OBSTACLE-S: Overcoming Treatment Barriers
Study Details
Study Description
Brief Summary
This study aims to assess whether negative or rather the lack of positive treatment expectations could be positively influenced by online short interventions and increase intention so seek treatment and actual help-seeking behavior when compared to a no-treatment control group. Further, the study investigators like to explore if specifically focusing on intensifying positive treatment expectations vs. a reduction of expectations about negative treatment effects will influence the pattern of results differently.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
The investigators expect that participants receiving an intervention e.g., amplifying positive (performance) expectancies vs. reducing negative (performance) expectancies of psychotherapeutic treatment, will show an increase in intentions to seek treatment and are more likely to report actual treatment-seeking behavior after the intervention when compared with participants who will describe their treatment expectations via a writing task.
Further, the investigators want to explore if the expectancy-modulating interventions will differently affect the intention to seek treatment within socially anxious individuals.
If participants agree, the investigators plan to assess changes in expectations, attitudes as well as actual treatment seeking behavior at a Follow-Up assessment one week later (data from Follow-Up will be analyzed exploratively and is not part of the main hypotheses).
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Reducing Negative Expectations This group will watch a video of a patient-therapist interaction. The testimonial of the patient is framed to reduce negative expectations about therapeutic treatment. |
Other: Video of a patients testimonial
The intervention is a prerecorded video of a re-enacted patient-therapist interaction whereby the patient gives a testimonial about the treatment process while either reducing negative expectations or maximizing positive expectations about therapy, respectively.
Other Names:
|
| Experimental: Maximizing Positive Expectations This group will watch a video of a patient-therapist interaction. The testimonial of the patient is framed to maximize positive expectations about therapeutic treatment. |
Other: Video of a patients testimonial
The intervention is a prerecorded video of a re-enacted patient-therapist interaction whereby the patient gives a testimonial about the treatment process while either reducing negative expectations or maximizing positive expectations about therapy, respectively.
Other Names:
|
| Other: Control Group This group will explicate their current treatment expectations in a writing task. |
Other: Writing Task
Participants write freely about their current treatment expectations / apprehensions to seek treatment
|
Outcome Measures
Primary Outcome Measures
- Change in Treatment Expectations (Treatment Expectation Questionnaire, "TEX-Q") [At baseline (pre-measurement), immediately after intervention (post-measurement, approximately 20 minutes after beginning of study procedure) and at Follow-Up investigation (one week after post measurement)]
Explicit treatment expectations measured by 15 items on a 11point Likert-scale
- Changes in intention to seek treatment [At baseline (pre-measurement), immediately after intervention (post-measurement, approximately 20 minutes after beginning of study procedure) and at Follow-Up investigation (one week after post measurement)]
Estimated Probability to seek treatment on a self-generated rating scale from 0 (not likely at all) to 100 (very much likely)
Secondary Outcome Measures
- Intention to seek treatment (Behavioral Outcome 1) [After intervention (post measurement, approximately 30 minutes after beginning of study procedure)]
Participants respond with "yes" or "no" to indicate their interest to receive more concrete information about social anxiety and its treatment possibilities. If the answer was answered with "yes", participants are asked to give their e-mail address to receive information which is used to assess intention to seek treatment in form of a behavioral outcome.
Other Outcome Measures
- Treatment-seeking behavior (Behavioral Outcome 2) [At Follow-Up investigation (one week after post measurement)]
If participants agree to participate at our Follow Up, a second behavioral outcome will be assessed. Participants will be asked if they meanwhile have researched more concrete information about social anxiety online, connected with internet platforms or self-support groups, applied for online therapy programs/sessions, contacted or sought professional help for outpatient or psychiatric clinics. All categories have to be answered by a dichotomous scale ("yes" or "no").
Eligibility Criteria
Criteria
Inclusion Criteria:
-
at least 18 years old
-
fluent in German (C Level)
-
access to a computer device with internet access
Exclusion Criteria:
-
non correctable hearing or visual impairment
-
current in psychotherapeutic treatment or on a waiting list
-
no neurological impairment or psychotic disorders
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Philipps-Universität Marburg | Marburg | Germany | 35032 |
Sponsors and Collaborators
- Philipps University Marburg Medical Center
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2022-76k