Effect of Exercise and MBI on Female Students' Emotion Regulation and Inhibitory Control of Smartphone Addiction

Not Applicable

Recruiting

• Conditions: Smartphone Addiction; Mental Health Issue
• Interventions: Behavioral: Exercise and Mindfulness-Based Intervention; Behavioral: Control Group

• Registration Number: NCT05563285
• Lead Sponsor: Universiti Putra Malaysia

Brief Summary

Mobile-based technology is advancing at an unprecedented rate, and in the past decade, smartphone use has become common among today's university students, who have mental health. A lot of attention has been paid in the media to the existence of "smartphone addiction" or problematic smartphone use(Sohn et al., 2019).Overuse of smartphones can cause health problems(Adams \& Kisler, 2013; Demirci et al., 2015).

As an interdisciplinary subject, this study aimed at university students' smartphone addiction behavior research, understand the information era of college students' way of behavior patterns, exercise and psychological intervention strategy is put forward, to evaluate exercise and MBI intervention,and reduction of university students' smartphone addiction.

Detailed Description

This study was divided into two groups, the exercise and mindfulness-based intervention group, and the control group. This study evaluates the effect of 8-week exercise and MBI intervention on the capacity of emotional regulation measured by physiological and psychological state and inhibitory control of smartphone addiction in female university students. The sample was Chinese female university students aged 18-23 years with infrequent exercise for smartphone addiction.

According to the literature review, the frequency of brisk walking training in this experiment was scheduled for two times/week, with a total training duration of 8 weeks. Each training session was changed within two weeks. It ranged from 60 minutes in the first and second week to 90 minutes in the eighth week of the seventh week. Brisk walking was trained using maximum heart rate to control the intensity and measured using the Borg CR10 scale after training. All exercise techniques were taught before intervention.

Study Timeline

• Study Start: 2022-09-12
• Study First Submitted: 2022-09-25
• Study First Submitted QC: 2022-09-28
• Status Verified: 2022-10
• Last Update Submitted: 2022-10-01
• Study First Posted: 2022-10-03
• Last Update Posted: 2022-10-04
• Primary Completion: 2022-12-25
• Study Completion: 2023-01-20

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 66

Inclusion Criteria

1. Female.
2. Aged 18 to 23.
3. Good health, no apparent speech disorder.
4. According to Leung's assessment scale, MAPI scores had to be more than 40 (out of 85) (Leung, 2008) .
5. .Without cardiovascular, metabolic, renal, or pulmonary diseases, symptoms, psychological disorders, or a history of alcohol abuse.And no participation in similar research projects before (using medication for psychiatric problems and undergoing other psychotherapeutic remedies)
6. Have time to ensure that you can attend every counseling on time.
7. They did no longer take part in any structured exercise in the past three months (e.g., walking, Tai Chi, basketball, badminton, running, yoga, weight training, etc.), and without experience of mindfulness training.
8. Subjects were able to participate and complete exercise training independently without any assistive devices.
9. Capable to be engaged, participate or respond to the research question,and willing to give informed consent.

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Exclusion Criteria

• Those who satisfy any of the following conditions shall be excluded:

  1. Mobile Phone Addiction Index (MPAI) scores below 40 They had major disease (respiratory illness, musculoskeletal disorder, dementia and metabolic, cardiovascular disease, and renal, or pulmonary diseases) and any psychosis or other severe psychiatric disorders. Records of extreme physical or psychological problems, which includes different addictive disorders, psychotic disorders, primary depression, borderline personality disorder, or antisocial character disease primarily based on the clinical psychologist's view or observations and oral questioning.
  2. Who are unable to move due to injury or illness and drop out of school .
  3. Those who were undergoing other psychotherapeutic treatments were also excluded from the study.
  4. Excluded students with sports contraindications and time conflicts.
  5. They have participated with exercise in the past three months (e.g., walking, running, weight training, etc.)

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Exercise and Mindfulness-Based Intervention	Exercise and Mindfulness-Based Intervention	Patients in the intervention group will be provided exercise and mindfulness-based intervention was shown for the 1-8 weeks.
Exercise and Mindfulness-Based Intervention	Control Group	Patients in the intervention group will be provided exercise and mindfulness-based intervention was shown for the 1-8 weeks.
Control Group	Exercise and Mindfulness-Based Intervention	Control group will not receive exercise and mindfulness-based intervention however, primary care service providers and mental health professionals will provide any required routine care according to their clinical judgment and available resources.
Control Group	Control Group	Control group will not receive exercise and mindfulness-based intervention however, primary care service providers and mental health professionals will provide any required routine care according to their clinical judgment and available resources.

