Intervention to Reduce Safety Behaviors

Study Overview
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Brief Summary
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Social anxiety is associated with significant deficits in social and occupational functioning. The proposed study seeks to evaluate the feasibility of implementing a brief text-based intervention for decreasing social anxiety related safety behaviors among Veterans attempting to re-integrate into the workforce. Findings from this pilot will support a larger randomized controlled study examining the efficacy of the intervention for improving functional outcomes and quality of life among Veterans.

Official Title
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Improving Psychosocial Functioning Among Veterans With Social Anxiety: A Pilot Evaluation of Self-Monitoring Intervention to Reduce Safety Behaviors

Conditions
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Social Anxiety

Intervention / Treatment
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* Other: DSB-I


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Active enrollment in Compensated Work Therapy Score of > 25 on the Social Phobia Inventory Score of > 47 on the Subtle Avoidance Frequency Examination Exclusion Criteria: Concurrent enrollment in another study related to social anxiety or improving functional status Recent (<3 month) history of psychiatric hospitalization, detoxification admission, or suicide attempt

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: Other
Intervention Model: Single Group Assignment
Interventional Model Description: open trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: DSB-Intervention<br>Active intervention group receives text message intervention via ANNIE for 30 days | Other: DSB-I<br>* Participant will receive text message every other day during active phase (30days) via ANNIE text messaging app related to the safety behaviors they identified prior to start.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Subtle Avoidance Frequency Examination (SAFE) | 32-item self-report measure designed to assess the frequency of safety behavior (SB) use. Respondents are asked to rate how often they engage in SBs such as Rehearse sentences in your mind and Avoid eye contact on a scale of 0 (Never) to 4 (Always). Scores on the SAFE range from 0-128 with higher scores indicative or more safety behavior use. total mean score | Baseline and immediately after intervention | 
| Social Phobia Inventory (SPIN) | 17-item measure of social anxiety severity. Participants are asked to rate items such as I avoid doing things or speaking to people for fear of embarrassment on a Likert-type scale of 0 (Not at all) to 4 (Extremely). Scores on the SPIN range from 0 to 68 with higher scores indicative of more severe social anxiety, total mean score | baseline and immediately after intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Veteran, Social Anxiety, workforce