Text Message Safety Behavior Fading for Social Anxiety
- Conditions
- Social Anxiety
- Interventions
- Behavioral: Safety Behavior Fading for Social AnxietyBehavioral: Unhealthy Behavior Fading
- Registration Number
- NCT06168253
- Lead Sponsor
- Florida State University
- Brief Summary
The current study aims to explore the efficacy of a text message based Safety Behavior Fading Intervention compared to an active control intervention.
- Detailed Description
Safety behavior fading may be a viable standalone intervention for social anxiety. In the present trial, participants high in social anxiety will be randomized to either receive a daily checklist exercise aimed at eliminating (1) safety behaviors or (2) unhealthy behaviors. Individuals randomly assigned to the safety behavior fading condition will receive instructions to decrease or eliminate their four most habitual social anxiety safety behaviors. In addition, they will receive daily reminders via text message to decrease these behaviors, along with a safety behavior monitoring checklist in which the participant indicates the extent to which they decreased and/or eliminated each safety behavior over the previous day. Individuals randomly assigned to the control condition will receive similar text messages and a daily checklist to encourage fading of unhealthy behaviors. Participants in both conditions will complete checklists for 28 days. After day 14 of treatment, participants will re-select their target safety behaviors or unhealthy behaviors, and will then be prompted to reduce these new behaviors for another 14 days.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 201
- Social Phobia Inventory Score >29
- Stable Psychotropic Medications for 4 weeks prior to participation
- Currently participating in psychotherapy for social anxiety
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Experimental: Safety Behavior Fading Safety Behavior Fading for Social Anxiety This treatment lasts a total of 28 days. Participants will be asked to identify common safety behaviors related to social anxiety. For the next 14 days, participants will receive instructions to fade out these behaviors. After 14 days, participants will be asked to re-select their target safety behaviors and continue to reduce them over the next two weeks. Unhealthy Behavior Fading Unhealthy Behavior Fading This treatment lasts a total of 28 days. Participants will be asked to identify common unhealthy behaviors related to social anxiety. For the next 14 days, participants will receive instructions to fade out these behaviors. After 14 days, participants will be asked to re-select their target unhealthy behaviors and continue to reduce them over the next two weeks.
- Primary Outcome Measures
Name Time Method Change in Social Phobia Inventory (SPIN) Time Frame: Day 0, Day 14, Day 28, Day 56 Self-report scale that measures Social anxiety symptoms. Scores range from 0 to 68 with higher scores indicating higher levels of social anxiety symptoms.
- Secondary Outcome Measures
Name Time Method Change in Self-Beliefs Related to Social Anxiety Scale (SBSA) Time Frame: Day 0, Day 28, Day 56 A 15-item scale measuring common and generally maladaptive beliefs related to social anxiety.
Change in Subtle Avoidance Frequency Examination (SAFE) scale Time Frame: Day 0, Day 28, Day 56 A 32-item self-report measure of safety behavior usage frequency
Change in Center For Epidemiological Studies Depression Scale, Ten Item Version (CESD-10) Time Frame: Day 0, Day 28, Day 56 A 10-item self-report scale measuring depression symptoms; higher scores indicate greater depressive symptoms.
Change in UCLA Loneliness Scale, Short Form (ULS-8) Time Frame: Day 0, Day 28, Day 56 An 8-item self-report measure of subjective loneliness, with higher scores indicating greater loneliness.
Trial Locations
- Locations (1)
Florida State University
🇺🇸Tallahassee, Florida, United States