Effectiveness of Acceptance-based Self-help for Individuals With Visible Difference and Social Anxiety: a Pilot Randomised Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Sheffield
- Enrollment
- 284
- Locations
- 1
- Primary Endpoint
- Comprehensive assessment of Acceptance and Commitment Therapy processes
Study Overview
Brief Summary
The acceptance and commitment therapy (ACT) model theoretically fits with treating appearance-related anxiety in individuals with a visible difference. This study examines the effectiveness of an acceptance-based self-help manual for this population.
Detailed Description
Individuals with visible difference commonly experience social anxiety due to appearance-related concerns. There are limited resources to help people with appearance-related distress, so internet-provided self-help interventions may be beneficial. A pilot randomised controlled trial will compare the effectiveness of an acceptance-based self-help intervention to a waitlist control group.
We hypothesise (1) the acceptance-based self-help intervention will significantly increase participants' "psychological flexibility", (2) significantly decrease fear of negative evaluation from others and (3) significantly increase their quality of life, compared to the waitlist control group. Data will be collected at two time points only.
General distress (CORE-10) will be collected pre-intervention only to ensure randomisation has been successful. Should the two groups significantly differ in distress, this will be accounted for in subsequent analyses.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Masking Description
Entire study completed online, including randomisation.
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Individuals who self-identify as having a visible difference to their appearance (such as, but not restricted to: hair and skin conditions, burns, craniofacial conditions, birthmarks, surgical scarring)
- •Must self-define as experiencing concerns about social interaction or a loss of social confidence in relation to their visible difference.
- •Must be aged 18 years or over
- •Must be fluent in English language
- •Must have access to a computer and the internet
Exclusion Criteria
- •Currently receiving any form of psychotherapy
Arms & Interventions
Acceptance-based self-help
Participants in this group will receive the self-help booklet.
Surviving to Thriving: ACT self-help for living well with a visible difference in appearance
Intervention: Acceptance-based self-help intervention (Behavioral)
Waitlist control group
Participants in this group will be placed onto a waitlist for the four-week intervention period.
Outcomes
Primary Outcomes
Comprehensive assessment of Acceptance and Commitment Therapy processes
Time Frame: Four weeks
A general measure of psychological flexibility (and constituent sub-processes) as conceptualized within the ACT model.
Secondary Outcomes
- Work and Social Adjustment Scale (WSAS)(Four weeks)
- Brief Fear of Negative Evaluation Scale II (BFNE-II)(Four weeks)
Investigators
Luke Powell
Trainee Clinical Psychologist
University of Sheffield