Implementation of the Care Bag Theory for Healthy Internet Use in Adolescents (CHIA)

NCT06681883 | Completed

• 1 other identifier: KAEK-152
• Study Type: interventional
• Target: 10
• Locations: 1 country
• Sites: 1

Brief Summary

The study aimed to investigate the effect of a nursing care program based on the Care Bag Theory for Healthy Internet Use in Adolescents (CHIA) on adolescents' problematic internet use, self-regulation, family relationships, and coping skills.

Conditions

Internet Addiction; Problematic Internet Use; Healthy Internet Use

Keywords

adolescent; problematic internet use; nursing; model; healthy internet use

Outcome Measures

Primary Outcomes (1)

• Problematic Internet Use Scale-Adolescent (PIUS-A)

  The scale consists of 27 items and is of a five-point Likert type. The lowest possible score on the scale is 27, and the highest score is 135. Higher scores on the scale indicate that adolescents' problematic internet use has increased and become unhealthy. The PIUS-A scale has three subscales: negative consequences of internet use, excessive use, and social benefit/social comfort.

  Data will be collected two times: pre-intervention and immediately post-intervention.

Secondary Outcomes (3)

• The Adolescent Self Regulatory Inventory (ASRI)

  Data will be collected two times: pre-intervention and immediately post-intervention.

• Kidcope

  Data will be collected two times: pre-intervention and immediately post-intervention.

• The Family Relationship Scale for Children

  Data will be collected two times: pre-intervention and immediately post-intervention.

Study Arms (1)

Action group

EXPERIMENTAL

Behavioral: A nursing care program based on the Care Bag Theory for Healthy Internet Use in Adolescents (CHIA)

Interventions

A nursing care program based on the Care Bag Theory for Healthy Internet Use in Adolescents (CHIA) BEHAVIORAL

A nursing care program based on the Care Bag Theory for Healthy Internet Use in Adolescents (CHIA) The nursing care program based on the CHIA model is designed for adolescents with problematic internet use. The program is grounded in the concepts of the draft model. It consists of eight sessions, each expected to last 40-50 minutes. One session will be held per week. The first session includes introductions and an overview of the program, the second session aims to strengthen the adolescent's motivation for change, the third session focuses on improving the adolescent's self-control skills, the fourth session aims to enhance family functionality, the fifth session helps develop offline activities to replace internet use, the sixth and seventh sessions work on developing coping skills, and the eighth session includes the evaluation and termination of the program.

Action group

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Voluntarily agreeing to participate in the study,
• Being between the ages of 12-18,
• Receiving outpatient follow-up at the Child and Adolescent Mental Health Clinic,
• Having a Problematic Internet Use (PIU) issue (PIU is assessed according to the criteria by the doctors at the clinic. The doctors refer adolescents who meet the criteria. These criteria are as follows: a) using the internet for longer than planned, b) experiencing withdrawal symptoms when unable to access the internet, c) failing to control internet usage, d) being excessively preoccupied with the internet, e) losing interest in offline hobbies, f) a desire to use the internet more, g) continuing excessive internet use despite knowing it negatively affects their life, h) using the internet to escape problems, i) lying about internet use).

You may not qualify if:

• Having a speech, hearing, or self-expression impairment,
• Having received or currently receiving professional support related to PIU.

Sponsors & Collaborators

• Akdeniz University: lead

Study Sites (1)

Akdeniz University

Antalya, Kepez, 07058, Turkey (Türkiye)

Location

Related Publications (10)

• Wang W, Ye J, Zhu Y, Huang D, Zhao X. Longitudinal relationship between internet self-control and problematic internet use among Chinese adolescents: mediating role of meaning in life. Front Psychiatry. 2023 Dec 7;14:1258673. doi: 10.3389/fpsyt.2023.1258673. eCollection 2023.

  PMID: 38144476 BACKGROUND

• Shek DT, Yu L, Leung H, Wu FK, Law MY. Development, implementation, and evaluation of a multi-addiction prevention program for primary school students in Hong Kong: the B.E.S.T. Teen Program. Asian J Gambl Issues Public Health. 2016;6(1):5. doi: 10.1186/s40405-016-0014-z. Epub 2016 Jul 8.

  PMID: 27630812 RESULT

• Peterson SJ. Introduction to the nature of nursing knowledge. In S. J. Peterson and T. S. Bredow (Eds.), Middle range theories: Application to nursing research (3rd ed., pp. 3-41). Philadelphia: Lippincott Williams & Wilkins; 2013.

  RESULT

• Rakhmawati W, Kosasih CE, Widiasih R, Suryani S, Arifin H. Internet Addiction Among Male Adolescents in Indonesia: A Qualitative Study. Am J Mens Health. 2021 May-Jun;15(3):15579883211029459. doi: 10.1177/15579883211029459.

  PMID: 34189970 RESULT

• Paulus FW, Ohmann S, von Gontard A, Popow C. Internet gaming disorder in children and adolescents: a systematic review. Dev Med Child Neurol. 2018 Jul;60(7):645-659. doi: 10.1111/dmcn.13754. Epub 2018 Apr 6.

  PMID: 29633243 RESULT

• Park E, Kwon M. Health-Related Internet Use by Children and Adolescents: Systematic Review. J Med Internet Res. 2018 Apr 3;20(4):e120. doi: 10.2196/jmir.7731.

  PMID: 29615385 RESULT

• Ozparlak A, Karakaya D, Onder A, Gunbayi I. Problematic internet use in adolescents: A phenomenological study. J Psychiatr Ment Health Nurs. 2023 Aug;30(4):731-742. doi: 10.1111/jpm.12900. Epub 2023 Jan 31.

  PMID: 36662598 RESULT

• Marchant A, Hawton K, Stewart A, Montgomery P, Singaravelu V, Lloyd K, Purdy N, Daine K, John A. A systematic review of the relationship between internet use, self-harm and suicidal behaviour in young people: The good, the bad and the unknown. PLoS One. 2017 Aug 16;12(8):e0181722. doi: 10.1371/journal.pone.0181722. eCollection 2017.

  PMID: 28813437 RESULT

• Lyons J. Reflective education for professional practice: discovering knowledge from experience. Nurse Educ Today. 1999 Jan;19(1):29-34. doi: 10.1054/nedt.1999.0607.

  PMID: 10222968 RESULT

• Lukavska K, Hrabec O, Lukavsky J, Demetrovics Z, Kiraly O. The associations of adolescent problematic internet use with parenting: A meta-analysis. Addict Behav. 2022 Dec;135:107423. doi: 10.1016/j.addbeh.2022.107423. Epub 2022 Jul 6.

  PMID: 35933287 RESULT

MeSH Terms

Conditions

Internet Addiction Disorder

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: November 7, 2024
• First Posted: November 8, 2024
• Study Start: July 1, 2024
• Primary Completion: August 1, 2024
• Study Completion: January 1, 2025
• Last Updated: January 23, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)