Developing a Low-Intensity Primary Care Intervention for Anxiety Disorders (AIM-PC)
Phase 2 Randomized Controlled Trial of Attention and Interpretation Modification (AIM) for Anxiety Disorders in Primary Care
2 other identifiers
interventional
40
1 country
1
Brief Summary
The purpose of the study is to develop a personalized, user-friendly computerized treatment for anxiety disorders linked to primary care. The computerized treatment is a type of Cognitive Bias Modification, which targets attention and interpretation biases known to maintain anxiety disorders.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2015
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2015
CompletedFirst Submitted
Initial submission to the registry
October 16, 2015
CompletedFirst Posted
Study publicly available on registry
October 20, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2018
CompletedResults Posted
Study results publicly available
February 7, 2020
CompletedFebruary 7, 2020
February 1, 2020
3.3 years
October 16, 2015
August 23, 2019
February 3, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Hamilton Anxiety Rating Scale
Number of participants who achieved a 20% reduction in their interview-administered Hamilton Anxiety Rating Scale Total Score.
6-8 weeks after first treatment session
Secondary Outcomes (2)
7-item Generalized Anxiety Disorder Scale
6-8 weeks after first treatment session
Patient Health Questionnaire-9
6-8 weeks after first treatment session
Study Arms (2)
FaceAnxiety - Mental Habits
EXPERIMENTALTreatment will consist of 8, 30-minute, twice-weekly sessions designed to: a) decrease attention bias to threat and b) extinguish threat interpretations/reinforce benign interpretations of ambiguity. Attention bias will be modified via a dot probe task that increases attentional control by directing attention away from threat faces via probe location. Patients will complete 256 trials per session. Interpretation bias will be modified via a word-sentence association task which provides positive feedback when participants endorse benign interpretations of ambiguous sentences and negative feedback for threat interpretations. Participants will complete 150 training trials per session. A FaceAnxiety Specialist facilitates program completion.
FaceAnxiety - Symptom Tracking
ACTIVE COMPARATORTreatment will consist of weekly self-assessment of anxiety and depression symptoms via on-line surveys. A FaceAnxiety Specialist will facilitate program completion.
Interventions
Computerized treatment targeting mental habits and primary care linkage.
Weekly self-assessment with validated questionnaires and primary care linkage
Eligibility Criteria
You may qualify if:
- Study site patient Age ≥18 Primary diagnosis of Generalized anxiety disorder (GAD), Social Phobia (SP), and/or panic disorder with or without agoraphobia (PD/A) At least moderate anxiety severity (GAD-7 score \> 10) English-speaking If on psychopharmacotherapy, stable dose for 3 months; to minimize learning effects, patients taking benzodiazepines will complete AIM prior to their first dose of the day No current psychotherapy No current severe psychiatric symptoms requiring immediate attention (e.g., imminent suicidality, psychosis)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Brown Universitylead
- Mclean Hospitalcollaborator
- Memorial Hospital of Rhode Islandcollaborator
- National Institute of Mental Health (NIMH)collaborator
Study Sites (1)
Family Care Center at Memorial Hospital of Rhode Island
Pawtucket, Rhode Island, 02860, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Courtney Beard
- Organization
- McLean Hospital
Study Officials
- PRINCIPAL INVESTIGATOR
Risa B Weisberg, PhD
Brown University
- PRINCIPAL INVESTIGATOR
Courtney Beard, PhD
Harvard Medical School/McLean Hospital
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
October 16, 2015
First Posted
October 20, 2015
Study Start
September 1, 2015
Primary Completion
December 31, 2018
Study Completion
December 31, 2018
Last Updated
February 7, 2020
Results First Posted
February 7, 2020
Record last verified: 2020-02