Online Radical Acceptance Intervention for Social Anxiety Disorder
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Radical Acceptance, Relaxation Skills.
- Who it may be relevant to
- Registry conditions: Social Anxiety Disorder (SAD). Basic parameters: 18 years — 45 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Israel
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Online Radical Acceptance Intervention for Social Anxiety Disorder: a Randomized Controlled Trial
Overview
The goal of this clinical trial is to learn if a self-guided online Radical Acceptance program helps reduce symptoms of Social Anxiety Disorder. The study will also compare this program to an online relaxation skills program. The main questions are: * Does the Radical Acceptance program lower symptoms of Social Anxiety Disorder? * Is the Radical Acceptance program more helpful than relaxation skills? Adults with Social Anxiety Disorder will be randomly assigned to one of two online programs. They will complete a baseline learning session and six short home practice sessions over two weeks. Participants will answer surveys about their symptoms and complete brief computer tasks. Researchers will measure changes in social anxiety at several points during the study and again a few weeks and a few months later.
Detailed description
This randomized controlled trial will evaluate a self-guided online Radical Acceptance intervention for adults with Social Anxiety Disorder. The intervention is adapted from Dialectical Behavior Therapy (DBT) and is designed to help individuals notice and accept difficult thoughts and feelings that arise during social situations. The study will compare this program with an active control condition that provides training in relaxation skills, also adapted from DBT, which focus on physiological strategies for reducing acute emotional arousal.
The study will enroll 100 adults diagnosed with Social Anxiety Disorder. All study activities take place online. After eligibility is confirmed through structured diagnostic interviews, participants will complete a baseline learning session followed by six home practice sessions delivered over a two-week period. Participants in both conditions will receive culturally adapted video-based training followed by a brief debriefing to ensure understanding and correct application of the assigned skill.
The trial is designed to examine changes in social anxiety symptoms over time and to compare the effects of Radical Acceptance and relaxation skills training. In addition to symptom outcomes, the study will assess several proposed mechanisms of change. These mechanisms include interpretation bias and emotion regulation flexibility measured through behavioral tasks, as well as experiential avoidance, rumination, and difficulties in emotion regulation measured through self-report instruments. Mechanism assessments will be completed at baseline and after the fourth practice session. Participants will also report their momentary positive and negative emotions before and after each practice session.
Recruitment will occur through online advertisements. Screening includes an online questionnaire followed by a telephone interview and a video-based diagnostic assessment using the ADIS-5 and selected DIAMOND modules, administered by trained graduate students. Eligible individuals will provide informed consent for both the assessment session and the intervention phase of the study.
Participants will be randomly assigned by an automated algorithm to one of the two study conditions. All assessments and intervention procedures will be completed remotely. The study includes follow-up assessments at three weeks and three months after the intervention to evaluate the stability of treatment effects.
Interventions
- Behavioral Radical Acceptance
Online DBT-based program focusing on implementing radical acceptance in daily life and coping with socially anxious situations. - Behavioral Relaxation Skills
Online DBT-based program teaching relaxation techniques to achieve rapid physiological down-regulation and improve emotional control.
Primary outcome measures
- Liebowitz Social Anxiety Scale [Time frame: baseline, after session 4 (~1 week), 2 weeks (end of treatment), 3-week follow-up, 3-month follow-up]
Secondary outcome measures (2)
- Generalized Anxiety Disorder-7 [Time frame: baseline, after session 4 (~1 week), 2 weeks (end of treatment), 3-week follow-up, 3-month follow-up]
- Patient Health Questionnaire-9 [Time frame: Time Frame: baseline, after session 4 (~1 week), 2 weeks (end of treatment), 3-week follow-up, 3-month follow-up]
Eligibility criteria
Inclusion criteria
- Aged 18-45
- Score > 9 on Mini-SPIN
- Positive responses in brief phone screening
- Eligibility confirmed in Zoom interview using ADIS
- Native Hebrew speakers
- Having regular access to a computer.
Exclusion criteria
- Changes in psychiatric medication in the past 3 months
- Current or past diagnosis of bipolar disorder
- Current or past diagnosis of schizophrenia
- Current or past diagnosis of PTSD
- Current or past diagnosis of substance use disorder
- History of traumatic brain injury (TBI)
- Previous experience with Dialectical Behavior Therapy (DBT)
- Currently receiving psychotherapy specifically targeting social anxiety
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Israel · 1 center
- University of Haifa — Haifa
Identifiers
NCT: NCT07325929 · 457-25