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The use of Biofeedback in Clinical Virtual Reality: The INTREPID Project
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Web-Based Single Session Intervention for Perceived Control Over Anxiety During COVID-19: Randomized Controlled

Michael Mullarkey1, Mallory Dobias1, Jenna Sung1

  • 1Department of Psychology, Stony Brook University, Stony Brook, NY, United States.

JMIR Mental Health
|March 1, 2022
PubMed
Summary

A single-session online intervention did not reduce anxiety or increase perceived control during the COVID-19 pandemic. The study found no significant therapeutic or harmful effects on generalized anxiety or social distancing intentions.

Keywords:
COVID-19SSIanxietycontrolinterventionmental healthonline interventionperceived controlscalablesingle-session interventiontelehealthtelemedicine

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Area of Science:

  • Psychology
  • Public Health
  • Digital Mental Health

Background:

  • Rising anxiety levels during the COVID-19 pandemic necessitated accessible mental health solutions.
  • Social distancing mandates limited traditional in-person mental health care access.
  • Perceived control over anxiety is linked to reduced anxiety pathology and adaptive stress responses.

Purpose of the Study:

  • To evaluate a no-therapist, single-session online intervention for perceived control over anxiety.
  • To assess the intervention's impact on generalized anxiety and perceived control.
  • To determine if the intervention affected social-distancing intentions.

Main Methods:

  • A between-subjects design was employed with a weighted-probability sample of US adults.
  • Participants were recruited via the Prolific online platform.
  • Outcomes were measured using online self-report questionnaires.

Main Results:

  • Intent-to-treat analyses (N=522) showed no significant effects on generalized anxiety (d=-0.06, P=.48).
  • No significant changes were observed in perceived control over anxiety (d=0.04, P=.48).
  • The intervention did not impact social-distancing intentions (d=-0.02, P=.83).

Conclusions:

  • The study found no evidence of therapeutic or iatrogenic effects from the online intervention.
  • The findings highlight challenges in targeting perceived control over anxiety with scalable interventions.
  • Strengths include a large, nationally representative sample and adherence to open science practices.