A Cognitive Behavioral Therapy Intervention for Internet Gaming Disorder
A Randomized Controlled Trial for Evaluating the Efficacy of a Cognitive Behavioral Therapy Intervention in Reducing Internet Gaming Disorder Among Secondary School Students in Hong Kong
1 other identifier
interventional
226
2 countries
6
Brief Summary
This RCT study develops a brief group-based CBT intervention. The primary objective is to evaluate the efficacy of the CBT in reducing IGD, compare to a wait-list control group.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2021
Typical duration for not_applicable
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 27, 2019
CompletedFirst Posted
Study publicly available on registry
February 6, 2020
CompletedStudy Start
First participant enrolled
March 19, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2022
CompletedAugust 2, 2021
July 1, 2021
1.7 years
December 27, 2019
July 29, 2021
Conditions
Outcome Measures
Primary Outcomes (2)
Change from baseline Internet gaming disorder (IGD) immediately after the interventions
The DSM-5 classification of IGD: The 9-item IGD checklist is a short, user-friendly, self-report measure for assessing the DSM-5 classification of IGD. Symptoms to be assessed include preoccupation, tolerance, withdrawal, unsuccessful attempts to limit gaming, deception or lies about gaming, loss of interest in other activities, use despite knowledge of harm, use for escape or relief of negative mood, and harm in the past 12 months. Response options are no (0) and yes (1). As per the DSM-5 recommendation, those with \>=5 'yes' responses are considered IGD cases. The Chinese version has been validated with high internal consistency.
immediately after the interventions
Change from baseline Internet gaming disorder (IGD) at 6 months
The DSM-5 classification of IGD: The 9-item IGD checklist is a short, user-friendly, self-report measure for assessing the DSM-5 classification of IGD. Symptoms to be assessed include preoccupation, tolerance, withdrawal, unsuccessful attempts to limit gaming, deception or lies about gaming, loss of interest in other activities, use despite knowledge of harm, use for escape or relief of negative mood, and harm in the past 12 months. Response options are no (0) and yes (1). As per the DSM-5 recommendation, those with \>=5 'yes' responses are considered IGD cases. The Chinese version has been validated with high internal consistency.
six months after the interventions
Study Arms (2)
CBT intervention group
EXPERIMENTALIn addition to the information about IGD of the control group, the intervention group will receive eight weekly group-based 90-minute CBT sessions.
Wait-list control group
ACTIVE COMPARATORMembers will receive printed education material about IGD but not CBT during the treatment period.
Interventions
The CBT focuses on cognitive restructuring to reduce the specific key maladaptive beliefs on Internet gaming suggested by King's model, and develop useful coping skills (self-regulation/control, emotion regulation, problem-solving coping) that are adapted from previous CBT for adolescent IGD. In addition, it provides training on relapse-prevention and maintenance techniques.
Printed education material introducing IGD will be distributed.
Printed education material introducing CBT will be distributed.
Eligibility Criteria
You may qualify if:
- secondary 1-4 students (grade 7-10),
- positive screening results (i.e. IGD cases) according to a validated questionnaire (the 5 DSM-5 criteria for IGD),
- students' and parental consent,
- Chinese speaking.
You may not qualify if:
- self-reported history of any psychiatric or neurological illness,
- current use of any psychotropic medication.
- We do not include Secondary 5-6 students due to their preparation for public examinations and practical difficulty in follow-up after their graduation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (6)
HKMLC Queen Maud Secondary School
Hong Kong, Hong Kong, China
Henrietta Secondary School
Hong Kong, Hong Kong
Po Kok Secondary School
Hong Kong, Hong Kong
Po Leung Kuk Lee Shing Pik College
Hong Kong, Hong Kong
S.T.F.A. Lee Shau Kee College
Hong Kong, Hong Kong
Shun Tak Fraternal Association Leung Kau Kui College
Hong Kong, Hong Kong
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Xue Yang
JC School of Public Health and Primary Care, Faculty of Medicine, CUHK
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Research Assistant Professor
Study Record Dates
First Submitted
December 27, 2019
First Posted
February 6, 2020
Study Start
March 19, 2021
Primary Completion
November 30, 2022
Study Completion
December 31, 2022
Last Updated
August 2, 2021
Record last verified: 2021-07
Data Sharing
- IPD Sharing
- Will not share