Social Anxiety
Conditions
Keywords
Cognitive Restructuring, Exposure Therapy, Cognitive Behavioral Therapy, Internet-Based Intervention, Social Anxiety, Predictive Models, Patient-Specific Modeling
Brief summary
The goal of this clinical trial is to understand which individuals benefit most from an internet-based cognitive behavioral intervention for social anxiety. Adults aged 18-65 will complete a self-guided online program designed to reduce anxiety symptoms. The investigators will use a combination of self-reported clinical information and data from computerized decision-making and cognitive tasks to predict behavioral change due to the intervention.
Interventions
Participants will be offered the use of a self-help tool, e-couch (https://ecouch.com.au), for 5 weeks. e-couch is an online, self-directed tool that provides interactive self-help and evidence-based information to help users understand and manage common mental health challenges including symptoms of depression and anxiety. The e-couch social anxiety program will be used in this study. It is structured like an interactive self-help book and participants can log back into at any time to learn and review skills. The e-couch social anxiety program includes a comprehensive information module, as well as self-help modules with interactive exercises and workbooks that teach evidence-based strategies. The content will cover topics such as cognitive restructuring and exposure, with an emphasis on learning strategies to reduce social anxiety.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 to 65 years * Live in the United States * Comfortable reading and writing in English * Have regular access to the internet and a desktop/laptop computer * Report wanting to feel more comfortable in social situations, to improve social confidence, and/or to reduce symptoms of social anxiety as primary reason for joining the study * Have a valid photo ID and be willing to complete a video-based identity verification call if requested
Exclusion criteria
* Lack of attention when completing parts of the study, and/or not completing the study tasks as instructed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cumulative Score for Self-Selected Goals Over a 5-Week Intervention | From baseline (goal selection) to the end of Week 5 of the intervention, assessed weekly at the end of each intervention week. | At baseline, participants select three personal goals. At the end of each intervention week, participants rate their progress toward each goal. The primary outcome is cumulative per-goal scores across the 5 intervention weeks. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline in Liebowitz Social Anxiety Scale (LSAS) Avoidance Subscale Score at End of Week 5 | From baseline to the end of Week 5 of the intervention. | The LSAS Avoidance subscale is a self-report measure assessing avoidance of social interaction and performance situations, rated across 24 items on a 0-3 scale (0 = never, 3 = usually), yielding a total avoidance subscale score ranging from 0-72. Higher scores indicate greater avoidance. This outcome is the change in total subscale score from baseline to end of Week 5. |
Countries
United States
Contacts
Princeton University
Princeton University