ClinicalTrials.gg
CompletedNCT05612425Updated May 7, 2024

Text Message Safety Behavior Fading for Appearance Concerns

An interventional study of Safety Behavior Fading for Appearance Concerns and Unhealthy Behavior Fading in Body Dysmorphic Disorders, Social Anxiety Disorder and Eating Disorders, sponsored by Florida State University. Completed at 1 site in United States. Open to female participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-05-07.

Sponsored by Florida State University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
203
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
Female
01

Study summary

The current study aims to explore the efficacy of a text message based safety behavior fadinig intervention compared to an unhealthy behavior fading intervention for appearance concerns.

Read the detailed description

Description: Appearance-related safety behavior fading intervention procedures will follow methodology previously used in the Cougle Lab. The safety behavior fading intervention is designed to target a decrease or elimination of appearance-related safety behaviors.

Individuals randomly assigned to the safety behavior fading condition will receive instructions to decrease or eliminate their endorsed appearance-related safety behaviors. In addition, they will receive daily reminders via text message to decrease these behaviors, along with a safety behavior monitoring checklist in which the participant indicates the extent to which they decreased and/or eliminated each safety behavior over the previous day.

Individuals randomly assigned to the unhealthy behavior fading condition will receive instructions to decrease or eliminate unhealthy behaviors. They will also receive daily reminders via text message to decrease these behaviors, along with a safety behavior monitoring checklist in which the participant indicates the extent to which they decreased and/or eliminated each safety behavior over the previous day.

02

Conditions studied

  • Body Dysmorphic Disorders
  • Social Anxiety Disorder
  • Eating Disorders

Keywords

  • safety behaviors
  • intervention
  • text message
  • appearance concerns
03

In context

Body Dysmorphic Disorders

56 studies on the registry are indexed under Body Dysmorphic Disorders; 11 are open to participants now.

This study's enrollment of 203 is above the median of 52 across 44 interventional studies indexed under Body Dysmorphic Disorders.

Browse Body Dysmorphic Disorders studies →

Lead sponsor

Florida State University is the lead sponsor of 249 studies on the registry; 47 are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 9 (56%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • elevated appearance concerns as defined by a score of 53 or higher on the SAAS
  • Being female

Exclusion criteria

Exclusion Criteria:

  • being male
  • Score of 52 or lower on the SAAS
  • Currently receiving treatment (therapy, counseling, etc.) for anxiety, depression, eating disorder, or body image/appearance concerns
  • If applicable, unstable psychiatric medication usage any time over the past 4 weeks
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
203 participants (actual)

Study arms

  • Experimental
    Safety Behavior Fading

    Individuals randomly assigned to the safety behavior fading condition will receive instructions to decrease or eliminate their endorsed appearance-related safety behaviors. In addition, they will receive daily reminders via text message to decrease these behaviors, along with a safety behavior monitoring checklist in which the participant indicates the extent to which they decreased and/or eliminated each safety behavior over the previous day.

    Behavioral: Safety Behavior Fading for Appearance Concerns

  • Active comparator
    Unhealthy Behavior Fading

    Individuals randomly assigned to the unhealthy behavior fading condition will receive instructions to decrease or eliminate unhealthy behaviors that are unrelated to appearance. They will also receive daily reminders via text message to decrease these behaviors, along with a behavior monitoring checklist in which the participant indicates the extent to which they decreased and/or eliminated each behavior over the previous day.

    Behavioral: Unhealthy Behavior Fading

Interventions

  • BehavioralSafety Behavior Fading for Appearance Concerns

    Participants are asked to reduce or eliminate safety behaviors via text message reminders and checklists to monitor progress.

  • BehavioralUnhealthy Behavior Fading

    Participants are asked to reduce or eliminate unhealthy behaviors via text message reminders and checklists to monitor progress.

06

What researchers measure

Primary outcomes

  1. Change in Social Appearance Anxiety Scale

    Self-report scale that measures appearance anxiety symptoms. Scores range from 16 to 80 with higher scores indicating higher levels of appearance concerns.

    Time frame: Day 0, Day 28, Day 56

  2. Change in Eating Disorder-15

    Self-report scale that measures eating disorder symptoms. Scores range from 0 to 90 with higher scores indicating higher levels of eating pathology.

    Time frame: Day 0, Day 28, Day 56

  3. Change in Social Phobia Inventory

    Self-report scale that measures social anxiety symptoms. Scores range from 0 to 68 with higher scores indicating higher levels of social anxiety.

    Time frame: Day 0, Day 28, Day 56

  4. Credibility and Expectancy Questionnaire

    Self-report scale for measuring treatment expectancy and rationale credibility for use in clinical outcome studies.

    Time frame: Day 0

  5. Change in Appearance Behaviors Checklist

    Self-report scale used to measure frequency of engaging in appearance related safety behaviors. This scale will be used as a manipulation check.

    Time frame: Day 0, Day 28, Day 56

  6. Change in Unhealthy Behaviors Checklist

    Self-report scale used to measure frequency of engaging in unhealthy behaviors. This scale will be used as a manipulation check.

    Time frame: Day 0, Day 28, Day 56

  7. Beliefs About Appearance Scale

    Self-report scale for measuring appearance importance for use in clinical outcome studies. Each item is rated on a 0-4 scale with a total score range of 0-80 with higher scores indicating greater appearance importance.

    Time frame: Day 0, Day 28, Day 56

  8. UCLA Loneliness Scale-8

    Self-report scale for measuring loneliness for use in clinical outcome studies. Total scores range from 0 to 32 with higher scores indicating higher loneliness.

    Time frame: Day 0, Day 28, Day 56

Secondary outcomes

  1. Center for Epidemiologic Studies Depression Scale

    Self-report measure of depression symptom severity.

    Time frame: Day 0, Day 28, Day 56

  2. Assessment of ideal self

    Self-report measure of appearance importance where individuals must allocate a budget of 100 to 7 different ideals including appearance, creativity, friendliness, work ethic, intelligence, humor, and income.

    Time frame: Day 0, Day 28, Day 56

07

Study locations

1 site
  • Florida State University, Department of Psychology
    Tallahassee, Florida 32306, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 7, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05612425
Responsible party
Jesse Cougle (Principal Investigator, Florida State University) — Principal investigator
First posted
Nov 10, 2022
Start date
Jan 12, 2024
Primary completion
Apr 15, 2024
Completion
Apr 15, 2024
Last update
May 7, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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