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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 |
|---|---|---|---|
| Experimental: Safety Behavior Fading | Experimental | 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. |
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| Unhealthy Behavior Fading | Active Comparator | 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. |
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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 (SPIN) | Self-report scale that measures Social anxiety symptoms. Scores range from 0 to 68 with higher scores indicating higher levels of social anxiety symptoms. | Time Frame: Day 0, Day 14, Day 28, Day 56 |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Center For Epidemiological Studies Depression Scale, Ten Item Version (CESD-10) | A 10-item self-report scale measuring depression symptoms; higher scores indicate greater depressive symptoms. | Time Frame: Day 0, Day 28, Day 56 |
| Change in UCLA Loneliness Scale, Short Form (ULS-8) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Florida State University | Tallahassee | Florida | 32312 | United States |
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Participants will be 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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An 8-item self-report measure of subjective loneliness, with higher scores indicating greater loneliness. |
| Time Frame: Day 0, Day 28, Day 56 |
| Change in Self-Beliefs Related to Social Anxiety Scale (SBSA) | A 15-item scale measuring common and generally maladaptive beliefs related to social anxiety. | Time Frame: Day 0, Day 28, Day 56 |
| Change in Subtle Avoidance Frequency Examination (SAFE) scale | A 32-item self-report measure of safety behavior usage frequency | Time Frame: Day 0, Day 28, Day 56 |