Clinical trial NCT02265211: Mindfulness and Acceptance-Based Treatments for Social Anxiety: Defusion App
Official title: Mindfulness and Acceptance-Based Treatments for Social Anxiety: Defusion App
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Anxiety
Shyness
Lead sponsor: Wilfrid Laurier University
Sponsor class: OTHER
First posted: 2014-10-15
Enrollment: 15
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: This study evaluates a self-help app in the treatment of shyness and social anxiety in adults. All participants will be assigned to the treatment group. It is expected that using this app will result in a reduction in social anxiety.

Detailed description: Over 2 million Canadians have suffered from social anxiety disorder (SAD) at some point in their lives. This disorder is characterized by a strong fear of negative evaluation in social situations and is associated with significant impairment in social interactions, educational/occupational achievement, and life satisfaction. Despite the fact that efficacious treatments have been developed and evaluated, both treatment effectiveness and treatment seeking behaviour remain below optimal levels. Combined with the many barriers to treatment (i.e., cost, stigma, access), researchers are investigating self-help modalities as an alternative to conventional psychotherapy.

The Defusion App is based on content from Fleming \& Kocovski's (2013) self-help book "The Mindfulness \& Acceptance Workbook for Social Anxiety \& Shyness." Specifically, the app teaches users about the tendency of socially anxious individuals to fuse with their anxious thoughts (i.e., cognitive fusion), and strategies to reduce it.

In this experimental research study, a smartphone app designed to help with social anxiety and shyness will be evaluated for both effectiveness and frequency of use. The objectives will be to determine whether participants use the app, and whether use of the app is associated with a reduction in social anxiety.

Preliminary evidence has indicated that smartphone apps for mental health are associated with promising results. It is expected that the use of the app in the present research will be associated with reductions in social anxiety symptom severity and a greater use of cognitive defusion strategies.

The participants will be a community sample of individuals interested in seeking help with social anxiety and shyness as recruited by the use of posters around the Wilfrid Laurier University campus and in the community, as well as online.

Eligibility criteria: Inclusion Criteria:

* must be seeking help for shyness/social anxiety
* must own a smartphone

Exclusion Criteria:

* none

Primary outcomes:
measure: Change from Baseline in Social Anxiety Interaction Scale at 7 days
timeFrame: Baseline and 7 days
measure: Change from Baseline in Social Phobia Scale at 7 days
timeFrame: baseline and 7 days
measure: Change from Baseline in Cognitive Fusion Questionnaire at 7 days
timeFrame: baseline and 7 days
measure: Change from Baseline in Believability of Anxious Feelings and Thoughts Questionnaire at 7 days
timeFrame: baseline and 7 days
measure: Change from Baseline in Experiences Questionnaire at 7 days
timeFrame: baseline and 7 days
measure: Change from Baseline in Brief Social Anxiety - Acceptance and Action Questionnaire at 7 days
timeFrame: baseline and 7 days
Secondary outcomes:
measure: Readiness Ruler
timeFrame: baseline
measure: Credibility/Expectancy Questionnaire
timeFrame: baseline
Other outcomes:
Locations:
city: Waterloo
country: Canada
facility: Wilfrid Laurier University
state: Ontario
Study officials:
affiliation: Wilfrid Laurier University
name: Meagan B MacKenzie, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References: