NCT06098274

Brief Summary

Smartphones are the technological devices of our age that are constantly evolving and whose use is becoming more widespread day by day. Smartphones, which are preferred by almost everyone for reasons such as being easily portable, providing quick access to transactions, providing ease of use and sometimes as a status indicator, can pose a risk of addiction when used uncontrolled. Since young people are more intertwined with technology and use smartphones more, they are at greater risk of addiction and the problems that addiction can cause. Poor sleep quality is an important problem that can occur with smartphone addiction and negatively affects both daily life and the health of the individual. Smartphone addiction and the problems it causes are an important public health problem that threatens the whole society, especially young people. In solving this problem, it is among the duties of nurses to teach individuals healthy lifestyle behaviors instead of problematic behaviors. A road map is needed to facilitate the behavior change process. Transtheoretical Model (TTM) is widely used today to improve the behavior change process in the individual and to achieve the most effective health behavior change. TTM, which targets interventions appropriate to the individual's stage of change, is used as a guide that facilitates behavioral change. TTM is a model that contributes to change, accelerates it, and supports individuals considering change. In addition to TTM, another method that is more frequently used and contributes to change, especially in addicted individuals, is the "motivational interviewing" method. Motivational interviewing is very effective in gaining positive health behaviors and changing negative health behaviors and aims to reveal the individual's internal motivation. It is thought that the university years, which are an important period in terms of developing and maintaining health-protective and preventive behaviors, will both increase students' health responsibility and protect them from health-threatening behaviors with the healthy lifestyle behaviors acquired during this period. In line with all this information, this study was planned to determine the effect of the Transtheoretical model and motivational interview-based online intervention program on smartphone addiction and sleep quality levels in nursing students who are in the smartphone addiction risk group.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
72

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Nov 2023

Geographic Reach
1 country

2 active sites

Status
unknown

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

October 19, 2023

Completed
5 days until next milestone

First Posted

Study publicly available on registry

October 24, 2023

Completed
22 days until next milestone

Study Start

First participant enrolled

November 15, 2023

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 15, 2024

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2024

Completed
Last Updated

October 26, 2023

Status Verified

October 1, 2023

Enrollment Period

7 months

First QC Date

October 19, 2023

Last Update Submit

October 24, 2023

Conditions

Keywords

smartphone addictionsleep qualitymotivational interviewtranstheoretical modelnursing student

Outcome Measures

Primary Outcomes (4)

  • Personal Information Form

    The form, which was created to determine students' socio-demographic characteristics and smartphone usage habits, was prepared by the researcher in line with the literature review on the subject. The form consists of a total of 18 questions; There are 8 questions about the socio-demographic characteristics of the students, 8 questions evaluating smartphone usage characteristics, and 2 questions evaluating the individual's smartphone addiction and sleep quality by self-report.

    1. week

  • Smartphone Addiction Scale Short Form (SAS-SF)

    The scale is a 6-point Likert type and consists of 10 items. The lowest score from the scale can be 10 and the highest score can be 60. Increasing the total score from the scale indicates that the risk for smartphone addiction increases. The cut-off score of the scale in the Korean sample was determined as 31 for men and 33 for women.

    1. week

  • Pittsburgh Sleep Quality Index (PSQI)

    Pittsburgh Sleep Quality Index consists of 18 questions in which the individual evaluates himself. The scale consists of 7 components in total. These; subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, use of sleeping pills, and daytime sleep dysfunction. Each component is evaluated separately on a scale of 0-3 points. The total score that can be obtained from the Pittsburgh Sleep Quality Index varies between 0-21. A total score of 5 or less on the scale is interpreted as "good" sleep quality, and a score above 5 is interpreted as "bad" sleep quality.

