Evidence map›Paper›PMID 29942591›Full record

ArticleDigital health

Effectiveness and cost-effectiveness of a fully self-guided internet-based intervention for sub-clinical social anxiety symptoms: Protocol for a randomised controlled trial.

John Powell, Helen Atherton, Veronika Williams, Angela Martin, Kylie Bennett, Anthony Bennett, Jill Mollison, Ly-Mee Yu, Yaling Yang, Louise Locock and 2 more

Registry-linked trialAbstract read
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In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02451878 (Effectiveness and Cost-effectiveness of a Fully Self-guided Internet-based Intervention for Shyness and Sub-clinical Social Anxiety Symptoms in the General Population), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02451878 nacompletednot on this map

Effectiveness and Cost-effectiveness of a Fully Self-guided Internet-based Intervention for Shyness and Sub-clinical Social Anxiety Symptoms in the General Population: Pragmatic Randomised Controlled Trial

TypeinterventionalSponsorUniversity of OxfordRan2015 to 2018Enrolled2,105ConditionsShyness, WellbeingArmsE-Couch
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

John PowellNuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Helen AthertonWarwick Medical School, University of Warwick, UK.
Veronika WilliamsNuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Angela MartinNuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Kylie BennettNational Institute for Mental Health Research, Australian National University, Australia.
Anthony BennettNational Institute for Mental Health Research, Australian National University, Australia.
Jill MollisonNuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Ly-Mee YuNuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Yaling YangNuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Louise LocockNuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Mina DavoudianfarNuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Kathleen M GriffithsNational Institute for Mental Health Research, Australian National University, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

DESIGN AND

objectiveThis paper describes the protocol for a large-scale pragmatic, randomised controlled trial and economic evaluation to investigate the effectiveness and cost-effectiveness of the self-directed E-Couch social anxiety module versus a waiting list control condition, for reducing sub-clinical social anxiety symptoms in the general population. STUDY POPULATION: Community-based adults (aged 18+) with social anxiety symptoms that do not meet the criteria for social anxiety disorder recruited via a direct-to-consumer advertisement on national websites. INTERVENTION AND CONTROL: Intervention is the self-guided E-Couch social anxiety module. Control group participants are placed on a waiting list to receive the intervention at the end of the trial. Both groups receive email and text message reminders. OUTCOME MEASURES: The primary outcome will be change in self-reported social anxiety score using the Social Phobia Inventory (SPIN). Secondary outcomes will be the changes in the following self-report measures: Brief Fear of Negative Evaluation scale (BFNE-S); depression (CES-D); mental wellbeing (SWEMWEBS); health status (SF36); use of health services; safety events; and adherence, retention, and attrition rates. All measures will be administered at baseline, 6 weeks, and 3, 6 and 12 months. ANALYSIS: A mixed effects model will be used to analyse the effect of the intervention on the primary and secondary outcomes (intention to treat analysis). Secondary analyses will explore moderators and mediators of effect. A prospective economic evaluation, conducted from a NHS and social care perspective, will provide estimates of cost utility and cost-effectiveness. An interview study will be conducted with 20 participants to explore issues including acceptability, adherence, retention and attrition. TRIAL REGISTRATION NUMBERS: NCT02451878 and ISRCTN15819951.

Indexed as

internetprotocolrandomized controlled trialself-helpshynessSocial anxiety

Identifiers

PMID29942591
PMCPMC6001207

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.