A Cognitive Behavioral Therapy Intervention for Internet Gaming Disorder
NCT ID: NCT04257890
Last Updated: 2021-08-02
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
226 participants
INTERVENTIONAL
2021-03-19
2022-12-31
Brief Summary
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Detailed Description
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Objectives This RCT study develops a brief group-based CBT intervention. The primary objective is to evaluate the efficacy of the CBT in reducing IGD, compare to a wait-list control group.
Subjects and methods The study design is two-armed RCT. The participants are Secondary 1-4 students (n=226) with IGD (DSM-5 classification) identified in a school-based screening. Evaluation involves surveys at baseline, end of CBT intervention, and 6 months afterwards. In addition to information received by the wait-list control group, the intervention group receives a carefully designed brief 8-week group-based CBT. The control group will receive CBT after the 6-month follow-up. Trained social workers of a collaborating NGO that serves secondary school students will conduct the CBT.
Outcomes and measures The primary outcome is IGD (a validated DSM-5 IGD classification tool). Secondary outcomes include time spent on Internet/Internet games and the intention to reduce IGD. Measures of potential mediators (maladaptive beliefs and coping) include: Internet Gaming Cognition Scale, Generalized Problematic Internet Use Scale, Emotion Regulation Questionnaire, and Coping Scale for Children and Youth.
Data analysis Intention-to-treat analysis is performed. The primary outcome is assessed by absolute and relative risk reduction. Generalized Linear Mixed Models and Structural Equation Models are used to test secondary outcomes and mediation effects.
Implications The findings may lead to an evidence-based treatment for adolescent IGD, a newly defined disease, which has been rarely reported in literature. Understanding its mechanism contributes to theoretical development of IGD and related treatment.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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CBT intervention group
In addition to the information about IGD of the control group, the intervention group will receive eight weekly group-based 90-minute CBT sessions.
Cognitive behavioral therapy
The CBT focuses on cognitive restructuring to reduce the specific key maladaptive beliefs on Internet gaming suggested by King's model, and develop useful coping skills (self-regulation/control, emotion regulation, problem-solving coping) that are adapted from previous CBT for adolescent IGD. In addition, it provides training on relapse-prevention and maintenance techniques.
Education material about IGD
Printed education material introducing IGD will be distributed.
Education material about CBT
Printed education material introducing CBT will be distributed.
Wait-list control group
Members will receive printed education material about IGD but not CBT during the treatment period.
Cognitive behavioral therapy
The CBT focuses on cognitive restructuring to reduce the specific key maladaptive beliefs on Internet gaming suggested by King's model, and develop useful coping skills (self-regulation/control, emotion regulation, problem-solving coping) that are adapted from previous CBT for adolescent IGD. In addition, it provides training on relapse-prevention and maintenance techniques.
Education material about IGD
Printed education material introducing IGD will be distributed.
Education material about CBT
Printed education material introducing CBT will be distributed.
Interventions
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Cognitive behavioral therapy
The CBT focuses on cognitive restructuring to reduce the specific key maladaptive beliefs on Internet gaming suggested by King's model, and develop useful coping skills (self-regulation/control, emotion regulation, problem-solving coping) that are adapted from previous CBT for adolescent IGD. In addition, it provides training on relapse-prevention and maintenance techniques.
Education material about IGD
Printed education material introducing IGD will be distributed.
Education material about CBT
Printed education material introducing CBT will be distributed.
Eligibility Criteria
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Inclusion Criteria
* positive screening results (i.e. IGD cases) according to a validated questionnaire (the 5 DSM-5 criteria for IGD),
* students' and parental consent,
* Chinese speaking.
Exclusion Criteria
* current use of any psychotropic medication.
We do not include Secondary 5-6 students due to their preparation for public examinations and practical difficulty in follow-up after their graduation.
12 Years
18 Years
ALL
No
Sponsors
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Chinese University of Hong Kong
OTHER
Responsible Party
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Dr. Xue YANG
Research Assistant Professor
Principal Investigators
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Xue Yang
Role: PRINCIPAL_INVESTIGATOR
JC School of Public Health and Primary Care, Faculty of Medicine, CUHK
Locations
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HKMLC Queen Maud Secondary School
Hong Kong, Hong Kong, China
Henrietta Secondary School
Hong Kong, , Hong Kong
Po Kok Secondary School
Hong Kong, , Hong Kong
Po Leung Kuk Lee Shing Pik College
Hong Kong, , Hong Kong
S.T.F.A. Lee Shau Kee College
Hong Kong, , Hong Kong
Shun Tak Fraternal Association Leung Kau Kui College
Hong Kong, , Hong Kong
Countries
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Central Contacts
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Facility Contacts
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Role: primary
Role: primary
Other Identifiers
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14607319
Identifier Type: -
Identifier Source: org_study_id
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