Comparison of Online Group Therapy Interventions for Procrastination

Study Overview
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Brief Summary
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The aim of this study is to compare the efficacy of two cognitive behavior therapy (CBT) protocols for procrastination with an active control protocol including cognitive-behavioral elements and with a wait-list control group. The interventions will be delivered online in group settings. All three protocols include identical psychoeducation and cognitive modules related to procrastination, but will differ in the behavioral modules. The behavioral module in one protocol is focused on starting on time and realistic planning. The second protocol implements working time restriction. The active comparator protocol implements the pomodoro time management technique. The wait-list control group will receive one of the CBT protocols after the period of waiting. It is assumed that all active conditions will be superior to the wait-list control, and that CBT protocols will be superior to the protocol including the time management technique. Primary (procrastination) and secondary (depression and anxiety) measures will be collected prior and after the interventions (or waiting period in wait-list group) and after 6-months in the three active condition groups.

Official Title
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Comparison of Online Group Therapy Interventions for Procrastination: A Randomized Controlled Trial With Different Cognitive Behavior Therapy (CBT) Protocols

Conditions
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Procrastination

Intervention / Treatment
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* Behavioral: Psychoeducation and cognitive modules
* Behavioral: Behavioral module: Starting on Time and Planning Realistically
* Behavioral: Behavioral module: Working Time Restriction
* Behavioral: Behavioral module: Pomodoro Time Management Technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Bachelor's and Master's university students Self-reported primary difficulties related to chronic and severe procrastination Serious procrastination problem lasting for at least one year as confirmed during clinical interview Having a postponed/procrastinated project to complete in the course of therapy Willing to participate in the study Fluent in Polish language Computer access and stable Internet connection Exclusion Criteria: Current participation in other psychotherapy Change of psychiatric medication during last 12 weeks Severe anxiety or affective disorders and any other severe psychiatric disorders that require other type of specialized care and are primary to procrastination problem (e.g. major depressive episode, social phobia, PTSD, etc.) Active suicidality Psychosis, bipolar disorder Alcohol or substance dependence Severe personality disorders (with exclusion of avoidant, dependent and obsessive-compulsive personality disorders)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 26 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
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cognitive Behavioral Therapy with Techniques of Starting on Time and Planning Realistically<br>5 session (one session a week) online group therapy including several psychoeducation and cognitive modules (what is procrastination, role of rewards, work environment, belief identification, cognitive restructuring, relapse prevention) and a behavioral module: realistic planning, timely beginning. | Behavioral: Psychoeducation and cognitive modules<br>* Psychoeducation and cognitive modules: what is procrastination, role of rewards, work environment, belief identification, cognitive restructuring, relapse prevention.<br>Behavioral: Behavioral module: Starting on Time and Planning Realistically<br>* Learning of realistic planning, and timely starting of work.<br>|
| Experimental: Cognitive Behavioral Therapy with Technique of Working Time Restriction<br>5 session (one session a week) online group therapy including several psychoeducation and cognitive modules (what is procrastination, role of rewards, work environment, belief identification, cognitive restructuring, relapse prevention) and a behavioral module: working time restriction. | Behavioral: Psychoeducation and cognitive modules<br>* Psychoeducation and cognitive modules: what is procrastination, role of rewards, work environment, belief identification, cognitive restructuring, relapse prevention.<br>Behavioral: Behavioral module: Working Time Restriction<br>* Restriction of allowed time for work, and gradual increase of allowed time, if previous time windows where effectively used.<br>|
| Active Comparator: Cognitive Behavioral Intervention with Time Management Technique<br>5 session (one session a week) online group therapy including several psychoeducation and cognitive modules (what is procrastination, role of rewards, work environment, belief identification, cognitive restructuring, relapse prevention) and a behavioral module: pomodoro technique. | Behavioral: Psychoeducation and cognitive modules<br>* Psychoeducation and cognitive modules: what is procrastination, role of rewards, work environment, belief identification, cognitive restructuring, relapse prevention.<br>Behavioral: Behavioral module: Pomodoro Time Management Technique<br>* Working in 25 minutes time intervals<br>|
| No Intervention: Wait-list control group<br>No intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Polish version of the Pure Procrastination Scale (PPS) | Assessment of procrastination level. The Polish version of PPS consists of 12 items that evaluate procrastination conceptualized as a dysfunctional delay (e.g. I am continually saying I'll do it tomorrow; I delay making decisions until it's too late). Participants respond on a 5-point scale (1 = very seldom or not true of me; 2 = seldom true of me; 3 = sometimes true of me; 4 = often true of me; 5 = very often true of true of me) | baseline assessment (week 0); mid-treatment assessment (week 3); post-treatment assessment (week 6); follow-up assessment (6 months after post-treatment assessment) | 
| Change in Polish version of the Aitken Procrastination Inventory (API) | Assessment of academic procrastination level. The Polish version of API consists of 19 items that evaluate the tendency of students to procrastinate in their academic tasks (e.g. If I had an important project to do, I'd get started on it as quickly as possible, Getting down to work often takes me a long time.). Participants respond on a 5-point scale (1 = false; 2 = mostly false; 3 =  sometimes false/sometimes true; 4 = mostly true; 5 = true). | baseline assessment (week 0); mid-treatment assessment (week 3); post-treatment assessment (week 6); follow-up assessment (6 months after post-treatment assessment) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Polish version of the Patient Health Questionnaire (PHQ-9) | Assessment of depressive symptoms. The Polish version of PHQ-9 consists of 9 items that evaluate the occurrence of depressive symptoms in the last 2 weeks (e.g. Little interest or enjoyment of your activities). Participants respond on a 4-point Likert scale (0 = not at all; 1 = on a few days; 2 = on more than half of the days; 3 = nearly every day). | baseline assessment (week 0); mid-treatment assessment (week 3); post-treatment assessment (week 6); follow-up assessment (6 months after post-treatment assessment) | 
| Change in Polish version of the Generalized Anxiety Disorder Questionnaire-7 (GAD-7) | Assessment of depressive symptoms. The Polish version of GAD-7 consists of 7 items that evaluate the occurrence of anxiety and excessive worry symptoms in the last 2 weeks (e.g. Feeling afraid as if something awful might happen). Participants respond on a 4-point Likert scale (0 = not at all; 1 = on a few days; 2 = on more than half of the days; 3 = nearly every day). | baseline assessment (week 0); mid-treatment assessment (week 3); post-treatment assessment (week 6); follow-up assessment (6 months after post-treatment assessment) | 
| Degree of completion of a particular project that the participant decided to work on during the training (e.g. a thesis, an essay, a report). | Before and after therapy participants will be asked to assess the degree of completion of this project in percents. | baseline assessment (week 0); mid-treatment assessment (week 3); post-treatment assessment (week 6) |