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Mindfulness and Acceptance-Based Treatments for Social Anxiety: Defusion App

Mindfulness and Acceptance-Based Treatments for Social Anxiety: Defusion App

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02265211
Enrollment
15
Registered
2014-10-15
Start date
2014-10-31
Completion date
2015-06-30
Last updated
2015-06-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anxiety, Shyness

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.

Interventions

BEHAVIORALSelf-Help App

Sponsors

Wilfrid Laurier University
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

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

Exclusion criteria

* none

Design outcomes

Primary

MeasureTime frameDescription
Change from Baseline in Social Anxiety Interaction Scale at 7 daysBaseline and 7 daysSelf-reported social anxiety scores. Each item is scored 0 (not at all ) to 4 (extremely) yielding a total between 0 and 80.
Change from Baseline in Social Phobia Scale at 7 daysbaseline and 7 daysSelf-reported social anxiety scores. Each item is scored 0 (not at all ) to 4 (extremely) yielding a total between 0 and 80.
Change from Baseline in Cognitive Fusion Questionnaire at 7 daysbaseline and 7 daysSelf-reported cognitive fusion scores. Each item is scored 1 (never true ) to 7 (always true) yielding a total between 7 and 49.
Change from Baseline in Believability of Anxious Feelings and Thoughts Questionnaire at 7 daysbaseline and 7 daysSelf-reported believability of anxious feelings and thoughts scores. Each item is scored 1 (not at all believable) to 7 (completely believable) yielding a total between 16 and 112.
Change from Baseline in Experiences Questionnaire at 7 daysbaseline and 7 daysSelf-reported decentering scores. Each item is rated from 1 (never) to 5 (all the time) yielding a total between 20 and 100.
Change from Baseline in Brief Social Anxiety - Acceptance and Action Questionnaire at 7 daysbaseline and 7 daysSelf-reported acceptance of social anxiety scores. Each item is rated from 1 (never true) to 5 (always true) yielding a total between 1 and 56..

Secondary

MeasureTime frameDescription
Readiness RulerbaselineSelf-reported readiness to change ruler. Participants indicate the degree to which they are ready to change on a visual analogue scale ranging from 0 (not prepared to change) to 10 (already changing).
Credibility/Expectancy QuestionnairebaselineSelf-reported app credibility. Participants indicate how credible the treatment app seems.

Countries

Canada

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026