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An Internet-based treatment for Flying Phobia using 360° images: Study protocol for a feasibility pilot study

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An Internet-based treatment for Flying Phobia using 360° images: Study protocol for a feasibility pilot study

dc.contributor.author	Mor Rodríguez, Sonia
dc.contributor.author	Botella Arbona, Cristina
dc.contributor.author	Campos, Daniel
dc.contributor.author	Tur Domenech, Cintia
dc.contributor.author	Castilla López, Diana Virginia
dc.contributor.author	Soler, Carla
dc.contributor.author	Quero Castellano, Soledad
dc.date.accessioned	2023-05-15T17:34:30Z
dc.date.available	2023-05-15T17:34:30Z
dc.date.issued	2021
dc.identifier.citation	Mor Rodríguez, Sonia Botella Arbona, Cristina Campos, Daniel Tur Domenech, Cintia Castilla López, Diana Virginia Soler, Carla Quero Castellano, Soledad 2021 An Internet-based treatment for Flying Phobia using 360° images: Study protocol for a feasibility pilot study Internet Interventions-The Application Of Information Technology In Mental And Behavioural Health 24 100510 1 13
dc.identifier.uri	https://hdl.handle.net/10550/86616
dc.description.abstract	Background: More research is needed in the field of Internet-delivered Cognitive Behavioral Treatments (ICBTs) for specific phobia in order to understand which characteristics are important in online exposure scenarios. The aim of the present work was to conduct a feasibility pilot study to explore participants' opinions, preferences, and acceptability ratings of two types of images (still images vs 360◦ navigable images) in an ICBT for Flying Phobia (FP). A secondary aim was to test the potential effectiveness of the two active treatment arms compared to a waiting list control group. An exploratory aim was to compare the role of navigable images vs. still images in the level of sense of presence and reality judgment and explore their possible mediation in treatment effectiveness. Methods: Participants were randomly allocated to three conditions: NO-FEAR Airlines with still images (n = 26), NO-FEAR Airlines with still and navigable images (n = 26), and a waiting list group (n = 26). Primary outcome measures were participants' opinions, preferences, satisfaction, and acceptance regarding the images used in the exposure scenarios. Secondary outcome measures included FP symptomatology outcomes and measures of sense of presence and reality judgment. Results: Participants in the study preferred navigable images over still images before and after treatment (over 84%), and they considered them more effective and logical for the treatment of their problem. However, adherence in the experimental conditions was low (42.3% dropout rate), and more participants withdrew from the group that included navigable images compared to the group that only included still images (14 vs. 8), with no statistical differences in attrition between the two conditions. NO-FEAR Airlines proved to be effective in reducing FP symptomatology compared to the control group, with large between-group effect sizes on all FP measures (ranging from 0.76 to 2.79). No significant mediation effect was found for sense of presence or reality judgment in treatment effectiveness. Discussion: The results of the current study suggest that participants prefer more immersive images in exposure scenarios, providing data that can help to design useful exposure scenarios to treat specific phobias in the future. They also provide evidence supporting the effectiveness of an ICBT for FP. Trial registration: Registered at Clinicaltrials.gov (NCT03900559) on April 9, 2019. Retrospectively registered
dc.language.iso	eng
dc.relation.ispartof	Internet Interventions-The Application Of Information Technology In Mental And Behavioural Health, 2021, vol. 24, num. 100510, p. 1-13
dc.subject	Teràpia de la conducta
dc.title	An Internet-based treatment for Flying Phobia using 360° images: Study protocol for a feasibility pilot study
dc.type	journal article
dc.date.updated	2023-05-15T17:34:30Z
dc.identifier.doi	10.1016/j.invent.2021.100387
dc.identifier.idgrec	153314
dc.rights.accessRights	open access