Mental Health Issue
Conditions
Keywords
Cognitive Behavioral Therapy, Web-based intervention, procrastation
Brief summary
This study is a randomized-controlled trial in which the assumed superiority of the module internet-based cognitive behavioral therapy intervention for social anxiety disorder is evaluated compared to a waitlist control group. Participants will be assigned to one of two groups, treatment which have web-based intervention (guided), and waitlist. The intervention program will be offered to treatment group participants (guided) through the website https://kendikendineyardim.org, the unique online self-help platform in Turkey. Participants in the web-based treatment group will receive feedback message within 24 hours after each completed module from the guides.
Detailed description
This study is a randomized-controlled trial in which the assumed superiority of the module internet-based cognitive behavioral therapy intervention for social anxiety disorder is evaluated compared to a waitlist control group. Participants will be assigned to one of two groups, treatment which have web-based intervention (guided), and waitlist. The intervention program will be offered to treatment group participants (guided) through the website https://kendikendineyardim.org, the unique online self-help platform in Turkey. Participants in the web-based treatment group will receive feedback message within 24 hours after each completed module from the guides. The intervention program consists of five modules. Each module can be completed in 30-40 minutes. Each module starts with the evaluation of the exercises given at the end of the previous module and ends with a between-module exercise. The module includes text, interactive forms, animated videos, audio recordings, and images. The duration of the program will be approximately five to seven weeks. However, participants will be allowed to follow the program at their own speed. No limitations will be imposed other than the completion of no more than one module per day. Users can use the system with their e-mail addresses and passwords. The data will be compared with suitable statistical techniques.
Interventions
The experimental group participants will be in treatment through web-based intervention consisting of five to seven weeks. The intervention program will be offered to participants through the website https://kendikendineyardim.org, the online self-help platform in Turkey. Participants will be able to use the system with their e-mail addresses and passwords.The intervention consists of five modules consisting of behavioral, emotional and cognitive content. The modules include text, interactive forms, animated videos, audio recordings, and images. Participants in this arm will receive weekly feedback from guides via the platform's message sending feature.
Sponsors
Anadolu University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* volunteering to participate in the study; * having a valid e-mail address; * having internet access (computer, laptop, tablet, or mobile device); * being aged 18 or older; * score of 25 or above on both anxiety and avoidance subscales of the Liebowitz Social Anxiety Scale Turkish Form
Exclusion criteria
* receiving any psychological help (i.e., medication or psychotherapy/counseling) during the research period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Liebowitz Social Anxiety Scale (LSAS) Turkish Form | Baseline, post-test (6 weeks later from baseline), follow up (10 weeks later from baseline) | This scale, developed by Liebowitz (1987), aims to evaluate in which social situations individuals with social phobia encounter anxiety. It includes 24 items divided into two subscales addressing social interaction (11 items) and performance (13 items). Items are rated on a 4-point scale for anxiety. When looking at the scoring of the scale, the higher the individual scores, the more anxiety and avoidance behaviors they have. It is a self-report tool and participants evaluate themselves. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Social Appearance Anxiety Scale (SAAS) Turkish Form | Baseline, post-test (6 weeks later from baseline), follow up (10 weeks later from baseline) | It is a 5-point Likert type scale developed to measure an individual's emotional, behavioral and cognitive concerns about their appearance. The Turkish form of the scale consists of 16 items. The lowest total score from the scale is 16 and the highest score is 80. High scores indicate high social appearance anxiety. It is a self-report tool and participants evaluate themselves. |
| Patient Health Questionnaire-9 (PHQ-9) Turkish Form | Baseline, post-test (6 weeks later from baseline), follow up (10 weeks later from baseline) | For asses depression symptoms level. PHQ-9 consists of 9 items structured on a four-point Likert scale (0-3) to measure the level of depressed mood. The lowest score is 0 and the highest score is 27. A high score indicates a high level of depression. It is a self-report tool and participants evaluate themselves. |
| Generalized Anxiety Disorder-7 (GAD-7) Turkish Form | Baseline, post-test (6 weeks later from baseline), follow up (10 weeks later from baseline) | It will use for anxiety symptoms level. The GAD-7 consists of 7 items structured in a four-point Likert scale to measure anxiety level. The lowest score is 0 and the highest score is 21. A high score indicates a high level of anxiety. It is a self-report tool and participants evaluate themselves. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Sociodemographic Information Form | Baseline | This form will assess age, gender and whether the participant has received psychotherapy/counselling or medication before as potential covariates. |
| Guide Evaluation | End of the experiment | It is a one-question assessment in which the participants in the guided intervention group rate the feedback they received at the end of the program and their relationship with the guide. Participants will score their communication with the guide between 1-10 points. |
| System Usability Scale (SUS-10) Turkish Form | Post-test (6 weeks later from baseline) | This is a tool aiming to assess the impact of program usability on treatment outcomes. SUS-10 was developed to assess the usability of a system. It consists of 10 items. The items are on a 5-point Likert scale (0-4). The lowest score is 0 and the highest score is 40. A high score indicates high usability. Raw scores are multiplied by 2.5 when calculating. A score above 70 is considered as sufficient usability. |
| Attitudes Toward Internet-Based Interventions Scale (ETAM) Turkish Form | Baseline | ETAM will use people's opinions/attitudes about internet-based interventions. It consists of 16 items. It is defined as a five-point Likert scale. A high score indicates a positive attitude towards internet-based interventions. |
| Adherence to Intervention | Post-test (6 weeks later from baseline) | Adherence refers to the degree to which the user follows the program as designed. The calculation of adherence will use the percentage determined by dividing the number of core modules completed by the participant during the post-test by the total number of core modules in the program and multiplying it by 100. |
Contacts
Primary ContactÖmer Özer, Ph.D.
Backup ContactAli Ercan Altınöz, MD
Outcome results
None listed