Constructive Self Assertiveness Via the Internet

Study Overview
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Brief Summary
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Some people have problems with self-assertiveness. That can have negative impact on their lives. This study will test a constructive self-assertiveness intervention program delivered online. In addition, the relative effect of guidance during the intervention will be investigated. In a randomized controlled trial three groups will be compared: constructive self-assertiveness with guidance constructive self-assertiveness without guidance Waitlist control

Detailed Description
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Some people have problems with self-assertiveness. That can have negative impact on their lives. This study will test a constructive self-assertiveness intervention program delivered online. In addition, the relative effect of guidance during the intervention will be investigated. In a randomized controlled trial three groups will be compared: constructive self-assertiveness with guidance constructive self-assertiveness without guidance Waitlist control The treatment (and wait) will be 10 weeks.

Official Title
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Constructive Self Assertiveness Via the Internet

Conditions
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Problems With Self-assertiveness

Intervention / Treatment
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* Behavioral: Constructive self-assertiveness program via the internet


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Human, At least 18 years old, Able to speak and read Swedish, Informed consent. Exclusion Criteria: Severe depression (as defined by a PHQ9 score of 15 points or higher), If on medication the dosage has been stable for at least the past 3 months, No ongoing psychotherapy.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: A randomized controlled trial with three groups.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Constructive self-assertiveness with guidance<br>10 weeks of internet-based treatment with weekly assignments. The homework is commented on by the guide using electronic communication. | Behavioral: Constructive self-assertiveness program via the internet<br>* Participants will get one chapter a week to work with. All chapters are presented on web pages and include information and exercises and end with homework assignments.<br>|
| Experimental: Constructive self-assertiveness without guidance<br>10 weeks of internet-based treatment with weekly assignments. The homework is NOT commented on by any guide. Hence, same treatment as group 1 but without guidance. | Behavioral: Constructive self-assertiveness program via the internet<br>* Participants will get one chapter a week to work with. All chapters are presented on web pages and include information and exercises and end with homework assignments.<br>|
| No Intervention: Waitlist control<br>No treatment, no guidance, just waiting for 10 weeks. After the ten weeks the participants will receive the treatment. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adaptive and Aggressive Assertiveness Scale | A self-report questionnaire measuring Adaptive and Aggressive Assertiveness. Higher scores mean a worse outcome. Minimum and maximum values: 30-150. | Up to 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Health Questionnaire 9-item | Depression questionnaire. Higher scores mean a worse outcome. Higher scores mean a worse outcome. Minimum and maximum values: 0-27. | Up to 12 months | 
| Generalized Anxiety Disorder 7 | General Anxiety questionnaire. Higher scores mean a worse outcome. Minimum and maximum values: 0-27. | Up to 12 months | 
| Liebowitz Social Anxiety Scale , self-report | Social Anxiety questionnaire. Higher scores mean a worse outcome. Minimum and maximum values: 0-144. | Up to 12 months | 
| Rathus Assertiveness Schedule | Assertiveness questionnaire. Higher scores mean a worse outcome. Minimum and maximum values: -30 to +30. | Up to 12 months | 
| Well-being scale | Depression scale. Lower scores mean a worse outcome. Minimum and maximum values: 0-72. | Up to 12 months |