search
Back to results

Family Centered Treatment for Problematic Gaming and Excessive Screen Use

Primary Purpose

Internet Gaming Disorder, Internet Addiction

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Family Centered Treatment for Problematic Gaming and Excessive Screen Use
Sponsored by
Region Skane
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Internet Gaming Disorder

Eligibility Criteria

12 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion criteria: Age 12 to <18 years Self-perceived problems in the family regarding computer gaming or screen use Children/youth and guardians can read, write and communicate in Swedish An available guardian who can participate in the treatment Access to the internet Possibility to participate in treatment sessions on site at the reception Exclusion criteria: 1. Observed or suspected intellectual disability

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Familiy Based Treatment

    Arm Description

    ;one session per week during a period of four weeks with high quality content. The sessions will be performed at CAP location in Lund. The treatment will be performed by a clinician at CAP who could be a doctor, psychologist or health counselor - all with cognitive behavioral therapy competence. The sessions will be in group settings, separately for children and parents. In that sense, children will be included in a group with other children and parents will be included in a group with other parents. Each group will have 1-2 therapists leading the program. The theme of the week will be the same for both parent and child group, although the delivery will potentially differ. We expect that a session will last approximately 90 min with a 15-minute coffee break included.

    Outcomes

    Primary Outcome Measures

    SCREENS-Q
    Screening form, for valuing children and adolescent´s screen time
    GASA
    Screening form, for diagnosis of computer game addiction
    PARCA
    (adapted) Screening form for assessing aspects of parent-child relationship and parenting practices
    FCU
    Five items measure parent-child warmth, and three items measure parent-child conflicts
    Kessler Scale-6
    Screening for depression and anxiety the past 6 months
    ISI-A
    Form for assessing sleep disorders in children and adolescents
    GTP-5
    Form for assessing gaming transfer phenomena

    Secondary Outcome Measures

    Full Information

    First Posted
    October 8, 2023
    Last Updated
    October 23, 2023
    Sponsor
    Region Skane
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT06098807
    Brief Title
    Family Centered Treatment for Problematic Gaming and Excessive Screen Use
    Official Title
    Family Centered Treatment for Problematic Gaming and Excessive Screen Use
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    January 1, 2024 (Anticipated)
    Primary Completion Date
    July 1, 2024 (Anticipated)
    Study Completion Date
    July 1, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Region Skane

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    The general increase in screen time as a time-consuming leisure activity among children and youth has been a puzzle to the adult world. Specifically, parents and professionals who work with children and youth express concern for the effect excessive screen time including gaming may have for child and youth development. The clinical picture of problematic gaming and excessive screen time describes compulsion, psychiatric and physical symptoms, impaired cognitive development, and school performance. The aim of this project is to set up and evaluate an easily accessible family centered treatment intervention for a child and adolescent psychiatry population. This study can lead to reduced suffering by optimization the care interventions for patients with problematic gaming and gambling.
    Detailed Description
    During the past 10 years, use of screen as in social media and video games has become one of the most common leisure activities for children and adolescents. According to the Swedish Internet Foundation, 94% of children in Sweden between ages 8 and 12 play internet games every day. Male and female screen behaviours and habits differ. Boys tend to play video games while girls are more active on social media. The general increase in screen time among children and youth, as a time-consuming leisure activity has been a puzzle to the adult world. Specifically, parents and professionals who work with children and youth express concern for the effect that screen time may have for child and youth development. Some research suggest that screen time in general and gaming in particular is an educational and skills training activity. Other research has concerns that video games can become a potentially pathological activity that interferes with everyday life with risks of developing psychiatric disorders such as internet gaming disorder (IGD). IGD is included in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), as a condition necessitating further clinical experience and research before inclusion as a formal disorder. The WHO, on the other hand, has included Gaming Disorder in the International Classification of Diseases, eleventh revision (ICD-11), as a formal diagnosis. Experiencing addictive problems as a child may pose threat for future psychosocial development, including mental health and socioemotional development. In that sense, child and youth mental health services need to put more efforts into developing interventions that target children at risk to prevent the development of mental health problems among children and youth. To date, there are no evaluated preventive programs for child and youth with excessive screen time or problematic gaming in Sweden. Our research group from Lund University and Region Skåne, with Emma Claesdotter-Knutsson (E C-K) as a PI, has evaluated Relapse prevention (RP) as an individual treatment for problematic gaming in a Random Controlled trial (RCT) among children 12-18 years old in a Child and Adolescent Psychiatry (CAP) setting. This was one of the first treatment studies for children with problematic gaming in Europe. Although we discovered that the individual treatment of children and youth has promising effect on their gaming, we also found that that there were important pieces lacking when providing treatment for children with problematic gaming. The most prominent one was the lack of family, including parents, involvement in the treatment. Children and their development need to be seen from a system perspective - children develop in interaction with their environment/family. For children, parents are the closest socializing agents in their environment who with their parenting behaviours and practices pave the way for child developmental transitions. In that sense, the development of certain behaviours, such as gaming and excessive screen use may, at least to some extent, be related to family factors. It is then possible that child problematic screen time/gaming is not only attributed to the child itself, but to the family as a system. Therefore, we believe that parents need to be included in the preventive interventions targeting children and their families. Instead of only focusing on the child, changing the family environment, including parent-child interactions at home, may pose significant changes in the child's screen behaviour. This is a recognized logic from other family interventions such as Strengthening families program targeting families with children with behavioural problems and Cool Kids program targeting families with children with anxiety. In fact, parents whose children have undergone the RP-treatment in our project state that they need to and want to be involved in the child's treatment. With this as a background, the overarching goal with this project is to develop and evaluate an easily accessible family program targeting children and adolescents with problematic gaming and excessive screen use.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Internet Gaming Disorder, Internet Addiction

