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The current study aims to explore the efficacy of a text message based Safety Behavior Fading Intervention compared to an active control intervention.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Safety Behavior Fading | Experimental | Participants will be asked to identify their five most common SBs from the SAFE. Participants will then be shown a sample checklist with instructions to fill it out. For the next 14 days, participants will receive the following text message "Please remember to avoid using SBs you selected. As you drop them, you'll be able to go into social situations with greater confidence!" with a link for their daily checklist to complete. Participants will be asked to rate how often they engaged in each SB over the past 24 hours |
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| Unhealthy Behavior Fading | Active Comparator | Participants will be asked to pick five unhealthy behaviors they engage in most often to decrease. Participants will then be shown the same sample checklist as the Safety Behavior Fading Group. For the next 14 days participants will receive the following text message "Please try to remember to decrease your unhealthy behaviors. As you decrease them you will feel better, and you'll be able to go into social situations with greater confidence!" with a link for their daily checklist to complete. Participants will be asked to rate how often they engaged in each Unhealthy Behavior over the past 24 hours. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Safety Behavior Fading for Social Anxiety | Behavioral | Participants are asked to reduce or eliminate safety behaviors via text message reminders and checklists to monitor progress |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Social Phobia Inventory Score | Self-report scale that measures Social anxiety symptoms. Scores range from 0 to 68 with higher scores indicating higher levels of social anxiety symptoms. | Day 0, Day 14, Day 42 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Florida State University | Tallahassee | Florida | 32304 | United States |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Nov 24, 2021 | Nov 15, 2023 | Prot_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Nov 24, 2021 | Nov 15, 2023 | ICF_001.pdf |
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Participants are randomized in to one of two conditions
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Participants will receive one of two matched interventions. They will not be told whether they are receiving the active or control intervention
| Unhealthy Behavior Fading | Behavioral | Participants are asked to reduce or eliminate unhealthy behaviors via text message reminders and checklists to monitor progress |
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