Collective Motivational Interviewing (CMI) for Adolescents With Internet Gaming Disorder

NCT05917977 | Active Not Recruiting

• 1 other identifier: UGC/FDS21/H01/22
• Study Type: interventional
• Target: 172
• Locations: 1 country
• Sites: 1

Brief Summary

The present study examines the efficacy of CMI in reducing adolescent IGD symptoms and enhancing social support given by CSOs among adolescents with high risk of IGD (probable IGD cases screened positive by validated tools). It is hypothesized that the intervention group (with CMI plus IGD education materials for both the clients and his/her selected CSO) would show more improvements in reduction in the severity of IGD, motivation to change maladaptive gaming behaviour, craving on gaming, and social support obtained from CSOs than to the control group (only educational materials for both the client and the CSOs).

Conditions

Internet Gaming Disorder

Keywords

Motivational interviewing; Family counselling; Effective treatment; Randomized controlled trial

Outcome Measures

Primary Outcomes (3)

• Severity of IGD

  The nine-item Internet Gaming Disorder Scale-Short-Form (IGDS9-SF) are used to detect the change in the severity of IGD. It is the first brief standardized psychometric tool of IGD based on the nine DSM-5 IGD criteria. This instrument has been translated into 15 languages and is widely used in research and clinical settings. In addition, a validated Chinese version with satisfactory psychometric properties is available (Qin et al., 2020). The items were rated by using a 5-point Likert scale (1 = Never to 5 = Very often).

  Change from Baseline (T0) Severity of IGD at posttest (T1: After intervention)

• Severity of IGD

  The nine-item Internet Gaming Disorder Scale-Short-Form (IGDS9-SF) are used to detect the change in the severity of IGD. It is the first brief standardized psychometric tool of IGD based on the nine DSM-5 IGD criteria. This instrument has been translated into 15 languages and is widely used in research and clinical settings. In addition, a validated Chinese version with satisfactory psychometric properties is available (Qin et al., 2020). The items were rated by using a 5-point Likert scale (1 = Never to 5 = Very often).

  Change from Baseline (T0) Severity of IGD at 3-month follow-up (T2)

• Severity of IGD

  The nine-item Internet Gaming Disorder Scale-Short-Form (IGDS9-SF) are used to detect the change in the severity of IGD. It is the first brief standardized psychometric tool of IGD based on the nine DSM-5 IGD criteria. This instrument has been translated into 15 languages and is widely used in research and clinical settings. In addition, a validated Chinese version with satisfactory psychometric properties is available (Qin et al., 2020). The items were rated by using a 5-point Likert scale (1 = Never to 5 = Very often).

  Change from Baseline (T0) Severity of IGD at 6-month follow-up (T3)

Secondary Outcomes (18)

• Motivation to change maladaptive gaming behaviour

  Change from Baseline (T0) Motivation to change maladaptive gaming behaviour at posttest (T1: After intervention)

• Motivation to change maladaptive gaming behaviour

  Change from Baseline (T0) Motivation to change maladaptive gaming behaviour at 3-month follow-up (T2)

• Motivation to change maladaptive gaming behaviour

  Change from Baseline (T0) Motivation to change maladaptive gaming behaviour at 6-month follow-up (T3)

• Craving for Internet Gaming

  Change from Baseline (T0) Craving for Internet Gaming at posttest (T1: After intervention)

• Craving for Internet Gaming

  Change from Baseline (T0) Craving for Internet Gaming at 3-month follow-up (T2)

Study Arms (2)

Control group (Education Materials)

OTHER

After completing the baseline screening, survey and randomization, the participants in the control group will receive educational materials regarding topics including: (1) what IGD is and its consequences, (2) how to communicate with parents about the gaming time, and (3) how to develop a healthy lifestyle, etc.

Other: Control group (Education Materials)

Intervention group (Collective Motivational Interviewing plus Education Materials)

EXPERIMENTAL

Participants in the intervention group will be given the same Internet Gaming Disorder (IGD) education materials as those in the control group, thus, they will further participate in four counseling sessions with Collective Motivational Interviewing (CMI) (each session 60 mins). In the first session, adolescents with Internet Gaming Disorder will be implemented a standard MI session to elicit and strengthen the client's motivation to change. In the second session, a nominated CSO of the client will participate in a standard MI session to elicit their motivation to help the client toward change and prepare positive attitudes of CSO for the conjoint session. Afterward, the third and fourth sessions (75 mins) will be conjoint sessions. The Collective Motivational Interviewing practitioners will create a safe platform for both parties to share their perspectives with openness and trustfulness, in turn, to reach an agreed goal (e.g., develop a change plan on internet gaming behaviors).

Behavioral: Collective Motivational Interviewing plus Education Materials

Interventions

Collective Motivational Interviewing plus Education Materials BEHAVIORAL

The participants in the intervention group will receive IGD educational materials as well as four counseling sessions of CMI intervention.

Intervention group (Collective Motivational Interviewing plus Education Materials)

Control group (Education Materials) OTHER

The participants in the control group will receive IGD educational materials.