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    10 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Familiy Based Treatment
    Arm Type
    Experimental
    Arm Description
    ;one session per week during a period of four weeks with high quality content. The sessions will be performed at CAP location in Lund. The treatment will be performed by a clinician at CAP who could be a doctor, psychologist or health counselor - all with cognitive behavioral therapy competence. The sessions will be in group settings, separately for children and parents. In that sense, children will be included in a group with other children and parents will be included in a group with other parents. Each group will have 1-2 therapists leading the program. The theme of the week will be the same for both parent and child group, although the delivery will potentially differ. We expect that a session will last approximately 90 min with a 15-minute coffee break included.
    Intervention Type
    Behavioral
    Intervention Name(s)
    Family Centered Treatment for Problematic Gaming and Excessive Screen Use
    Intervention Description
    Based on earlier implementation research with parents and children the treatment is likely to consist of a low number of sessions ;one session per week during a period of four weeks with high quality content. The sessions will be performed at CAP location in Lund. The treatment will be performed by a clinician at CAP who could be a doctor, psychologist or health counselor - all with cognitive behavioral therapy competence. The sessions will be in group settings, separately for children and parents. In that sense, children will be included in a group with other children and parents will be included in a group with other parents. Each group will have 1-2 therapists leading the program. The theme of the week will be the same for both parent and child group, although the delivery will potentially differ. We expect that a session will last approximately 90 min with a 15-minute coffee break included.
    Primary Outcome Measure Information:
    Title
    SCREENS-Q
    Description
    Screening form, for valuing children and adolescent´s screen time
    Time Frame
    Data will be collected at two time points; directly after the fourth and final treatment session and three months after completed treatment.
    Title
    GASA
    Description
    Screening form, for diagnosis of computer game addiction
    Time Frame
    Data will be collected at two time points; directly after the fourth and final treatment session and three months after completed treatment.
    Title
    PARCA
    Description
    (adapted) Screening form for assessing aspects of parent-child relationship and parenting practices
    Time Frame
    Data will be collected at two time points; directly after the fourth and final treatment session and three months after completed treatment.
    Title
    FCU
    Description
    Five items measure parent-child warmth, and three items measure parent-child conflicts
    Time Frame
    Data will be collected at two time points; directly after the fourth and final treatment session and three months after completed treatment.
    Title
    Kessler Scale-6
    Description
    Screening for depression and anxiety the past 6 months
    Time Frame
    Data will be collected at two time points; directly after the fourth and final treatment session and three months after completed treatment.
    Title
    ISI-A
    Description
    Form for assessing sleep disorders in children and adolescents
    Time Frame
    Data will be collected at two time points; directly after the fourth and final treatment session and three months after completed treatment.
    Title
    GTP-5
    Description
    Form for assessing gaming transfer phenomena
    Time Frame
    Data will be collected at two time points; directly after the fourth and final treatment session and three months after completed treatment.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    12 Years
    Maximum Age & Unit of Time
    17 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion criteria: Age 12 to <18 years Self-perceived problems in the family regarding computer gaming or screen use Children/youth and guardians can read, write and communicate in Swedish An available guardian who can participate in the treatment Access to the internet Possibility to participate in treatment sessions on site at the reception Exclusion criteria: 1. Observed or suspected intellectual disability
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Emma Claesdotter-Knutsson, MD, PhD
    Phone
    +46 46 17 28 86
    Email
    emma.claesdotter-knutsson@med.lu.se
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Emma Claesdotter-Knutsson, MD, PhD
    Organizational Affiliation
    Region Skane University Hospital, Lund University
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Family Centered Treatment for Problematic Gaming and Excessive Screen Use

    We'll reach out to this number within 24 hrs