Social Anxiety Clinical Trial
Official title:
Enhancing Psychological Self-help With Implementation Intentions for Those With Visible Skin Difference and Fear of Negative Evaluation
Individuals with visible conditions often report experiencing lowered social confidence and
encountering intrusive reactions from others, yet relatively few targeted psychosocial self
help interventions are available.
The investigators will conduct a randomised controlled trial to compare the efficacy of an
adapted form of an existing self-help intervention with an enhanced version of the same
intervention that incorporates if-then planning instructions (or 'implementation intentions')
and a control condition that will receive support as usual. Participants who self-identify as
having a visible condition affecting the skin or hair, or scarring to the skin that
negatively affects their social confidence will be allocated to one of three conditions:
augmented self-help, standard self help or control. The interventions will be delivered
online and participants will complete psychometric outcome measures at two time points, four
weeks apart.
It is hypothesised that participants who receive the augmented self help intervention will
have a statistically significant decrease in fear of negative evaluation in comparison to
both the standard self-help and support as usual control groups.
The proposed research will take the form of a randomised controlled trial conducted in
accordance with CONSORT guidelines (http://www.consort-statement.org). Data will be collected
online using Qualtrics. Participants will be required to answer all fields on Qualtrics, as a
way of managing potential missing data.
Participants will be randomly allocated to one of three groups: (i) psychological self-help
augmented with implementation intentions, (ii) standard psychological self-help or (iii) a no
intervention waiting list control. Qualtrics will be used to randomly allocate participants
to one of the three groups.
A sample size analysis has been conducted and calculated assuming two measures, three groups,
an alpha of 0.05, a power of 0.8, and an effect size of 0.25; a total sample size of 120
participants would be needed (i.e. 40 per group). Allowing for an attrition rate of 20%, 144
participants would need to be recruited (i.e. 48 per group). Although participants will be
randomised to condition, it is best practice for any differences at baseline to be controlled
for in analyses and thus a between factors repeated measure analysis of variance (ANOVA) will
be conducted.
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