a randomized efficacy trial of a cognitive-behavioral group intervention to prevent internet use disorder onset in adolescents: the protect study protocol

a randomized efficacy trial of a cognitive-behavioral group intervention to prevent internet use disorder onset in adolescents: the protect study protocol

;Katajun Lindenberg;Katharina Halasy;Sophie Schoenmaekers
ingenierías usbmed 2017 Vol. 6 pp. 64-71
114
lindenberg2017contemporarya

Abstract

Background: The reduction of prevalence rates of Internet Use Disorder (IUD) and its effective treatment are at high priority in both public health and educational policies. School-based preventive interventions facilitate a low-threshold approach for individuals with IUD, who are typically characterized by high therapy avoidance. Moreover, indicated approaches which target adolescents at high-risk show larger effects than universal prevention programs. Simultaneously, they reduce unnecessary burden for the majority of high-school students that is not at-risk. The PROTECT group intervention for indicated prevention of IUD in school settings was developed based on these preventive strategies. Methods: Three-hundred and forty adolescents, aged 12–18 years, from 40 secondary schools in Germany, screened for high-risk of IUD onset, are randomly assigned to a) PROTECT preventive intervention group or b) assessment only control group. The tested intervention consists of a cognitive-behavioral 4-session brief-protocol. Follow-up assessments are at 1, 4 and 12 months after admission. Primary outcome is the 12-months incidence rate of IUD. Secondary outcomes are the reduction of IUD and comorbid symptoms as well as the promotion of problem solving, cognitive restructuring and emotion regulation skills. Conclusion: The indicated preventive intervention PROTECT follows the APA-guidelines for psychological prevention, i.e., it is theory- and evidence-based and addresses both risk-reduction and strength-promotion, it considers current research and epidemiology and ethical standards such as professional secrecy and is designed as a systemic intervention at the school-level. It is expected that the intervention decreases risk of IUD onset (incidence rate). Trial registration: ClinicalTrials.gov: NCT02907658.

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244459
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10.1016/j.conctc.2017.02.011
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