- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02451878
Improving Social Anxiety Symptoms (SocWell) (SocWell)
Effectiveness and Cost-effectiveness of a Fully Self-guided Internet-based Intervention for Shyness and Sub-clinical Social Anxiety Symptoms in the General Population: Pragmatic Randomised Controlled Trial
Study Overview
Detailed Description
DESIGN The study will involve a large, pragmatic, randomised controlled trial of the internet-based self-directed E-Couch social anxiety module versus a wait-list control condition for the reduction of sub-clinical social anxiety symptoms, among a general population sample recruited using direct-to-consumer advertisements on national websites.
RECRUITMENT Participants in this study will be recruited using advertisements placed on websites such as the NHS website. Individuals expressing an interest in the online advertisement by clicking on a web link will be directed to a University website containing full information on the trial and the opportunity to ask questions of the study team by email or telephone. Participants will be advised in the information sheet that they are free to withdraw at any time without giving a reason and without it affecting their care.
CONSENT Interested participants will be asked to indicate their willingness to participate in the screening and/or the trial by clicking on Yes in response to the online consent questions.
SCREENING Users who provide their consent will be invited to complete screening questions which will determine whether they are eligible for participation in the trial.
INCLUSION AND EXCLUSION Inclusion criteria for this trial include age 18 years and over, resident of England and a score of 13 or more on the SPIN social anxiety measure, and a willingness to provide a working email address and mobile phone number (to respond to a confirmation email and receive reminders). People who are currently receiving therapist-guided treatment for social anxiety disorder will be excluded from participation as will those with a self-reported diagnosis of bipolar disorder or schizophrenia.
MEASURES Following completion of the screening survey eligible participants will be advised that they are eligible to participate in the trial and asked to provide their email address and mobile phone number. Once these details have been submitted they will be advised that in 24 hours they will receive an e-mail providing a link to an online baseline survey. The e-mail will link to a battery of demographic and self-report mental health measures. Measures will be taken at baseline and, for those randomised, at all or most of the follow up points including post-intervention, 3-, 6- and 12-months. At each follow-up point both Intervention and Control participants will receive notification of follow-up measures by email and by text message.
RANDOMISATION Participants who complete baseline measures within one week of receiving the survey link via email, will be randomised using an automated computer algorithm to the E-Couch social anxiety tool (Intervention) or to a Wait list control condition. Participants will be advised of the condition to which they have been allocated.
ACCESS TO INTERVENTION Intervention participants will be asked to set a password associated with their email address, and provided with access to the Intervention. Intervention participants will be encouraged to access and use the self-guided intervention over a period of up to 6 weeks (although they can chose to work through the program at their own pace). Access will be via secure login on the research trial website, using their email address and password.
INTERVENTION The E-Couch social anxiety module which is based on cognitive behavioural therapy principles. This module contains a literacy section and 5 toolkits comprising exposure practice, cognitive restructuring (modifying your thinking), attention practice, social skills training and relaxation. E-Couch is designed to be completed at the participant's own pace. It is free to use, browser-based and widely accessible on a range of connected devices.
CONTROL The Control group will be placed on a wait list to receive the intervention in 12 months.
RISKS The risks to the participants are likely to be minimal. The study uses standard well-tested measures or tools modified from these measures. Participants are referred to a source of help in the Information Sheet in case of distress. The intervention has been employed without problems in publically accessible form across the world since 2008.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Australian Capital Territory
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Canberra, Australian Capital Territory, Australia, 2601
- National Institute for Mental Health Research, Australian National University
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Oxfordshire
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Oxford, Oxfordshire, United Kingdom, OX2 6GG
- Nuffield Department of Primary Care Health Sciences, University of Oxford
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Aged 18 or over
- Resident in England
- Willing to provide email address and mobile telephone number
- Able to use a web-based intervention provided in written English
- SPIN score 13 or more (to include those with subclinical symptoms)
Exclusion Criteria:
- Aged under 18
- Not resident in England
- Unwilling or unable to provide email address and mobile telephone number
- Unable to use a web-based intervention provided in written English
- SPIN score <13
- Self-reported history of psychosis (schizophrenia or bipolar affective disorder)
- Receiving therapist-guided support for social anxiety disorder (self-reported)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Intervention
The E-Couch self-help social anxiety module which is based on cognitive behavioural therapy principles.
This module contains a literacy section and 5 toolkits comprising exposure practice, cognitive restructuring (modifying your thinking), attention practice, social skills training and relaxation.
E-Couch is designed to be completed at the participant's own pace.
It is free to use, browser-based and widely accessible on a range of connected devices.
|
e-couch is an online CBT based intervention
|
NO_INTERVENTION: Control
Wait list control (WLC)
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
change in social anxiety symptoms (self-report using SPIN-17 measure)
Time Frame: change from baseline to 6 weeks
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self-report social anxiety symptoms using SPIN-17 measure
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change from baseline to 6 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
mental wellbeing (self-report WEMWBS measure)
Time Frame: 6 weeks, 3 months, 6 months, 12 months
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mental wellbeing using self-report WEMWBS measure
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6 weeks, 3 months, 6 months, 12 months
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depression (self-report CES-D measure)
Time Frame: 6 weeks, 3 months, 6 months, 12 months
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depression using self-report CES-D measure
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6 weeks, 3 months, 6 months, 12 months
|
quality of life (using SF36 measure)
Time Frame: 6 weeks, 3 months, 6 months, 12 months
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quality of life using SF36 measure
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6 weeks, 3 months, 6 months, 12 months
|
use of health services (self-reported use of health services)- used for Health economic evaluation.
Time Frame: 12 months
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self-reported use of health services in preceding 3 months
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12 months
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time off work or study (self-reported time off work or study)-Used for health economic evaluation.
Time Frame: 12 months
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self-reported time off work or study in preceding 3 months
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12 months
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social anxiety symptoms (fear of negative evaluation) (self-report using BFNE-S measure)
Time Frame: 6 weeks, 3 months, 6 months, 12 months
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self-report using BFNE-S measure
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6 weeks, 3 months, 6 months, 12 months
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social anxiety symptoms (self-report using SPIN-17 measure) at secondary time points
Time Frame: 3 months, 6 months, 12 months
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self-report social anxiety symptoms using SPIN-17 measure at secondary time points
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3 months, 6 months, 12 months
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: John A Powell, PhD, University of Oxford
- Principal Investigator: Kathleen M Griffiths, PhD, Australian National University
Publications and helpful links
General Publications
- Powell J, Williams V, Atherton H, Bennett K, Yang Y, Davoudianfar M, Hellsing A, Martin A, Mollison J, Shanyinde M, Yu LM, Griffiths KM. Effectiveness and Cost-Effectiveness of a Self-Guided Internet Intervention for Social Anxiety Symptoms in a General Population Sample: Randomized Controlled Trial. J Med Internet Res. 2020 Jan 10;22(1):e16804. doi: 10.2196/16804.
- Powell J, Atherton H, Williams V, Martin A, Bennett K, Bennett A, Mollison J, Yu LM, Yang Y, Locock L, Davoudianfar M, Griffiths KM. Effectiveness and cost-effectiveness of a fully self-guided internet-based intervention for sub-clinical social anxiety symptoms: Protocol for a randomised controlled trial. Digit Health. 2017 Apr 10;3:2055207617702272. doi: 10.1177/2055207617702272. eCollection 2017 Jan-Dec.
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- MQ14PE_25
- Human Ethics Protocol 2015/229 (OTHER: Australian National University HREC)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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