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Text Message Safety Behavior Fading for Appearance Concerns

Safety Behavior Fading Versus Unhealthy Behavior Fading for Appearance Concerns: A Randomized Controlled Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05612425
Enrollment
203
Registered
2022-11-10
Start date
2024-01-12
Completion date
2024-04-15
Last updated
2024-05-07

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

Conditions

Body Dysmorphic Disorders, Eating Disorders, Social Anxiety Disorder

Keywords

safety behaviors, intervention, text message, appearance concerns

Brief summary

The current study aims to explore the efficacy of a text message based safety behavior fadinig intervention compared to an unhealthy behavior fading 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. Individuals randomly assigned to the unhealthy behavior fading condition will receive instructions to decrease or eliminate unhealthy behaviors. They will also 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.

Interventions

Participants are asked to reduce or eliminate safety behaviors via text message reminders and checklists to monitor progress.

Participants are asked to reduce or eliminate unhealthy behaviors via text message reminders and checklists to monitor progress.

Sponsors

Florida State University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Participants are randomized to one of two conditions

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* elevated appearance concerns as defined by a score of 53 or higher on the SAAS * Being female

Exclusion criteria

* being male * Score of 52 or lower on the SAAS * 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

Design outcomes

Primary

MeasureTime frameDescription
UCLA Loneliness Scale-8Day 0, Day 28, Day 56Self-report scale for measuring loneliness for use in clinical outcome studies. Total scores range from 0 to 32 with higher scores indicating higher loneliness.
Change in Unhealthy Behaviors ChecklistDay 0, Day 28, Day 56Self-report scale used to measure frequency of engaging in unhealthy behaviors. This scale will be used as a manipulation check.
Beliefs About Appearance ScaleDay 0, Day 28, Day 56Self-report scale for measuring appearance importance for use in clinical outcome studies. Each item is rated on a 0-4 scale with a total score range of 0-80 with higher scores indicating greater appearance importance.
Change in Social Appearance Anxiety ScaleDay 0, Day 28, Day 56Self-report scale that measures appearance anxiety symptoms. Scores range from 16 to 80 with higher scores indicating higher levels of appearance concerns.
Change in Eating Disorder-15Day 0, Day 28, Day 56Self-report scale that measures eating disorder symptoms. Scores range from 0 to 90 with higher scores indicating higher levels of eating pathology.
Change in Social Phobia InventoryDay 0, Day 28, Day 56Self-report scale that measures social anxiety symptoms. Scores range from 0 to 68 with higher scores indicating higher levels of social anxiety.
Credibility and Expectancy QuestionnaireDay 0Self-report scale for measuring treatment expectancy and rationale credibility for use in clinical outcome studies.
Change in Appearance Behaviors ChecklistDay 0, Day 28, Day 56Self-report scale used to measure frequency of engaging in appearance related safety behaviors. This scale will be used as a manipulation check.

Secondary

MeasureTime frameDescription
Assessment of ideal selfDay 0, Day 28, Day 56Self-report measure of appearance importance where individuals must allocate a budget of 100 to 7 different ideals including appearance, creativity, friendliness, work ethic, intelligence, humor, and income.
Center for Epidemiologic Studies Depression ScaleDay 0, Day 28, Day 56Self-report measure of depression symptom severity.

Countries

United States

Outcome results

None listed

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