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The current study aims to explore the efficacy of a text message based safety behavior fadinig intervention compared to an unhealthy behavior fading intervention for appearance concerns.
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.
Individuals randomly assigned to the unhealthy behavior fading condition will receive instructions to decrease or eliminate unhealthy behaviors. They will also 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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Safety Behavior Fading | Experimental | 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. |
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| Unhealthy Behavior Fading | Active Comparator | Individuals randomly assigned to the unhealthy behavior fading condition will receive instructions to decrease or eliminate unhealthy behaviors that are unrelated to appearance. They will also receive daily reminders via text message to decrease these behaviors, along with a behavior monitoring checklist in which the participant indicates the extent to which they decreased and/or eliminated each behavior over the previous day. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Safety Behavior Fading for Appearance Concerns | 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 Appearance Anxiety Scale | Self-report scale that measures appearance anxiety symptoms. Scores range from 16 to 80 with higher scores indicating higher levels of appearance concerns. | Day 0, Day 28, Day 56 |
| Change in Eating Disorder-15 | Self-report scale that measures eating disorder symptoms. Scores range from 0 to 90 with higher scores indicating higher levels of eating pathology. | Day 0, Day 28, Day 56 |
| Change in Social Phobia Inventory | Self-report scale that measures social anxiety symptoms. Scores range from 0 to 68 with higher scores indicating higher levels of social anxiety. | Day 0, Day 28, Day 56 |
| Credibility and Expectancy Questionnaire | Self-report scale for measuring treatment expectancy and rationale credibility for use in clinical outcome studies. | Day 0 |
| Change in Appearance Behaviors Checklist | Self-report scale used to measure frequency of engaging in appearance related safety behaviors. This scale will be used as a manipulation check. | Day 0, Day 28, Day 56 |
| Change in Unhealthy Behaviors Checklist | Self-report scale used to measure frequency of engaging in unhealthy behaviors. This scale will be used as a manipulation check. | Day 0, Day 28, Day 56 |
| Beliefs About Appearance Scale |
| Measure | Description | Time Frame |
|---|---|---|
| Center for Epidemiologic Studies Depression Scale | Self-report measure of depression symptom severity. | Day 0, Day 28, Day 56 |
| Assessment of ideal self | Self-report measure of appearance importance where individuals must allocate a budget of 100 to 7 different ideals including appearance, creativity, friendliness, work ethic, intelligence, humor, and income. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Florida State University, Department of Psychology | Tallahassee | Florida | 32306 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39446647 | Derived | Patel TA, Cougle JR. Safety behavior reduction for appearance concerns: A randomized controlled trial of a smartphone-based intervention. J Consult Clin Psychol. 2024 Dec;92(12):788-799. doi: 10.1037/ccp0000920. Epub 2024 Oct 24. |
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| ID | Term |
|---|---|
| D057215 | Body Dysmorphic Disorders |
| D000072861 | Phobia, Social |
| D001068 | Feeding and Eating Disorders |
| ID | Term |
|---|---|
| D013001 | Somatoform Disorders |
| D001523 | Mental Disorders |
| D010698 | Phobic Disorders |
| D001008 | Anxiety Disorders |
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Participants are randomized to one of two conditions
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| 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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Self-report scale for measuring appearance importance for use in clinical outcome studies. Each item is rated on a 0-4 scale with a total score range of 0-80 with higher scores indicating greater appearance importance.
| Day 0, Day 28, Day 56 |
| UCLA Loneliness Scale-8 | Self-report scale for measuring loneliness for use in clinical outcome studies. Total scores range from 0 to 32 with higher scores indicating higher loneliness. | Day 0, Day 28, Day 56 |
| Day 0, Day 28, Day 56 |
| D012817 |
| Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |