to examine how MBIT may work. Secondary aims include comorbid conditions, quality of life, and durability of improvements over 6 months. No outcomes are reported.

Abstract

Tourette Syndrome and persistent tic disorders (collectively, TS) are characterized by involuntary motor and/or vocal tics that onset in childhood. Existing evidence-based treatments-including behavior therapy and pharmacotherapy-are often only partially effective, associated with burdensome side effects, and/or inaccessible. The current paper describes a randomized controlled trial designed to compare a novel, remotely delivered mindfulness-based group intervention for tics (MBIT) to psychoeducation with relaxation and supportive therapy (PRST) in 150 adults with TS. All interventions and assessments will be delivered remotely using secure telehealth platforms and online electronic data capture systems. An independent evaluator masked to treatment condition will administer all tic assessments. The primary aims of the study are to: 1) examine the efficacy of MBIT relative to PRST for tic severity and 2) investigate the mechanism by which MBIT reduces tic severity. Additional aims include: 1) examination of secondary outcomes (e.g., comorbid conditions, quality of life), and 2) exploration of the durability of any observed improvements over a 6-month follow-up. Findings have the potential to meaningfully expand the range of evidence-based treatment options available to adults with TS.

Comparable studies

Other randomized controlled trials on meditation, most cited first.

Study Year Design Participants
Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment 2003 Randomized controlled trial n = 41
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults 2008 Randomized controlled trial n = 139
Short-term meditation training improves attention and self-regulation Undergraduate Chinese students 2007 Randomized controlled trial n = 40
Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients 2004 Randomized controlled trial n = 73

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