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Internet Prescreen for the Anxiety Treatment Study

Fully Study Title: CO2 Reactivity as a Biomarker of Non-response to Exposure-based Therapy

Please complete the survey below to learn more about the study and determine your eligibility.

Date

M-D-Y

Are you currently at risk for harming yourself or others?

NOTE: If you are currently at risk for harming yourself or someone else, please exit this survey immediately and call 911.

* must provide value

Yes, I am at risk for harming myself or others

No, I am not at risk for harming myself or others

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Are you sure that you are at risk of harming yourself or others?

* must provide value

Yes, I am at risk for harming myself or others

No, I am not at risk for harming myself or others

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Web-based Assessment for Determining your Eligibility to Participate in our Study About Treatment for Anxiety and Anxiety Related Disorders

The Institute for Mental Health Research at the University of Texas at Austin and the Translational Reseach Program at Boston University are conducting an in-person treatment study investigating the effects of exposure-based therapy on Anxiety and Anxiety-Related disorders. Completion of the following web screening survey will take approximately 30 minutes and is the first step in determining your eligibility. You may complete this survey in multiple sittings. If we notice you haven't returned to complete this survey within one week, we will follow up to see if you remain interested in determining your eligibility.

Additional information about the study is also provided as part of this survey to inform your decision about whether you would like to participate. You may be compensated up to $300 for your full participation in the study. The study will consist of 14 weekly sessions as well as two follow-up interviews. There will be no monetary compensation for completing the steps in determining your eligibility. Note that being eligible for this study is a 2-step process. Completing this online survey is only the first step in evaluating your eligibility for the study. The additional steps will be described to you later in this survey.

Where do you currently reside?

* must provide value

The Austin Metro Area

The Boston Metro Area

Other:

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Are you able to travel to clinic at the University of Texas at Austin for weekly in-person therapy sessions?

* must provide value

Yes

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Are you able to travel to the clinic at Boston University (900 Commonwealth Avenue, 2nd Floor, Boston, MA 02215) for weekly in-person therapy sessions?

* must provide value

Yes

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Are you able to travel to either of our clinics at Boston University or the University of Texas at Austin for a weekly in-person therapy sessions?

* must provide value

University of Texas at Austin

Boston University

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Study Description

The main purpose of this study is to assess physical and emotional reactivity to two breathing exercises completed prior to a 12-week course of cognitive-behavioral therapy (CBT), and to determine how such reactivity relates to treatment outcomes in individuals with several forms of anxiety-related problems. The 12 sessions of exposure-based CBT are offered free of charge.

Would you like to learn more about the study?

* must provide value

Yes

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Great! Please provide your contact information below and read some additional information about what is expected of you if you take part in this treatment study.

Keep in mind that completing this survey is only the first step for determining your eligibility to take part in the study and providing your contact information does not commit you to participating in the study.

First Name:

* must provide value

Last Name:

* must provide value

Email:

* must provide value

Please Re-Enter Your Email:

* must provide value

Emails Do Not Match

* must provide value

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Please check that emails you entered are correct and then select "Correct"

Correct

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Phone Number:

* must provide value

Please select how you would prefer to be contacted:

* must provide value

Phone Call

Text

Please list the 3 best times of day to reach out to you, specify am/pm:

How did you hear about our study opportunity?

* must provide value

Friend / family

Craigslist

Researchmatch

Facebook

Study flyer

Clinicaltrials.gov

Other advertisement

Referred by your treatment provider

UT Events Page

Build Clinical

Other:

How did you hear about our study opportunity?

* must provide value

Referred from the Center for Anxiety and Related Disorders (CARD)

Friend / family

Craigslist

Researchmatch

Facebook

Study flyer

Clinicaltrials.gov

Referred by your treatment provider

Other:

If we call you regarding your participation in this research study, may we leave a voice message including details about this study?

* must provide value

Yes

You may leave a voice message, but do not include details of the study

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Taking part in this study consists of the following procedures:

(1) Online Prescreen: This prescreen involves completing several questionnaires about your anxiety-related symptoms, and how this impacts your lifestyle. If the study appears to be a good fit for you based on your responses, you will be invited to an in-person screening visit. This online prescreen takes about 30 minutes to complete.