    1. week

  • Classification of Stages of Change Scale

    The Stages of Change Classification Scale indicates the stages of change that individuals go through when they try to change their problematic behavior alone or with support. The stages of change that the individual goes through were developed based on the Transtheoretic Model. The scale guides the practices necessary for the individual to move on to the next stage of change. There is no scoring on the scale, and participants are divided into stages based on their answers to the questions. 1. Not Considering Change Stage: It is the stage where behavior change is not considered. 2. Consideration Stage: This is the stage where behavior change is considered within the next six months. 3. Preparation Phase: This is the phase where behavioral change is considered within the next month. 4. Action Phase: This is the phase where behavioral change begins to be implemented. 5. Maintenance Phase: This is the phase that covers six months and indefinite period following the behavioral change.

    1. week

Secondary Outcomes (3)

  • Smartphone Addiction Scale Short Form (SAS-SF)

    16. week

  • Pittsburgh Sleep Quality Index (PSQI)

    16. week

  • Classification of Stages of Change Scale

    16. week

Study Arms (2)

Motivational interviewing group based on transtheoretical model

EXPERIMENTAL

Smartphone addiction scale will be applied to nursing department students. Those who score 31 or more on the scale for men and 33 or more for women will be considered at risk and will be invited to the study. Those who meet the participation criteria and volunteer to participate will be included in the study. Participants will be homogeneously and randomly distributed into intervention and control groups.

Behavioral: Motivational interviewing program based on transtheoretical model

Group without transtheoretical model-based motivational interviewing (Control group)

NO INTERVENTION

No intervention will be made to the intervention group. After evaluating the final data, if the motivational interview and training program is found to be effective, a motivational interview and training program will also be carried out to the control group participants.

Interventions

It will be determined at which stage of change of the transtheoretic model the participants in the intervention group are. A varying number of motivational interviews will be held depending on the stage of change and a maximum of 6 motivational interviews. Those in the preparatory phase will be trained on smartphone addiction. Following completion of the motivational interviewing and training content, the study scales will be re-administered and the effectiveness of the motivational interviewing and training content will be evaluated by comparison with the baseline data.

Motivational interviewing group based on transtheoretical model

Eligibility Criteria

Age17 Years - 26 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Aksaray University Faculty of Health Sciences, Nursing Department 1st, 2nd, 3rd and 4th year students
  • Those who have been using smartphones for at least 1 year
  • Those who score above the cut-off score on the Smartphone Addiction Scale-Short Form (31 for men, 33 for women)
  • Those who do not have internet access problems
  • Those who volunteer to participate in the study and have no problems communicating

You may not qualify if:

  • Having a chronic disease, diagnosed psychiatric health problem or sleep problem
  • The individual does not want to continue working or does not attend a maximum of 2 motivational interview sessions.
  • Having to take a break from education or terminate university education

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Aksaray University

Aksaray, 68100, Turkey (Türkiye)

Location

Sivas Cumhuriyet University

Sivas, 58140, Turkey (Türkiye)

Location

Related Publications (52)

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MeSH Terms

Conditions

Internet Addiction DisorderSleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Technology AddictionBehavior, AddictiveCompulsive BehaviorImpulsive BehaviorBehaviorSleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesMental Disorders

Study Officials

  • Mustafa Yumuşak

    Aksaray University

    PRINCIPAL INVESTIGATOR
  • Semra Kocataş

    Cumhuriyet University

    STUDY DIRECTOR

Central Study Contacts

Mustafa Yumuşak, Research ass

CONTACT

Semra Kocataş, Asst. Prof.

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: The method of this research; It is a quasi-experimental study with pre-test and post-test, with intervention and control groups randomly selected.
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Research assistant

Study Record Dates

First Submitted

October 19, 2023

First Posted

October 24, 2023

Study Start

November 15, 2023

Primary Completion

June 15, 2024

Study Completion

December 31, 2024

Last Updated

October 26, 2023

Record last verified: 2023-10

Data Sharing

IPD Sharing
Will share

Sociodemographic data of participants, Smartphone Addiction Scale Short Form results, Pittsburgh Sleep Quality Index results, Classification of Stages of Change Scale results

Shared Documents
STUDY PROTOCOL
Time Frame
2 years
Access Criteria
The Council of Higher Education will be shared from the thesis center.
More information

Locations