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Completed

NCT Number: NCT06817473

Evaluation of the Feasibility and Efficacy of Computerized Anxiety Treatment in a Group Setting

* Statement of the Research Study. Participants are being invited to volunteer to take part in our research study. It is up to participants whether to choose to take part or not. There will be no penalty or loss of benefits to choosing not to take part or decide later not to take part. * Purpose. The reason that the researchers are doing this research is to evaluate the effectiveness and feasibility of administering a computerized anxiety intervention in a setting of five or more individuals. This intervention has already been tested and shown promise with individuals, and researchers want to see if it will function in a group setting as well. * Duration. Researchers think that taking part in our study will last approximately two hours, with an additional follow-up survey one month later to be completed at home via computer or smartphone. * Research Activities. Participants will first be asked to complete several questionnaires dealing with your thoughts and feelings. Once these questionnaires are completed, participants will be assigned to one of two groups, with each group viewing one of two computerized presentations and completing some group exercises afterward. Once participants have completed the designated intervention, participants will then be asked to fill out surveys once again, which will complete the study appointment. One month following the appointment, participants will be sent surveys once again and will be asked to complete them at home.

Risks: The risks or discomforts to participants while taking part in this research include temporary distress or anxiety pr potentially feeling mild discomfort answering questions about your thoughts and feelings.

Benefits: As a result of taking part in this research, participants may experience improvements in mental health.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Florida State University Psychology Clinic

Tallahassee, Florida, 32304, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • adults aged 18+ and ability to use a computer or smartphone.

Exclusion criteria

  • inability to engage in any interoceptive exercises.

Treatment and study plan

CAST

Behavioral

CAST is a transdiagnostic cognitive behavioral therapy (CBT)-based protocol designed to address elevated AS, particularly the amplification of cognitive stress symptoms including perceived confusion and memory problems. CAST is a fully computerized, 1-hour intervention. CAST contains video animation and audio narration throughout, as well as interactive features (e.g., brief quizzes to promote comprehension). Procedures draw heavily on standard CBT techniques; AS, a core vulnerability for anxiety and depression is targeted using these procedures. In this study, participants complete CAST as a group alongside other participants.

Other names: Computerized Anxiety Sensitivity Treatment

HET

Behavioral

The HET protocol covers standard healthy lifestyle behaviors as well as broad coping strategies to address stress. HET is a fully computerized 1-hour control condition focused on increasing healthy behaviors and decreasing unhealthy behaviors. Content includes healthy eating, hydration, sleep and rest, stress management as well as other healthy lifestyle tips. HET was administered in a group format for this study.

Other names: Health Education Treatment, HEC, Health Education Control

Primary outcomes

  1. Anxiety Sensitivity Index-3

    Time frame: Baseline through Month 1 follow up

    18 item self-report measure indexing anxiety sensitivity (Taylor et al., 2007). Scores range from 0-72 with higher scores indicating more severe anxiety sensitivity

  2. PROMIS Anxiety Scale 8a

    Time frame: Baseline through Month 1 Follow Up

    8-item self-report measure indexing overall anxiety (Pilkonis et al., 2011). Scores range from 8 to 40 with higher scores reflecting worse anxiety symptoms.

  3. PROMIS Depression Scale 8b

    Time frame: Baseline through Month 1 Follow Up

    8 item self-report measure indexing depressive symptoms (Polkonis et al., 2014). Scores range from 8-40 with higher scores reflecting worse depression symptoms.

  4. Treatment Acceptability Questionnaire

    Time frame: Baseline through Month 1 follow up

    7-item self-report measure used in prior studies (Short et al., 2017). Scores range from 0-21 with higher scores indicating more favorable acceptability ratings.

  5. Treatment Engagement Questionnaire

    Time frame: Month 1 Follow Up

    Participants were given two items assessing how frequently they: 1) thought about CAST content in the past month; 2) engaged in interoceptive exposure practice.

Secondary outcomes

  1. Intolerance of Uncertainty-12

    Time frame: Baseline through Month 1 follow up

    12 item self-report measure indexing intolerance of uncertainty (Carleton et al., 2007). Scores range from 12-60 with higher scores reflecting worse intolerance of uncertainty.

  2. Client Satisfaction Questionnaire

    Time frame: Baseline through Month 1 Follow Up

    A modified version of the Client Satisfaction Questionnaire (CSQ) will be administered to assess treatment acceptability. Scores range from 8-32 with higher scores reflecting more favorable acceptability ratings.

  3. Difficulties in Emotion Regulation Scale

    Time frame: Baseline through Month 1 follow up

    16 item self-report measure indexing emotional dysregulation (DERS-16, Bjureberg et al., 2016). Scores range from 16 to 80 with higher scores reflecting worse emotion regulation difficulties.

Other outcomes

  1. Group likingness/closeness

    Time frame: Baseline

    Self-report measure assessing how close group members felt with other members of their group (adapted from Byrne et al., 1971)

  2. Berlin Numeracy Test

    Time frame: Baseline

    Brief measure of numerical ability (Cokely et al., 2011) with scores ranging from 0-4, higher scores indicate better numerical ability.

Sponsors and collaborators

Lead sponsor

Florida State University

Other

Registry information

Official study title

Evaluation of the Feasibility and Efficacy of Computerized Anxiety Treatment in a Group Setting - RCT

Acronym: Group CAST

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Feb 10, 2025
Registry last updated
Feb 10, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.