Text Message Safety Behavior Fading for Appearance Concerns
Safety Behavior Fading Versus Unhealthy Behavior Fading for Appearance Concerns: A Randomized Controlled Trial
1 other identifier
interventional
203
1 country
1
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2024
Shorter than P25 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
First Submitted
Initial submission to the registry
November 4, 2022
CompletedFirst Posted
Study publicly available on registry
November 10, 2022
CompletedStudy Start
First participant enrolled
January 12, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 15, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
April 15, 2024
CompletedMay 7, 2024
May 1, 2024
3 months
November 4, 2022
May 5, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (8)
Change in Social Appearance Anxiety Scale
Self-report scale that measures appearance anxiety symptoms. Scores range from 16 to 80 with higher scores indicating higher levels of appearance concerns.
Day 0, Day 28, Day 56
Change in Eating Disorder-15
Self-report scale that measures eating disorder symptoms. Scores range from 0 to 90 with higher scores indicating higher levels of eating pathology.
Day 0, Day 28, Day 56
Change in Social Phobia Inventory
Self-report scale that measures social anxiety symptoms. Scores range from 0 to 68 with higher scores indicating higher levels of social anxiety.
Day 0, Day 28, Day 56
Credibility and Expectancy Questionnaire
Self-report scale for measuring treatment expectancy and rationale credibility for use in clinical outcome studies.
Day 0
Change in Appearance Behaviors Checklist
Self-report scale used to measure frequency of engaging in appearance related safety behaviors. This scale will be used as a manipulation check.
Day 0, Day 28, Day 56
Change in Unhealthy Behaviors Checklist
Self-report scale used to measure frequency of engaging in unhealthy behaviors. This scale will be used as a manipulation check.
Day 0, Day 28, Day 56
Beliefs About Appearance Scale
Self-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.
Day 0, Day 28, Day 56
UCLA Loneliness Scale-8
Self-report scale for measuring loneliness for use in clinical outcome studies. Total scores range from 0 to 32 with higher scores indicating higher loneliness.
Day 0, Day 28, Day 56
Secondary Outcomes (2)
Center for Epidemiologic Studies Depression Scale
Day 0, Day 28, Day 56
Assessment of ideal self
Day 0, Day 28, Day 56
Study Arms (2)
Safety Behavior Fading
EXPERIMENTALIndividuals 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.
Unhealthy Behavior Fading
ACTIVE COMPARATORIndividuals randomly assigned to the unhealthy behavior fading condition will receive instructions to decrease or eliminate unhealthy behaviors that are unrelated to appearance. They will also receive daily reminders via text message to decrease these behaviors, along with a behavior monitoring checklist in which the participant indicates the extent to which they decreased and/or eliminated each 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.
Eligibility Criteria
You may qualify if:
- elevated appearance concerns as defined by a score of 53 or higher on the SAAS
- Being female
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Florida State University, Department of Psychology
Tallahassee, Florida, 32306, United States
Related Publications (1)
Patel TA, Cougle JR. Safety behavior reduction for appearance concerns: A randomized controlled trial of a smartphone-based intervention. J Consult Clin Psychol. 2024 Dec;92(12):788-799. doi: 10.1037/ccp0000920. Epub 2024 Oct 24.
PMID: 39446647DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
November 4, 2022
First Posted
November 10, 2022
Study Start
January 12, 2024
Primary Completion
April 15, 2024
Study Completion
April 15, 2024
Last Updated
May 7, 2024
Record last verified: 2024-05
Data Sharing
- IPD Sharing
- Will not share