The Effect of Art-Based Nursing Intervention Helping to Develop Healthy Digital Habits on Digital Addiction, Cyberbullying and Self-Efficacy in Adolescents

NCT07123194 | Recruiting

• 1 other identifier: EUnal202575
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

In today's world where digital technologies are integrated into every aspect of life, adolescents' unhealthy and uncontrolled use of digital media causes important psychosocial problems such as digital addiction and cyberbullying. This research aims to examine the effects of an art-based nursing intervention program in order to help adolescents born into the digital world gain healthy digital habits. The art-based nursing intervention program that helps gain healthy digital habits aims to increase adolescents' expressive expression skills, develop their skills in coping with challenging situations in the digital environment and strengthen their self-efficacy levels through creative art activities. The research is a randomized controlled trial designed as an experimental type, pre-test-post-test design. The research will be carried out in Prof. Dr. Fuat Sezgin Secondary School in Karatay district of Konya province. The sample group was determined as a total of 64 adolescents, 32 intervention and 32 control. Adolescents will be randomly assigned to the intervention and control groups. The pre-test data of the intervention and control groups were collected before the program started; The post-test data will be collected face-to-face by the researcher after the program is completed using the Personal Information Form, Digital Addiction Scale for Children, Revised Cyberbullying Scale (YSZE-II) and Self-Efficacy Scale for Children. It is expected that the digital addiction and cyberbullying levels of adolescents who are applied the art-based nursing intervention program that helps them gain healthy digital habits will be lower than the control group, and their self-efficacy levels will be higher than the control group. It is anticipated that the findings to be obtained as a result of the research will enable the development of creative and holistic intervention approaches that will increase the functionality of school health nurses against the risks posed by the digital age on young people. It is also thought that it can provide an evidence-based basis for the usability of art-based interdisciplinary practices in the field.

Conditions

Cyberbullying; Adolescence; Self Efficacy; Digital Addiction; Art Therapy

Keywords

Art Therapy; Digital Addiction; Cyberbullying; Self-Efficacy; Adolescent

Outcome Measures

Primary Outcomes (3)

• Digital Addiction Level

  Digital addiction will be measured using the 25-item self-report Digital Addiction Scale for Children, adapted into Turkish. It evaluates interpersonal relationships and internalized factors using a 5-point Likert scale, with total scores ranging from 25 to 125. Higher scores indicate a higher risk of digital addiction.

  Baseline (Week 0) and immediately after the 8-week intervention

• Cyberbullying and Victimization Levels

  Cyberbullying perpetration and victimization will be assessed using the Revised Cyberbullying Inventory-II (RCBI-II). The tool consists of 20 items across two parallel forms (perpetrator and victim), using a 4-point Likert scale, with total scores ranging from 1 to 80. Higher scores indicate higher levels of cyberbullying behaviors or victimization.

  Baseline (Week 0) and immediately after the 8-week intervention

• Self-Efficacy Level

  Self-efficacy will be measured using the 21-item Self-Efficacy Scale for Children. It consists of three subscales: academic, social, and emotional self-efficacy, with total scores ranging from 21 to 105. Higher scores indicate higher levels of self-efficacy.

  Baseline (Week 0) and immediately after the 8-week intervention

Study Arms (2)

Arts-Based Nursing Intervention Program

EXPERIMENTAL

An 8-week "Art-Based Nursing Intervention Program to Help Gain Healthy Digital Habits" will be implemented.

Behavioral: An Arts-Based Nursing Intervention Program to Help Develop Healthy Digital Habits

Usual School Schedule (Control)

NO INTERVENTION

No intervention will be applied to the control group. However, after the experimental group completes its interventions, the "Arts-Based Nursing Intervention Program to Help Develop Healthy Digital Habits" will be applied to the control group at a timeframe deemed appropriate by school administrators and in a manner that will not disrupt students' classes.

Interventions

An Arts-Based Nursing Intervention Program to Help Develop Healthy Digital Habits BEHAVIORAL

Session Time: Arts-Based Nursing Intervention Program Sessions to Help Develop Healthy Digital Habits Week 1, Session 1 - Introductions and Group Agreement Formation (60 minutes) Week 2, Session 2 - Where Am I in the Digital World? (60 minutes) Week 3, Session 3 - Digital Addiction: Are You Connected or Addicted? (90 minutes) Week 4, Session 4 - Digital Addiction and Its Effects (90 minutes) Week 5, Session 5 - Digital Danger: Cyberbullying (90 minutes) Week 6, Session 6 - Discovering Strengths: The Relationship Between Digital Addiction and Self-Efficacy (90 minutes) Week 7, Session 7 - Digital Detox and Alternatives (90 minutes) Week 8, Session 8 - Evaluation and Closing (90 minutes)

Arts-Based Nursing Intervention Program

Eligibility Criteria

• Age: 11 Years - 15 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Being a 6th-grade middle school student,
• The student and their parent must provide written consent to participate in the study,
• Understanding and speaking Turkish at a level sufficient to complete the data forms and participate in the sessions.

You may not qualify if:

• Having participated in a similar program within the last 6 months,
• Having a serious psychiatric diagnosis or physical disability that prevents participation in art activities.
• Not attending any two sessions,
• Requesting to leave the sessions,

Sponsors & Collaborators

• Selcuk University: lead

Study Sites (1)

Yasar Dogu Middle School

Konya, Karatay, 42100, Turkey (Türkiye)

RECRUITING

Related Publications (17)

• Schulz van Endert T. Addictive use of digital devices in young children: Associations with delay discounting, self-control and academic performance. PLoS One. 2021 Jun 22;16(6):e0253058. doi: 10.1371/journal.pone.0253058. eCollection 2021.

