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

NCT ID: NCT05917977

Last Updated: 2024-10-03

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 172 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-06-01
• Study Completion Date: 2026-12-31

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).

Detailed Description

This study adopts a randomized controlled efficacy study with an open-label parallel-group design. The trial will be registered by the WHO's International Clinical Trials Registry Platform once the project is approved. Research participants will be recruited from the primary and secondary schools, and youth social services. After completing the screening process, research participants who are confirmed to fit the inclusion criteria will be randomly assigned to the intervention group with CMI intervention plus IGD education materials to both adolescents with IGD and their CSO or the control group with IGD education materials alone. The present study sets four-time points to track the change in the between-group difference of the primary and secondary outcomes from the baseline (T0) to post-intervention (T1), 3-month follow-up (T2), and 6-month follow-up (T3).

Conditions

Internet Gaming Disorder

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Control group (Education Materials)

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.

Group Type: OTHER

Control group (Education Materials)

Intervention Type: OTHER

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

Intervention group (Collective Motivational Interviewing plus Education Materials)

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).

Group Type: EXPERIMENTAL

Collective Motivational Interviewing plus Education Materials

Intervention Type: BEHAVIORAL

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

Interventions

Collective Motivational Interviewing plus Education Materials

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

Intervention Type: BEHAVIORAL

Control group (Education Materials)

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

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• 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

Exclusion Criteria

• 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

• Minimum Eligible Age: 10 Years
• Maximum Eligible Age: 16 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

The University of Hong Kong

OTHER

Sponsor Role: collaborator

Chinese University of Hong Kong

OTHER

Sponsor Role: collaborator

Nottingham Trent University

OTHER

Sponsor Role: collaborator

Fudan University

OTHER

Sponsor Role: collaborator

Hong Kong College of Technology

OTHER

Sponsor Role: lead

Responsible Party

Dr. Tse Ka Wo

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

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Hong Kong College of Technology

Shatin, , Hong Kong

Countries

Hong Kong

References

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.

Reference Type: BACKGROUND

PMID: 10620381 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 33960954 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 33905350 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 32528331 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 30065669 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 8389898 (View on PubMed)

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.

Reference Type: 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

Reference Type: BACKGROUND

Provided Documents

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

UGC/FDS21/H01/22

Identifier Type: -

Identifier Source: org_study_id