Control group (Education Materials)

Eligibility Criteria

• Age: 10 Years - 16 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Aged between 10-16
• Probable IGD condition screened by the Internet Gaming Disorder Scale-Short-Form (IGDS9-SF) reaching the cut-off value at 21, those at high risk of having IGD but no IGD cases with clinical diagnosis, although the symptoms measured by IGDS9-SF are equivalent to DSM-5 IGD criteria)
• Hong Kong ID card holder
• Chinese speaking
• Student identity
• Possessing an electronic mobile device or computer
• Willingness to participate in the intervention/control group and complete four surveys (baseline, post-intervention, 3-month follow-up, and 6-month follow-up)
• Can nominate a CSO (e.g., parents) \[client's autonomy is a critical factor to facilitate motivation posited by the self-determination theory (Ryan \& Deci, 2020) (9) to obtain informed consent and parental consent
• Aged greater than 18 years
• Having a close relationship with the adolescent with probable IGD (as rated by participants being generally supportive of the participants)
• Being willing to participate in the present study and provide informed consent

You may not qualify if:

• Participants who have psychiatric problems such as psychosis, significant cognitive impairment and/or receiving active and structured psychotherapy about IGD elsewhere will be excluded (Nielsen et al., 2021).
• Participants who have psychosis, aggressive or suicidal behavior
• Having life-threatening medical conditions

Sponsors & Collaborators

• Hong Kong College of Technology: lead
• The University of Hong Kong: collaborator
• Chinese University of Hong Kong: collaborator
• Nottingham Trent University: collaborator
• Fudan University: collaborator

Study Sites (1)

Hong Kong College of Technology

Shatin, Hong Kong

Location

Related Publications (8)

• Ryan RM, Deci EL. Intrinsic and Extrinsic Motivations: Classic Definitions and New Directions. Contemp Educ Psychol. 2000 Jan;25(1):54-67. doi: 10.1006/ceps.1999.1020.

  PMID: 10620381 BACKGROUND

• Zhu S, Zhuang Y, Lee P, Li JC, Wong PWC. Leisure and Problem Gaming Behaviors Among Children and Adolescents During School Closures Caused by COVID-19 in Hong Kong: Quantitative Cross-sectional Survey Study. JMIR Serious Games. 2021 May 7;9(2):e26808. doi: 10.2196/26808.

  PMID: 33960954 BACKGROUND

• Nielsen P, Christensen M, Henderson C, Liddle HA, Croquette-Krokar M, Favez N, Rigter H. Multidimensional family therapy reduces problematic gaming in adolescents: A randomised controlled trial. J Behav Addict. 2021 Apr 26;10(2):234-243. doi: 10.1556/2006.2021.00022. Print 2021 Jul 15.

  PMID: 33905350 BACKGROUND

• Qin L, Cheng L, Hu M, Liu Q, Tong J, Hao W, Luo T, Liao Y. Clarification of the Cut-off Score for Nine-Item Internet Gaming Disorder Scale-Short Form (IGDS9-SF) in a Chinese Context. Front Psychiatry. 2020 May 25;11:470. doi: 10.3389/fpsyt.2020.00470. eCollection 2020.

  PMID: 32528331 BACKGROUND

• Siu AMH, Ko FSL, Mak SK. Outcome Evaluation of a Short-Term Hospitalization and Community Support Program for People Who Abuse Ketamine. Front Psychiatry. 2018 Jul 17;9:313. doi: 10.3389/fpsyt.2018.00313. eCollection 2018.

  PMID: 30065669 BACKGROUND

• Rustin TA, Tate JC. Measuring the stages of change in cigarette smokers. J Subst Abuse Treat. 1993 Mar-Apr;10(2):209-20. doi: 10.1016/0740-5472(93)90046-5.

  PMID: 8389898 BACKGROUND

• Savci, M., & Griffiths, M. D. (2019). The development of the Turkish craving for internet gaming scale (CIGS): A validation study. International Journal of Mental Health and Addiction, 1-18.

  BACKGROUND

• Chou, K. L. (2000). Assessing Chinese adolescents' social support: The multidimensional scale of perceived social support. Personality and Individual Differences, 28(2), 299-307. https://doi.org/bpjrkw

  BACKGROUND

MeSH Terms

Conditions

Internet Addiction Disorder

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Technology Addiction; Behavior, Addictive; Compulsive Behavior; Impulsive Behavior; Behavior

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: BSW HKU, MSc International Addiction Studies KCL, Ph.D. HKU, MINT Certified Trainer, CGC (Canada), Ccoun&AF(HKPCA), R.S.W. (Hong Kong), Assistant Professor, Department of Applied Social Sciences

Model Details: The present study adopted a two-armed RCT to examine the efficacy of CMI in improving IGD among adolescents with IGD. The research participants will be randomly assigned to either the intervention group (four-session CMI intervention plus IGD educational materials) or the control group (IGD education materials alone). Block randomization will be executed, of which the block size is 4. Computer-generated randomization allocation codes will be produced and sealed in opaque envelopes by a research associate with no involvement in recruitment. One envelope will be drawn and opened by the project officer.

Study Record Dates

• First Submitted: May 9, 2023
• First Posted: June 26, 2023
• Study Start: June 1, 2023
• Primary Completion: December 31, 2025
• Study Completion (Estimated): December 31, 2026
• Last Updated: October 3, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

HK (1)