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The purpose of this study is to test mechanisms and processes of virtual reality and augmented reality exposure therapy for social anxiety. There is substantial evidence that virtual reality exposure therapy is an effective treatment for social anxiety. However, it can be difficult to access treatment that needs to be conducted in person. Tests of self-guided (without therapist assistance) virtual reality exposure therapy have had mixed efficacy and tests of augmentation offer an important method to optimize brief interventions. The study objectives are to test a wide range of possible mechanisms and approaches (ranging from single sessions in person to remotely conducted virtual reality exposure therapy) in order to advance the field. The broadness of the proposed research is to provide multiple avenues for inquiry per discussion with IRB chair Dr. Kuo. Depending on the specific line of inquiry some variations will be documented (e.g., multiple consent forms for answering different sub questions of the primary questions listed below).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| no interaction Virtual Reality Exposure Therapy | Active Comparator |
| |
| structured interaction Virtual Reality Exposure Therapy | Experimental |
| |
| personalized interaction Virtual Reality Exposure Therapy | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ExpandXR | Behavioral | An Mixed Reality Exposure Therapy platform for the Apple Vision Pro |
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| Measure | Description | Time Frame |
|---|---|---|
| Liebowitz Social Anxiety Scale Self Report Version | The Liebowitz Social Anxiety Scale Self Report Version is a 48-item self-report measure of fear and avoidance concerning social interactions and performance situations (e.g., telephoning in public, talking to people in authority). The range of scores is 0-144; higher scores are worse. | Baseline |
| Liebowitz Social Anxiety Scale Self Report Version | The Liebowitz Social Anxiety Scale Self Report Version is a 48-item self-report measure of fear and avoidance concerning social interactions and performance situations (e.g., telephoning in public, talking to people in authority). The range of scores is 0-144; higher scores are worse. | 21 days |
| Liebowitz Social Anxiety Scale Self Report Version | The Liebowitz Social Anxiety Scale Self Report Version is a 48-item self-report measure of fear and avoidance concerning social interactions and performance situations (e.g., telephoning in public, talking to people in authority). The range of scores is 0-144; higher scores are worse. | 51 days |
| Liebowitz Social Anxiety Scale Self Report Version | The Liebowitz Social Anxiety Scale Self Report Version is a 48-item self-report measure of fear and avoidance concerning social interactions and performance situations (e.g., telephoning in public, talking to people in authority). The range of scores is 0-144; higher scores are worse. | 111 days |
| Personal Report of Communication Apprehension (PRCA) | The Personal Report of Communication Apprehension is a 24-item that assesses anxiety related to speaking in a variety of situation. The range of scores is 24-120; higher scores are worse. | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Speech Anxiety Thoughts Inventory | The Speech Anxiety Thoughts Inventory is a 23-item self-report measure of assessing the intensity of belief in maladaptive, negative thoughts categorized into two main factors: prediction of poor performance and fear of negative evaluation by the audience. The range of scores is 23-115 with higher scores reflecting greater endorsement of maladaptive thoughts. | Baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Palo Alto University Mountain View Campus | Recruiting | Palo Alto | California | 94304 | United States |
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| Personal Report of Communication Apprehension (PRCA) | The Personal Report of Communication Apprehension is a 24-item that assesses anxiety related to speaking in a variety of situation. The range of scores is 24-120; higher scores are worse. | 21 days |
| Personal Report of Communication Apprehension (PRCA) | The Personal Report of Communication Apprehension is a 24-item that assesses anxiety related to speaking in a variety of situation. The range of scores is 24-120; higher scores are worse. | 51 days |
| Personal Report of Communication Apprehension (PRCA) | The Personal Report of Communication Apprehension is a 24-item that assesses anxiety related to speaking in a variety of situation. The range of scores is 24-120; higher scores are worse. | 111 days |
| Speech Anxiety Thoughts Inventory | The Speech Anxiety Thoughts Inventory is a 23-item self-report measure of assessing the intensity of belief in maladaptive, negative thoughts categorized into two main factors: prediction of poor performance and fear of negative evaluation by the audience. The range of scores is 23-115 with higher scores reflecting greater endorsement of maladaptive thoughts. | 21 days |
| Speech Anxiety Thoughts Inventory | The Speech Anxiety Thoughts Inventory is a 23-item self-report measure of assessing the intensity of belief in maladaptive, negative thoughts categorized into two main factors: prediction of poor performance and fear of negative evaluation by the audience. The range of scores is 23-115 with higher scores reflecting greater endorsement of maladaptive thoughts. | 51 days |
| Speech Anxiety Thoughts Inventory | The Speech Anxiety Thoughts Inventory is a 23-item self-report measure of assessing the intensity of belief in maladaptive, negative thoughts categorized into two main factors: prediction of poor performance and fear of negative evaluation by the audience. The range of scores is 23-115 with higher scores reflecting greater endorsement of maladaptive thoughts. | 111 days |