NCT02307097: RCT of CBB/CBT

RCT of Bibliotherapy for Social Anxiety Disorder as a Prelude to CBT in IAPT

Completed NA Last updated 10 October 2017

What this trial tests

NA trial testing Cognitive-Behavioural Bibliotherapy in Bibliotherapy in 114 participants. Completed in 1 October 2017.

Timeline

1 January 2016

Primary endpoint
1 October 2017

1 October 2017

Quick facts

Lead sponsor	Solent NHS Trust
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	none
Primary purpose	treatment
Enrollment	114
Start date	1 January 2016
Primary completion	1 October 2017
Estimated completion	1 October 2017
Sites	1 location across United Kingdom

Drugs / interventions tested

• Cognitive-Behavioural Bibliotherapy
• Cognitive-Behavioural Therapy
• WAIT

Conditions studied

• Bibliotherapy — all drugs for Bibliotherapy →
• Social Anxiety Disorder — all drugs for Social Anxiety Disorder →
• Cognitive Behavioral Therapy — all drugs for Cognitive Behavioral Therapy →

Sponsor

Solent NHS Trust

Who can join

Adults 18 to 80, any sex, with Bibliotherapy or Social Anxiety Disorder. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The efficacy of high-intensity Cognitive-Behavioural Therapy (CBT) for social anxiety disorder is well established (Mayo-Wilson et al., 2014) and it is recommended by the National Institute of Health and Clinical Excellence (NICE) as the first-line psychological intervention for social anxiety disorder. The treatment aims to modify several maintenance factors (e.g., self-focused attention) that are specified in cognitive models of social anxiety disorder (e.g., Clark \& Wells, 1995).

Cognitive-behavioural self-help treatments for social anxiety disorder have been developed to overcome various accessibility issues (e.g., long wait-lists, and the patient's need to avoid social situations, etc) associated with high-intensity CBT (Abramowitz et al., 2009; Carlbring et al., 2007) but a recent network meta-analysis (Mayo-Wilson et al., 2014) identified the former as less cost-effective than the later and thus, they are not recommended as standalone treatments.

However, the potential benefit of cognitive-behavioural self-help treatments for social anxiety disorder within a stepped-care recovery model as a prelude to high-intensity CBT has not been formally evaluated.

The aim of this study is to evaluate a seminal Cognitive-Behavioural Bibliotherapy\* (CBB; "pure self-help" book) - 'Overcoming Social Anxiety \& Shyness' (Butler, 2009) - for patients with social anxiety disorder while on the wait-list for high-intensity CBT within an Improving Access to Psychological Therapies (IAPT) service, and to determine if some patients recover from CBB alone or whether there may be a reduction in the average number of high-intensity CBT sessions for those patients who subsequently require further treatment.

The study is funded by Constable \& Robinson, Kellogg College (University of Oxford) and Talking Change (Solent NHS Trust).

\* The Reading Well Books on Prescription scheme with funding from the Arts Council England enables general practitioners (GPs) and mental health professionals to prescribe seminal CBBs for patients with mood and anxiety disorders. The books are accessed free of charge via local libraries. The scheme works within NICE guidelines and it is support by the Royal Colleges of GPs, Nursing and Psychiatrists, the British Association for Behavioural and Cognitive Psychotherapies and the Department of Health through its IAPT programme.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.