NCT05479344

Brief Summary

The present study will explore the underlying mechanisms of problematic Internet and smartphone use by focusing on how and when environmental factors affect the positive psychological intervention factors. Hence, the present study will provide scientific empirical evidence to design and formulate follow-up intervention strategies. Aims: I. Apply the dynamic system model of addictive behavior execution in Chinese adolescents with problematic Internet and smartphone use and use longitudinal data to track and explore the underlying mechanisms of environmental factors and personal factors on problematic Internet and smartphone use. II. Identify positive psychological intervention factors that effectively prevent and reduce problematic Internet and smartphone use according to the interview and provide empirical evidence for other intervention designs. III. Conducting a positive psychological intervention in an adolescent population to verify the protective effect of positive psychology factors on problematic Internet and smartphone use. Hypotheses: I. Environmental factors (e.g., child abuse and trauma, parenting behaviors, teachers' encouragement, peer support) will affect the problematic Internet and smartphone use through personal characteristics (e.g., meaning in life); II. The effect of environmental factors on problematic Internet and smartphone use through personal characteristics will be moderated by other positive psychological intervention factors (e.g., character strengths); III. Positive psychological intervention (e.g., meaning-based intervention, strengths-based intervention) is an effective intervention strategy to prevent and reduce problematic Internet and smartphone use.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
106

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Aug 2022

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 22, 2022

Completed
7 days until next milestone

First Posted

Study publicly available on registry

July 29, 2022

Completed
17 days until next milestone

Study Start

First participant enrolled

August 15, 2022

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 15, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 15, 2023

Completed
Last Updated

February 21, 2024

Status Verified

February 1, 2024

Enrollment Period

8 months

First QC Date

July 22, 2022

Last Update Submit

February 19, 2024

Conditions

Outcome Measures

Primary Outcomes (4)

  • Change of Problematic Social Media Use

    The 6-item Bergen Social media Addiction Scale will measure the severity of problematic social media use. Bergen Social media Addiction Scale is a self-report measure designed to assess the symptoms of problematic social media use, with a higher total score suggesting more severe problematic use symptoms. Scores range from 6 to 30.

    baseline, week 5, 3-month follow up

  • Change of Problematic Smartphone Use

    The 6-item Smartphone Application-Based Addiction Scale will measure the severity of problematic smartphone use. Smartphone Application-Based Addiction Scale is a self-report measure designed to assess the symptoms of problematic smartphone use, with a higher total score suggesting more severe problematic use symptoms. Scores range from 6 to 36.

    baseline, week 5, 3-month follow up

  • Change of Internet Gaming Disorder

    The 9-item Internet Gaming Disorder Scale-Short Form will measure the severity of internet gaming. Internet Gaming Disorder Scale-Short Form is a self-report measure designed to assess the symptoms of internet gaming disorder, with a higher total score suggesting more severe internet gaming symptoms. Scores range from 9 to 45.

    baseline, week 5, 3-month follow up

  • Change of Depression and Anxiety Symptoms

    Anxiety and depressive symptoms will be measured by the 4-item Patient Health Questionnaire for Depression and Anxiety (PHQ-4). PHQ-4 is a self-report measure designed to assess the severity of depression and anxiety symptoms, with a higher total score suggesting higher levels of depression and anxiety symptoms. Scores range from 0 to 12.

    baseline, week 5, 3-month follow up

Secondary Outcomes (2)

  • Change of Meaning in Life

    baseline, week 5, 3-month follow up

  • Change of Difficulties in Emotion Regulation

    baseline, week 5, 3-month follow up

Study Arms (2)

Contextual Behavioural Intervention Based on Meaning and Connection

EXPERIMENTAL

The current intervention involves the identification of strengths (the first week, 90 minutes of intervention), the perception of the meaning in life (the second week, 90 minutes of intervention), the learning of strategies to develop plan (the third week, 90 minutes of intervention), and the understanding of emotion regulation strategies (the fourth week, 90 minutes of intervention).

Behavioral: A Brief Contextual Behavioural Intervention Based on Strengths, Meaning, Hope and Connection

Waiting list group

OTHER

The waiting list group will receive the same intervention at the end of the 3-month follow-up test.

Behavioral: A Brief Contextual Behavioural Intervention Based on Strengths, Meaning, Hope and Connection

Interventions

The intervention strategy combines acceptance and commitment therapy, contextual behavioral science, and positive psychology interventions (strengths, meaning, hope) in the form of a single intervention set (each topic is a single 90-minute intervention, four single intervention combinations).

Contextual Behavioural Intervention Based on Meaning and ConnectionWaiting list group

Eligibility Criteria

Age12 Years - 20 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Children or adolescents with experience in using technology.
  • Older than 12 years and younger than 20 years.
  • Native Chinese speakers.

You may not qualify if:

  • Young people with no experience in using technology.
  • Aged under 12 or over 20.
  • Non-native speakers of Chinese.
  • People who have undergone similar interventions within the past year.
  • Persons with major mental or physical illnesses.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Chongqing Datong High School

Chongqing, Chongqing Municipality, 401445, China

Location

MeSH Terms

Conditions

Internet Addiction Disorder

Condition Hierarchy (Ancestors)

Technology AddictionBehavior, AddictiveCompulsive BehaviorImpulsive BehaviorBehavior

Study Officials

  • Yumei LI

    Department of Social & Behavioural Sciences, City University of Hong Kong

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

July 22, 2022

First Posted

July 29, 2022

Study Start

August 15, 2022

Primary Completion

April 15, 2023

Study Completion

April 15, 2023

Last Updated

February 21, 2024

Record last verified: 2024-02

Data Sharing

IPD Sharing
Will not share

The study dataset will contain identifiable information about minors, and therefore ethical clearance requires that no one other than our study team have access to the data collected in this study.

Locations