Primary Outcome Measures

Name	Time	Method
Galvanic skin response (GSR; Assessing Change of physiological state)	Assessments will be conducted at baseline (after the screening), 4th week (1month) after the baseline, 8th week (2rd month)	Emotion regulation involves emotional responses (physiological components) such as galvanic skin response (GSR)(Bosse, 2017).
Mobile Phone Addiction Index (MPAI; Assessing Change)	Assessments will be conducted at baseline (after the screening), 4th week (1month) after the baseline, 8th week (2rd month)	Smartphone addiction was assessed using the Mobile Phone Addiction Index (MPAI) (Leung, L. ,2008), which was translated into Chinese (Huang H,et,al.,2014) and is used widely in Chinese contexts (Zhao Y, 2019 \& Chen Y,et,al.,2019). The MPAI contains 17 items assessing four domains: inability to control craving, feeling anxious and lost, withdrawal/escape, and productivity loss. Each item is responded to from 1 ("not at all") to 5 ("always"). Final scores were summed and higher total scores reflect higher levels of smartphone addiction. The Cronbach's alpha of the MPAI was 0.86 in the present study.
Smartphone behavior (Time spent on smartphone use; Assessing Change)	Assessments will be conducted at baseline (after the screening), 4th week (1month) after the baseline, 8th week (2rd month)	Subjects (respondents) will answer through six relevant time categories. "Less than 10 minutes", "11-60 minutes", "1-2 hours", "3-4 hours", "5-6 hours", or "more than 6 hours". For the type of functionality of the smartphone software used, the subjects (respondents) used a 5-point Likert scale (0 = never, 1 = rarely, 2 = sometimes, 3 = usually, 4 = always).
Heart rate (HR; Assessing Change from physiological state)	Assessments will be conducted at baseline (after the screening), 4th week (1month) after the baseline, 8th week (2rd month)	Heart rate is used to measure exercise intensity, and Emotion regulation involves emotional responses (physiological components) such as heart rate (HR).
Emotion Regulation Questionnaire (ERQ; Assessing Change)	Assessments will be conducted at baseline (after the screening), 4th week (1month) after the baseline, 8th week (2rd month)	The Emotion Regulation Questionnaire (ERQ; Gross \& John, 2003)
Response Inhibition (Assessing Change of Inhibitory control)	Assessments will be conducted at baseline (after the screening), 4th week (1month) after the baseline, 8th week (2rd month)	The measured variables were reaction time (RT) and accuracy.
Craving (Assessing Change)	Assessments will be conducted at baseline (after the screening), 4th week (1month) after the baseline, 8th week (2rd month)	Craving for smartphones (modified desire for drinking questionnaire: Love, James,; \& Willner, 1998)
Electroencephalography (EEG; Assessing Change of physiological state)	Assessments will be conducted at baseline (after the screening), 4th week (1month) after the baseline, 8th week (2rd month)	Emotion regulation involves emotional responses (physiological components) such as electroencephalography (EEG).
Positive and negative emotion scores (Assessing Change)	Assessments will be conducted at baseline (after the screening), 4th week (1month) after the baseline, 8th week (2rd month)	Positive and negative emotion scores measured at different time points

Secondary Outcome Measures

Name	Time	Method
Loneliness (Assessing Change)	Assessments will be conducted at baseline (after the screening), 4th week (1month) after the baseline, 8th week (2rd month)	used the Chinese version of the ULS-8 loneliness scale, which was translated by Zhou et al. for participation in China.
Psychological Symptoms (Assessing Change)	Assessments will be conducted at baseline (after the screening), 4th week (1month) after the baseline, 8th week (2rd month)	Psychological symptom using the Depression Anxiety Stress Scale-21 (DASS-21). to measure the emotional states (Oei et al., 2013) . This questionnaire is a short version of a self-report instrument (21 items) which measures depression, anxiety and tension/stress (negative emotional states).

Trial Locations

Locations (1)

Yulin University; 🇨🇳 Yulin, Shaanxi, China