Study protocol: A cross-sectional survey of clinicians to identify barriers to clinical practice guideline implementation in the assessment and treatment of persistent tic disorders

PLoS One. 2023 Jul 19;18(7):e0288408. doi: 10.1371/journal.pone.0288408. eCollection 2023.


Introduction: Eight members of the International Parkinson's Disease and Movement Disorders Society Tic and Tourette Syndrome Study Group formed a subcommittee to discuss further barriers to practice guideline implementation. Based on expert opinion and literature review, the consensus was that practice variations continue to be quite broad and that many barriers in different clinical settings might negatively influence the adoption of the American Academy of Neurology and the European Society for the Study of Tourette Syndrome published guidelines.

Objectives: 1) To identify how clinical practices diverge from the existing American Academy of Neurology and European Society for the Study of Tourette Syndrome guidelines, and 2) to identify categories of barriers leading to these clinical care gaps.

Methods and analysis: This article presents the methodology of a planned cross-sectional survey amongst healthcare professionals routinely involved in the clinical care of patients with persistent tic disorders, aimed at 1) identifying how practices diverge from the published guidelines; and 2) identifying categories of barriers leading to these clinical care gaps. Purposeful sampling methods are used to identify and recruit critical persistent tic disorders stakeholders. The analysis will use descriptive statistics.

MeSH terms

  • Cross-Sectional Studies
  • Guideline Adherence
  • Health Personnel
  • Humans
  • Parkinson Disease*
  • Practice Guidelines as Topic*
  • Tic Disorders* / diagnosis
  • Tic Disorders* / therapy
  • Tourette Syndrome* / diagnosis
  • Tourette Syndrome* / therapy

Grants and funding

The author(s) received no specific funding for this work.