Attention Feedback Awareness and Control Training (A-FACT): Experimental test of a novel intervention paradigm targeting attentional bias

• Novel demonstration of real-time feedback on expression of attentional bias.
• A-FACT led to reduced attentional bias to threat.
• A-FACT led to (non-significantly) reduced avoidance of an anxiogenic stressor.
• A-FACT led to greater emotional recovery following an anxiogenic stressor.

We present an experimental investigation of a novel intervention paradigm targeting attentional bias – Attention Feedback Awareness and Control Training (A-FACT). A-FACT is grounded in the novel hypothesis that training awareness of (biased) attentional allocation will lead to greater self-regulatory control of attention and thereby ameliorate attentional bias and its maladaptive sequelae. To do so, A-FACT delivers computerized, personalized, real-time feedback regarding a person's (biased) allocation of attention concurrent with its expression. In a randomized control experimental design, we tested A-FACT relative to an active placebo control condition among anxious adults (N = 40, 52.5% women, M(SD) = 24.3(4) years old). We found that relative to the placebo control condition, A-FACT led to: (a) reduced levels of attentional bias to threat; (b) (non-significantly) lower rate of behavioral avoidance of exposure to an anxiogenic stressor; and (c) faster rate of emotional recovery following the stressor. The findings are discussed with respect to the novelty and significance of the proposed conceptual perspective, methodology, and intervention paradigm targeting attentional bias.