Clinical trial NCT06896435: Smart-Phone Safety Behavior Fading Intervention for Appearance Concerns (Open ARSB Study)
Official title: Smart-Phone Safety Behavior Fading Intervention for Appearance Concerns
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Body Dysmorphic Disorder
Social Anxiety Disorder
Eating Disorders
Keywords: appearance concerns
safety behavior
Lead sponsor: Florida State University
Sponsor class: OTHER
First posted: 2025-03-26
Enrollment: 400
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Participants are randomized to one of two conditions
Primary purpose: TREATMENT

Brief summary: The current study aims to explore the efficacy of a text message based safety behavior fading intervention compared to a relaxing video intervention for appearance concerns.

Detailed description: Description: Appearance-related safety behavior fading intervention procedures will follow methodology previously used in the Cougle Lab. The safety behavior fading intervention is designed to target a decrease or elimination of appearance-related safety behaviors. Individuals randomly assigned to the safety behavior fading condition will receive instructions to decrease or eliminate their endorsed appearance-related 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. The daily reminder will include the following language: "Hi! This is a friendly reminder to avoid using your checklist behaviors. Please tap the link below to access today's checklist: \[link to checklist\]." Text messages will be delivered using EZtexting a text messaging platform used for research and marketing. Note that no identifying information will be included in this platform. Each participants phone number will be accompanied with a anonymized ID code. Individuals randomly assigned to the relaxing video condition will receive a total of 4 videos over the course of a month (1 video per week, 15 minutes each) wherein participants will be invited to close their eyes and focus their attention on the present moment while listening to relaxing piano music and songbirds.

Eligibility criteria: Inclusion Criteria:

* Seeking treatment for appearance concerns

Exclusion Criteria:

* Currently receiving treatment (therapy, counseling, etc.) for anxiety, depression, eating disorder, or body image/appearance concerns
* If applicable, unstable psychiatric medication usage any time over the past 4 weeks

Primary outcomes:
measure: The Social Appearance Anxiety Scale (SAAS; Hart et al., 2008)
timeFrame: Day 0, Day 28, Day 56
measure: Social Phobia Inventory (SPIN; Connor et al., 2000)
timeFrame: Day 0, Day 28, Day 56
measure: Credibility and Expectancy Questionnaire (Devilly & Borkovec, 2000).
timeFrame: Day 0
measure: Eating Disorder Inventory (EDI; Garner et al., 1983).
timeFrame: Day 0, Day 28, Day 56
measure: Appearance Behaviors Checklist past-week version (author constructed)
timeFrame: Day 0, Day 28, Day 56
Secondary outcomes:
measure: Distress Intolerance Index (McHugh & Otto, 2012)
timeFrame: Day 0, Day 28, Day 56
measure: Frost Multidimensional Perfectionism Scale-Concerns over mistakes subscale (Frost et al., 1990)
timeFrame: Day 0, Day 28, Day 56
measure: Center for Epidemiologic Studies Depression Scale-10 (CESD; Andreson, 1994)
timeFrame: Day 0, Day 28, Day 56
Other outcomes:
Locations:
city: Tallahassee
country: United States
facility: Florida State University
state: Florida
Study officials:
affiliation: Florida State University
name: Jesse Cougle, Doctor of Philosophy
role: STUDY_DIRECTOR
References: