- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03024593
An Examination of the Effects of Health-related Internet Use in Individuals With Pathological Health Anxiety
An Examination of the Effects of Health-related Internet Use in Individuals With Pathological Health Anxiety in a Randomized Controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The internet is a popular method for obtaining information. Increasingly, it is also used to answer medical and health related questions, because compared to other methods (e.g. going to the library or visiting a doctor) it has a number of advantages to offer like low costs, availability, easy accessibility, anonymity, and great diversity of information types and sources. 60 to 80 percent of internet users search online for medical information. In this context the term "cyberchondria" was coined in the media to describe the potentially detrimental effects of this behavior. The first studies in this field using self-report retrospective data showed that individuals with elevated levels of health anxiety seem to make increased use of the internet for this purpose and it seems to maintain health anxiety in the long-term. However, up until today little is known about the consequences of this behavior and the maintaining mechanism.
This randomized controlled experimental study investigates the effects of health-related internet use on affect, symptom severity and health anxiety in individuals with pathological health anxiety. Participants will first undergo a baseline assessment. After that health anxiety is induced using the Autobiographical Emotional Memory Task and participants complete another assessment. Then participants are randomly assigned to either an online medical searching condition (experimental group, EG) or a non-searching condition (control group, CG) to manipulate attentional focus. The EG is requested to search online for health information (external focus of attention), the CG is requested to do nothing and not to distract themselves (internal focus of attention). Then another assessment is completed and the treatment groups are compared regarding the effects on affect, symptom severity and health anxiety. Besides examining these effects a further aim of this study is to identify the underlying mechanism. Two possibilities are supposed: a) An increase of the variables of interest due to health-related information or b) a decrease due to externalization.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Sandra K Hamann, Dipl.-Psych.
- Phone Number: (+49) 6131 - 3939 214
- Email: sahamann@uni-mainz.de
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Pathological health anxiety according to the criteria of Fink et al. (2004)
- Informed consent
- Sufficient German language skills
- Sufficient skills using a computer, a smartphone and the internet
Exclusion Criteria:
- Suicidal tendency
- Clinical diagnosis of alcohol or drug abuse, acute schizophrenia
- Organic brain disorders
- Impairment of intelligence
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Parallel Assignment
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Searching condition
To simulate participants' natural behavior they are requested to search online for personally relevant health or illness information in their usual manner.
By doing so their attentional focus lies on the searching process and the information they obtain.
|
|
No Intervention: Waiting condition (i.e. non- searching, no distraction)
Participants are requested to do nothing and not to distract themselves by reading or using their smartphone for instance.
By doing so, it is expected that their attentional focus lies on their induced worries and symptoms.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of health anxiety before and after 8 minutes of health-related internet searching or waiting
Time Frame: right before and after 8 minutes of health-related internet searching or waiting
|
self-created item
|
right before and after 8 minutes of health-related internet searching or waiting
|
Change of positive and negative affect before and after 8 minutes of health-related internet searching or waiting
Time Frame: right before and after 8 minutes of health-related internet searching or waiting
|
Positive Affect Negative Affect Schedule - State (PANAS-State)
|
right before and after 8 minutes of health-related internet searching or waiting
|
Change of symptom severity before and after 8 minutes of health-related internet searching or waiting
Time Frame: right before and after 8 minutes of health-related internet searching or waiting
|
Checklist for symptoms in daily life (CSD)
|
right before and after 8 minutes of health-related internet searching or waiting
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of health anxiety before and after 10 minutes of anxiety induction
Time Frame: right before and after 10 minutes of anxiety induction
|
self-created item
|
right before and after 10 minutes of anxiety induction
|
Change of positive and negative affect before and after 10 minutes of anxiety induction
Time Frame: right before and after 10 minutes of anxiety induction
|
Positive Affect Negative Affect Schedule - State (PANAS-State)
|
right before and after 10 minutes of anxiety induction
|
Change of symptom severity before and after 10 minutes of anxiety induction
Time Frame: right before and after 10 minutes of anxiety induction
|
Checklist for symptoms in daily life (CSD)
|
right before and after 10 minutes of anxiety induction
|
Collaborators and Investigators
Collaborators
Investigators
- Study Chair: Michael Witthoeft, Professor, Department of Clinical Psychology, Psychotherapy and Experimental Psychopathology, Johannes Gutenberg University Mainz
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Primary Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- C1-L
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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