Intervening in Problematic Internet Use - Preventive Measures for Risk Groups
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 470
- 试验地点
- 1
- 主要终点
- Change of DSM-5 criteria
研究概览
简要总结
The present study examines the efficacy of a brief intervention for problematic Internet use based on Motivational Interviewing (MI) and Cognitive Behavioral Therapy (CBT) in a sample of students screened proactively in vocational schools in Northern Germany. Participants will be randomized in an intervention and a control group. It is hypothesized that after 12 months, participants of the intervention group fulfill less DSM-5 criteria for Internet use disorders, spend less time in the Internet, and suffer from less negative consequences caused by the problematic Internet use, compared to the control group.
详细描述
Problematic Internet use is an increasing problem, especially in younger age groups. A population-based study revealed elevated prevalences in adolescents and young adults. The present study aims to provide an intervention for this vulnerable group to change the problematic Internet use. This is suggested to prevent the development of more severe forms of dependence. Brief interventions using MI and elements of CBT have shown to be an adequate method to change addictive behaviors.
For the recruitment, students of vocational schools in the states of Schleswig-Holstein and Hamburg in Northern Germany are screened proactively in classes. Participants fulfilling at least 21 points on the Compulsive Internet Use Scale (CIUS) receive a diagnostic telephone interview. If fulfilling at least 2 DSM-5 criteria, participants will be randomly allocated to two conditions: (1) Intervention group with up to three telephone counseling sessions based on MI, (2) Control group receiving a booklet on problematic Internet use. Outcome measures are a reduction of DSM-5 criteria for Internet use disorders, a reduction of time spent on the Internet, and a reduction of negative consequences caused by the problematic Internet use. The efficacy of the intervention will be examined after 6 and 12 months in follow-up interviews.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •CIUS score of 21 and at least 2 DSM-criteria
- •At least 16 years old
排除标准
- •Current treatment for mental disorders
结局指标
主要结局
Change of DSM-5 criteria
时间窗: Assessment of criteria at baseline and at 6- and 12-month follow ups
Criteria for Internet Use Disorders according to the Internet Gaming Disorder in the DSM-5, but for all Internet Applications are assessed with a diagnostic clinical interview based on the Composite International Diagnostic Interview (CIDI)
Change of time spent on the Internet
时间窗: Assessment of time on the Internet at baseline and at 6- and 12-month follow ups
Average time of private Internet use on a weekday and on weekends and maximum use are assessed at baseline and at 6- and 12-month follow ups. Change of time is measured by the difference between the follow up assessments and the baseline.
Change of negative consequences caused by the problematic Internet use
时间窗: Assessment of negative consequences at baseline and at 6- and 12-month follow ups
Negative Consequences-Questionnaire from the Criminological Research Institute of Lower Saxony: * 8 items ranging from 1 (much worse) to 5 (much better) * Maximum sum score ranges from 8 to 40 * The questionnaire is inversely coded, so higher outcomes provide a better outcome * For change of negative consequences, the difference between the sum scores in the follow up assessments and baseline will be measured
Change of disabilities caused by the problematic Internet use
时间窗: Assessment of disabilities at baseline and at 6- and 12-month follow ups
World Health Organization Disability Assessment Schedule 2.0 (WHODAS) 2.0 (Adapted Version for problematic Internet use): * 4 items ranging from 0 (no impairment) to 10 (strong impairment) * 2 items estimating the days of impairment in the past 12 months (time frame will be adapted to the time frame in the assessment) * For change of disabilities, the difference between follow up assessments and baseline will be measured for the single items.
次要结局
- Readiness to change Internet use(Assessment of readiness to change at baseline and at 6- and 12-month follow ups)
- Self-efficacy to change Internet use(Assessment of self-efficacy at baseline and at 6- and 12-month follow ups)
研究者
Hans-Jürgen Rumpf
Head of Research group S:TEP
University of Luebeck