  PMID: 34157026 BACKGROUND

• Aziz N, Nordin MJ, Abdulkadir SJ, Salih MMM. Digital addiction: systematic review of computer game addiction impact on adolescent physical health. Electronics. 2021; 10(9): 996. doi:10.3390/electronics10090996

  BACKGROUND

• Gorowska M, Tokarska K, Zhou X, Gola MK, Li Y. Novel approaches for treating Internet Gaming Disorder: A review of technology-based interventions. Compr Psychiatry. 2022 May;115:152312. doi: 10.1016/j.comppsych.2022.152312. Epub 2022 Apr 3.

  PMID: 35405548 BACKGROUND

• Zhang B, Wang J, Abdullah AB. The effects of art therapy interventions on anxiety in children and adolescents: A meta-analysis. Clinics (Sao Paulo). 2024 Jun 26;79:100404. doi: 10.1016/j.clinsp.2024.100404. eCollection 2024.

  PMID: 38936289 BACKGROUND

• Blomdahl C, Goulias A. Art therapy for adolescents with depression: feasibility and acceptability study in child and adolescent psychiatry. Art Therapy. 2025; 42(1): 14-23.

  BACKGROUND

• Mittal S, Mahapatra M, Ansari SA. Effect of art therapy on adolescents' mental health. Российский Психологический Журнал. 2022; 19(4): 71-79.

  BACKGROUND

• Hylton E, Malley A, Ironson G. Improvements in adolescent mental health and positive affect using creative arts therapy after a school shooting: a pilot study. The Arts in Psychotherapy. 2019; 65: 101586.

  BACKGROUND

• Yanık D, Arslan R. Efficacy of technology addiction awareness training given to high school students: randomized controlled experimental study. OPUS Journal of Society Research. 2023; 20(54): 518-528.

  BACKGROUND

• Uysal G, Balci S. Evaluation of a School-Based Program for Internet Addiction of Adolescents in Turkey. J Addict Nurs. 2018 Jan/Mar;29(1):43-49. doi: 10.1097/JAN.0000000000000211.

  PMID: 29505460 BACKGROUND

• Agbaria Q. Cognitive behavioral intervention in dealing with Internet addiction among Arab teenagers in Israel. Int J Ment Health Addict. 2022 Jan 20:1-15. doi: 10.1007/s11469-021-00733-6. Online ahead of print.

  PMID: 35075353 BACKGROUND

• Ime Y, Akyıl Y, Caglar A. The examination of the relationships among digital addiction, loneliness, shyness, and social anxiety in adolescents. Anales de Psicología/Annals of Psychology. 2024; 40(2): 236-241.

  BACKGROUND

• Cimke S, Gurkan DY, Sirganci G. Determination of the psychometric properties of the digital addiction scale for children. J Pediatr Nurs. 2023 Jul-Aug;71:1-5. doi: 10.1016/j.pedn.2023.03.004. Epub 2023 Mar 20.

  PMID: 36947896 BACKGROUND

• Meng SQ, Cheng JL, Li YY, Yang XQ, Zheng JW, Chang XW, Shi Y, Chen Y, Lu L, Sun Y, Bao YP, Shi J. Global prevalence of digital addiction in general population: A systematic review and meta-analysis. Clin Psychol Rev. 2022 Mar;92:102128. doi: 10.1016/j.cpr.2022.102128. Epub 2022 Jan 25.

  PMID: 35150965 BACKGROUND

• Karabulut A. The effect of addiction education on digital addiction levels of university students. Journal of Medical Social Work. 2023; 21: 1-25.

  BACKGROUND

• Bagatarhan T, Siyez DM. The digital addiction scale for children: psychometric properties of the Turkish version. Curr Psychol. 2023 Apr 22:1-11. doi: 10.1007/s12144-023-04675-1. Online ahead of print.

  PMID: 37359651 RESULT

• Topcu Ç, Erdur-Baker Ö. RCBI-II: The second revision of the revised cyber bullying inventory. Measurement and Evaluation in Counseling and Development. 2018; 51(1): 32-41.

  RESULT

• Hawi NS, Samaha M, Griffiths MD. The Digital Addiction Scale for Children: Development and Validation. Cyberpsychol Behav Soc Netw. 2019 Dec;22(12):771-778. doi: 10.1089/cyber.2019.0132. Epub 2019 Nov 22.

  PMID: 31755742 RESULT

Related Links

• Turkish Statistical Institute. (2024). Survey on information and communication technology usage in children. Retrieved April 29, 2025.

MeSH Terms

Conditions

Cyberbullying

Condition Hierarchy (Ancestors)

Bullying; Aggression; Behavioral Symptoms; Behavior; Harassment, Non-Sexual; Social Behavior

Study Officials

• Arzu Koçak Uyaroğlu, Associate Professor

  Selcuk University

  STUDY DIRECTOR

• Esra Ünal Çelik, Research Assistant

  Selcuk University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Esra Ünal Çelik, Research Assistant

CONTACT

+905072936991; uesra70@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Statistician and language translator
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: This research is an experimental type, randomized controlled study designed in a pre-test post-test design.

Study Record Dates

• First Submitted: July 31, 2025
• First Posted: August 14, 2025
• Study Start: October 6, 2025
• Primary Completion: April 6, 2026
• Study Completion (Estimated): December 31, 2026
• Last Updated: April 24, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)