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One session treatment was non-inferior to multi-session CBT when using the Behavioural Avoidance Task measure and was also found highly likely to be cost saving.

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Barry Wright 1,2,*, Lucy Tindall 1, Alexander J Scott 3, Ellen Lee 4, Katie Biggs 4, Cindy Cooper 4, Penny Bee 5, Han-I Wang 6, Lina Gega 2, Emily Hayward 1, Kiera Solaiman 4, M Dawn Teare 7, Thompson Davis 8, Karina Lovell 5, Jon Wilson 9, Dean McMillan 6, Amy Barr 4, Hannah Edwards 1, Jennifer Lomas 4, Chris Turtle 4, Steve Parrott 6, Catarina Teige 1, Tim Chater 4, Rebecca Hargate 1, Shehzad Ali 2, Sarah Parkinson 1, Simon Gilbody 2, David Marshall 10

1 COMIC Research Team, Leeds and York Partnership NHS Foundation Trust, Leeds, UK
2 Mental Health and Addictions Research Group, Hull York Medical School, University of York, York, UK
3 School of Psychology, Keele University, Keele, UK
4 Sheffield Clinical Trials Research Unit, School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK
5 School of Nursing, Midwifery and Social Care, University of Manchester, Manchester, UK
6 Centre for Health Economics, University of York, York, UK
7 Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
8 Department of Psychology, Louisiana State University, Baton Rouge, LA, USA
9 Central Norfolk Youth Service, Norfolk and Suffolk NHS Foundation Trust, Norwich, UK
10 Centre for Reviews and Dissemination, University of York, York, UK
* Corresponding author Email: barry.wright1@nhs.net

Declared competing interests of authors: Simon Gilbody sat on the following committees during this work but was not involved in any National Institute for Health and Care Research (NIHR) decision-making with respect to this work: Health Technology Assessment (HTA) Commissioning Committee (2016–20), HTA Clinical Evaluation and Trials Committee (2008–14) and HTA Funding Committee Policy Group (formerly Clinical Studies Group; 2017–20). Thompson Davis has received royalties from the sale of the edited volume Intensive One-Session Treatment of Specific Phobias and received fees for training, workshops and talks on conducting one-session treatment for specific phobias. Cindy Cooper is a member of Trial Steering Committees for other trials funded by NIHR (HTA 15/130/84 and RP-PG-0217-20006) and has been a member of the NIHR Programme Grants for Applied Research Sub-Committee within the last 36 months.

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