Smart-Phone Safety Behavior Fading Intervention for Appearance Concerns
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Florida State University
- Enrollment
- 401
- Locations
- 1
- Primary Endpoint
- The Social Appearance Anxiety Scale (SAAS; Hart et al., 2008)
Study Overview
Brief Summary
The current study aims to explore the efficacy of a text message based safety behavior fading intervention compared to a relaxing video intervention for appearance concerns.
Detailed Description
Description: Appearance-related safety behavior fading intervention procedures will follow methodology previously used in the Cougle Lab. The safety behavior fading intervention is designed to target a decrease or elimination of appearance-related safety behaviors. Individuals randomly assigned to the safety behavior fading condition will receive instructions to decrease or eliminate their endorsed appearance-related 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. The daily reminder will include the following language: "Hi! This is a friendly reminder to avoid using your checklist behaviors. Please tap the link below to access today's checklist: [link to checklist]." Text messages will be delivered using EZtexting a text messaging platform used for research and marketing. Note that no identifying information will be included in this platform. Each participants phone number will be accompanied with a anonymized ID code. Individuals randomly assigned to the relaxing video condition will receive a total of 4 videos over the course of a month (1 video per week, 15 minutes each) wherein participants will be invited to close their eyes and focus their attention on the present moment while listening to relaxing piano music and songbirds.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Seeking treatment for appearance concerns
Exclusion Criteria
- •Currently receiving treatment (therapy, counseling, etc.) for anxiety, depression, eating disorder, or body image/appearance concerns
- •If applicable, unstable psychiatric medication usage any time over the past 4 weeks
Arms & Interventions
Safety Behavior Fading
Individuals randomly assigned to the safety behavior fading condition will receive instructions to decrease or eliminate their endorsed appearance-related 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 engaged in each safety behavior over the previous day.
Intervention: Safety Behavior Fading for Appearance Concerns (Behavioral)
Relaxing Video
Individuals randomly assigned to the relaxing video condition will receive a total of 4 videos over the course of a month (1 video per week, 15 minutes each) wherein participants will be invited to close their eyes and focus their attention on the present moment while listening to relaxing piano music and songbirds.
Intervention: Relaxing Video (Behavioral)
Outcomes
Primary Outcomes
The Social Appearance Anxiety Scale (SAAS; Hart et al., 2008)
Time Frame: Day 0, Day 28, Day 56
Self-report scale that measures appearance anxiety symptoms. Scores range from 16 to 80 with higher scores indicating higher levels of appearance concerns.
Appearance Behaviors Checklist past-week version (author constructed)
Time Frame: Day 0, Day 28, Day 56
Self-report scale used to measure frequency of engaging in appearance-related safety behaviors. This scale will be used as a manipulation check. Each item is rated on a 0 to 10 scale. Total scores range from 0 to 130 with higher scores indicating greater engagement in appearance-related safety behaviors
Social Phobia Inventory (SPIN; Connor et al., 2000)
Time Frame: Day 0, 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.
Credibility and Expectancy Questionnaire (Devilly & Borkovec, 2000).
Time Frame: Day 0
Self-report scale for measuring treatment expectancy and rationale credibility for use in clinical outcome studies. Three items are rated on a 0-10 scale and one item is rated on a 0-100 scale with higher scores meaning greater expectancy and credibility.
Eating Disorder Inventory (EDI; Garner et al., 1983).
Time Frame: Day 0, Day 28, Day 56
Self-report scale for measuring drive for thinness, bulimia, and body dissatisfaction for use in clinical outcome studies. Each item is rated on a 0-5 scale with a total score range of 0-125 with higher scores indicating greater drive for thinness, bulimia, and body dissatisfaction.
Secondary Outcomes
- Distress Intolerance Index (McHugh & Otto, 2012)(Day 0, Day 28, Day 56)
- Frost Multidimensional Perfectionism Scale-Concerns over mistakes subscale (Frost et al., 1990)(Day 0, Day 28, Day 56)
- Center for Epidemiologic Studies Depression Scale-10 (CESD; Andreson, 1994)(Day 0, Day 28, Day 56)
Investigators
Jesse Cougle
Principal Investigator
Florida State University