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

NCT ID: NCT07123194

Last Updated: 2025-08-19

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 64 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-10-06
• Study Completion Date: 2026-12-31

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.

Detailed Description

The rapid development of twenty-first-century technology and the integration of digital devices such as smartphones, tablets, laptops, or desktop computers into daily life are leading to radical changes in individuals' lifestyles, and this has brought to the fore the concept of digital addiction, which is considered a significant public health problem. Digital addiction is not yet included in an official psychiatric diagnostic category according to the DSM-V or DSM-IV TR. However, within the relevant literature, digital addiction is defined as the compulsive and uncontrolled use of technological devices and is therefore considered under the umbrella of behavioral addictions. Furthermore, it has been noted that, just like behavioral addictions, digital addiction causes various psychosocial problems in the individual. In this context, nursing interventions aimed at reducing the risk of digital addiction and strengthening public mental health are considered to be of increasing importance. The new world order is making technology a necessity, not a choice, for individuals. It is also noted that familiarity with digital tools is a significant factor influencing digital addiction. In this regard, it is frequently stated in many studies on the subject that adolescents, born in an era when digital tools are widely used, who can use technological devices with natural competence and are referred to as "digital natives," are a vulnerable group for digital addiction. For example, according to the Turkish Statistical Institute's Children's Information Technology Use Survey, 91.3% of children aged 6-15 actively use the internet, and 76.1% of this age group own a personal mobile phone. The same study also reports that the proportion of children who use at least one information technology product for their own use is 63.8%. Other studies on the subject emphasize that digital addiction and its subtypes lead to many negative biopsychosocial consequences on adolescent health, such as vision loss, obesity, sleep disorders, anxiety, depression, and poor communication skills. Furthermore, existing literature highlights a significant relationship between digital addiction and cyberbullying. These data demonstrate that digital devices are an indispensable part of daily life among adolescents, and digital addiction should be considered a significant risk factor threatening adolescent mental health. Therefore, nursing approaches to combating digital addiction specific to adolescence are of great importance in terms of instilling healthy digital habits and creating a safe environment in the digital world. Approaches such as psychoeducation and cognitive behavioral therapy have been primarily preferred in combating digital addiction. In fact, studies on the subject frequently use terms such as problematic internet use or internet or technology addiction instead of digital addiction. However, these traditional approaches may be insufficient to achieve behavioral change in individuals. Therefore, there is a need to investigate the effectiveness of arts-based nursing interventions that incorporate more holistic, expressive, and creative processes for digital addiction, which is considered a multifaceted problem. At this point, art therapy offers the opportunity to reveal emotions, explore the inner world, and increase self-efficacy without the need for verbal expression. It is anticipated that art therapy can contribute to the development of healthy digital habits by reducing excessive use of digital technology in adolescents and can be an alternative area of interest for a more productive use of free time. A review of national and international literature reveals that art therapy or art-based approaches applied to adolescents: Although positive effects have been observed on psychological problems such as stress, anxiety, depression, internet, smartphone or game addiction, no studies have been found on how it can have a direct effect on digital addiction. Also, see. Digital addiction, like other types of addiction, cannot be resolved with a "zero use" approach; in this increasingly digital world, completely removing adolescents from technological devices is both impossible and detaches them from the demands of the age. Based on this, we believe that supporting adolescents' healthy use of digital devices should be the primary goal. In this context, this original research aims to fill the gap in the literature by examining the effects of an arts-based nursing intervention that helps develop healthy digital habits on digital addiction, cyberbullying, and self-efficacy in adolescents. Based on the findings of this study, it is anticipated that individual self-efficacy can be strengthened through arts-based approaches in combating digital addiction, a new generation of behavioral addictions. Furthermore, arts-based interventions are expected to provide a scientific basis for school health services, adolescent mental health programs, and nursing practices.

Conditions

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

Study Design

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

Study Groups

Arts-Based Nursing Intervention Program

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

Group Type: EXPERIMENTAL

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

Intervention Type: 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)

Usual School Schedule (Control)

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.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

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

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)

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• 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.

Exclusion Criteria

• 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,

• Minimum Eligible Age: 11 Years
• Maximum Eligible Age: 15 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Selcuk University

OTHER

Sponsor Role: lead

Responsible Party

Esra Unal

Research Assistant

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Arzu Koçak Uyaroğlu, Associate Professor

Role: STUDY_DIRECTOR

Selcuk University

Esra Ünal, Research Assistant

Role: PRINCIPAL_INVESTIGATOR

Selcuk University

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Related Links

https://data.tuik.gov.tr/Bulten/Index?p=Cocuklarda-Bilisim-Teknolojileri-Kullanim-Arastirmasi-2024-53638

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

Other Identifiers

EUnal202575

Identifier Type: -

Identifier Source: org_study_id