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Completed

NCT Number: NCT06681883

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

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.

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Key information

Conditions

Internet Addiction Behavior Behavior, Addictive Compulsive Behavior Healthy Internet Use Impulsive Behavior Internet Addiction Disorder Problematic Internet Use Technology Addiction

Age range

12 year–18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Akdeniz University

Antalya, Kepez, 07058, Turkey (Türkiye)

About this study

This study constitutes a part of the doctoral thesis titled "Development of a Nursing Intervention Model Specific to Problematic Internet Use in Adolescents"

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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).

Exclusion criteria

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

Treatment and study plan

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.

Primary outcomes

  1. Problematic Internet Use Scale-Adolescent (PIUS-A)

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

    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.

Secondary outcomes

  1. The Adolescent Self Regulatory Inventory (ASRI)

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

    The scale consists of 32 items and has two subscales: 'self-control success' and 'self-control failure.' The self-control success subscale contains 18 items, while the self-control failure subscale contains 14 items. The scale uses a four-point Likert-type rating. The scale is used to calculate the total score. The lowest possible score on the ASRI is 32, and the highest score is 128. A higher score on the scale indicates that the adolescent's self-control skills are good.

  2. Kidcope

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

    The scale consists of 11 items. The Kidcope has three subscales: Active Coping (Items 3, 6, 8, 10), Negative Coping (Items 4, 5, 7), and Avoidant Coping (Items 1, 2, 9, 11). Each subscale score is obtained by summing the relevant items in order. The possible scores range from 0 to 12 for both the Active Coping and Avoidant Coping subscales, and from 0 to 9 for the Negative Coping subscale. As the score increases, it indicates a higher use of the corresponding coping strategy.

  3. The Family Relationship Scale for Children

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

    The scale consists of 20 items and was developed to measure how children perceive their relationships with their families. Participants respond to each item with "never" (1), "sometimes" (2), or "always" (3). The scale has two subscales: Restrictive Family Relationships and Supportive Family Relationships. Items 2, 3, 4, 5, 6, 10, 14, 16, 18, and 19 form the Restrictive Family Relationships subscale. A higher score in this subscale indicates that the child perceives the relationships within the family as restrictive. Items 1, 7, 8, 9, 11, 12, 13, 15, 17, and 20 form the Supportive Family Relationships subscale. A higher score in this subscale indicates that the child perceives the relationships within the family as supportive.

Sponsors and collaborators

Lead sponsor

Akdeniz University

Other

Registry information

Official study title

Effectiveness of a Nursing Care Program Based on the Care Bag Theory for Healthy Internet Use in Adolescents: An Action Research Study

Important dates

Study start
2024
Primary completion
2024
Study completion
2025
First posted
Nov 8, 2024
Registry last updated
Jan 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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