(2) In-Person Screening Visit: At the in-person screening visit, you be asked to complete an interview to assess your anxiety-related symptoms and how this impacts your functioning. This visit will take about 90 to 120 minutes to complete and will be used to determine if this study is a good fit for you.

(3) Labratory Visit: At laboratory visit , you will undergo the two breathing challenges. These include (a) taking repeated full breaths of a harmless mixture of either 20% CO2 or room air; and (b) repeated hyperventilation (inhaling and exhaling rapidly and completely). During these tasks, we will measure your emotional and physical reactions. You will also be asked to complete questionnaires during this visit. This visit will take about 90 minutes to complete.

(4) 12 Treatment Sessions (CBT): The treatment phase will involve attending 12 weekly one-hour sessions of CBT. Treatment consists of 12 hours of CBT in total.

(5) Weekly Online Questionnaires and Assessment: Prior to every treatment session (CBT), you will be asked to complete online questionnaires (15-30 minutes) and an online interview (approximately 15 minutes) about your anxiety-related experiences.

(6) Online Post-treatment Questionnaires and Assessment: At one-week post-treatment, you will be asked to complete online questionnaires (15-30 minutes) and an online interview assessment (15 mintues) to assess your level of improvement with treatment.

(7) Online Three Month Follow Up: At a 3-month follow-up visit, you will complete the same online questionnaires and an online interview to determine how well you maintained your improvement following treatment. This visit will take 30-60 minutes to complete.

Would you like to continue and learn more about determining eligibility for the study?

* must provide value

Yes

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Determining your Eligibility

There are two steps in determining your eligibility:

First, you will complete this survey. This should take approximately 20-30 minutes.

Second, depending on your responses to this survey, you may be invited to complete an in-person screening interview. You will be required to bring any medications you are currently taking to this interview. If you are eligible after this visit, you will be invited to take part in the study.

I understand that I will have to complete a in-person screening visit to further determine my eligibility and that this visit will take approximately 90 to 120 minutes to complete. I also understand that if I am currently taking any prescribed medications, that I must bring them all to this first visit.

Are you wiling to complete the in-person screening visit and bring your medications?

* must provide value

Yes

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Because you indicated that you are at risk for harming yourself or others, please reach out to a crisis helpline or call 911.

National Suicide Prevention Hotline: 1-800-SUICIDE (784-2433)

National Suicide Prevention Lifeline: 1-800-273-8255

Crisis Text Line: Text HOME to 741741 to connect with a Crisis Counselor

When you are no longer at risk of harming yourself or others, you may return to this survey to determine your eligibility.

Thank you for completing our survey and for your interest in our treatment study! Based on your responses to this online assessment, it appears that you are not eligible to participate in this study.

However, you may still be eligible for one of the other studies on one of our websites: The Anxiety and Health Behaviors Lab or The Laboratory for the Study of Anxiety Disorders

You also may still benefit from receiving treatment. Would you like to see a list of other possible treatment resources in the Austin area?

* must provide value

Yes

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Thank you for completing our survey and for your interest in our treatment study! Based on your responses to this online assessment, it appears that you are not eligible to participate in this study.

However, you may still be eligible for one of the other studies on our websites: Translational Research Program or Center for Anxiety and Related Disorders

You also may still benefit from receiving treatment. Would you like to see a list of other possible treatment resources in the Boston area?

* must provide value

Yes

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Thank you for completing our survey and for your interest in our treatment study! Based on your responses to this online assessment, it appears that you are not eligible to participate in this study.

However, you may still be eligible for one of the other studies on our websites: The Anxiety and Health Behaviors Lab or The Laboratory for the Study of Anxiety Disorders or The Translational Research Program or Center for Anxiety and Related Disorders

What reasons led to your decision to not participate in the study?

* must provide value

Medication Concerns

Concerns about the therapy

Time commitment

Insufficient compensation

Can't commit to weekly assessments

Other

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If Other, please describe:

* must provide value

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If you are still interested in receiving treatment, please click the following link to download our treatment referral resource list:

Referral Form

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.