Anxiety Clinical Trial
Official title:
Internet Based Self-help Therapy With FearFighter™ Versus no Intervention for Anxiety Disorders in Adult Persons: a Randomised Feasibility Trial
Background. In Denmark, about 350,000 persons suffer from anxiety. Public health-care
services plan to implement internet based self-help psychotherapy (IBT) to be an important
alternative and supplement to ordinary face-to-face therapy. Meta-analyses indicate that the
effect of IBT for anxiety disorders seems better than no intervention, and in some instances
equal to 'usual therapy'. But studies have been characterised by small sample sizes, high
risk for bias, including high dropout.
Objective. The objective of this pilot trial is to assess the feasibility of conducting a
larger confirmatory trial investigating the benefits and harms of an internet-based
self-help therapy program, FearFighter™, compared with no intervention for persons with an
anxiety disorder.
Design. An investigator-initiated feasibility randomised clinical trial investigating
internet-based therapy with FearFighter™ compared with no intervention for persons with an
anxiety disorder. We will include 64 participants.
Eligibility criteria. Inclusion criteria: age 18 or older; specific phobia, panic disorder,
agoraphobia, or social phobia is the primary diagnosis according to the DSM-IV; and informed
consent. Exclusion criteria: suicidal risk; ongoing episode of bipolar disorder or
psychosis; concurrent psychological treatment for the anxiety disorder; unable to attend the
intervention; or lack of informed consent.
Intervention. The intervention group will use the program FearFighter™, a nine session
cognitive behavioural self-help therapy program delivered over the internet during nine
weeks. The control group receive no intervention for nine weeks.
Outcomes. Feasibility outcomes are the fraction that are eligible, the fraction that are
randomised, and the compliance in the intervention group. Clinical exploratory outcomes are:
remission, Beck Anxiety Inventory, Symptom Check List-90R, WHO Well-Being Index, Sheehan
Disability Scale, serious adverse events, and behaviour log from FearFighter.
Time schedule. Participants will be included in the trial from July 2015. Results are
expected in February 2016.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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