Department of Psychosomatic Medicine and Psychotherapy, LWL University Hospital, Ruhr-University Bochum, Bochum, Germany
Department of Psychosomatic Medicine and Psychotherapy, LWL University Hospital, Ruhr-University Bochum, Bochum, Germany.
BMJ Open. 2021 Aug 3;11(8):e045840. doi: 10.1136/bmjopen-2020-045840.
In May 2019, the WHO classified internet gaming disorder (IGD) as a mental disorder in the upcoming International Classification of Diseases 11th Revision. However, individuals affected by IGD or internet use disorders (IUDs) are often not provided with adequate therapy due to a lack of motivation or absence of adequate local treatment options. To close the gap between individuals with IUDs and the care system, we conduct an online-based motivational intervention to reduce problematic internet use and promote treatment motivation in internet gaming disorder and internet use disorder (OMPRIS).
Within the randomised controlled trial, a total of n=162 participants will be allocated by sequential balancing randomisation to the OMPRIS intervention or a waitlist control group. The study includes an extensive diagnostic, followed by a 4-week psychological intervention based on motivational interviewing, (internet-related) addiction therapy, behavioural therapy techniques and additional social counselling. The primary outcome is the reduction of problematic internet use measured by the Assessment of Internet and Computer Game Addiction Scale. Secondary outcomes include time spent on the internet, motivation for change (Stages of Change Readiness and Treatment Eagerness Scale for Internet Use Disorder), comorbid mental symptoms (Patient Health Questionnaire-9, Generalized Anxiety Disorder Screener-7), quality of life (EuroQoL Standardised Measure of Health-related Quality of Life-5 Dimensions, General Life Satisfaction-1), self-efficacy (General Self-Efficacy Scale), personality traits (Big Five Inventory-10), therapeutic alliance (Helping Alliance Questionnaire) and health economic costs. The diagnosis of (comorbid) mental disorders is carried out with standardised clinical interviews. The measurement will be assessed before (T0), at midpoint (T1) and after the OMPRIS intervention (T2), representing the primary endpoint. Two follow-up assessments will be conducted after 6 weeks (T3) and 6 months (T4) after the intervention. The outcomes will be analysed primarily via analysis of covariance. Both intention-to-treat and per-protocol analyses will be conducted.
Participants will provide written informed consent. The trial has been approved by the Ethics Committee of the Faculty of Medicine, Ruhr University Bochum (approval number 19-6779). Findings will be disseminated through presentations, peer-reviewed journals and conferences.
DRKS00019925.
2019 年 5 月，世界卫生组织将网络成瘾障碍（IGD）归类为即将发布的《国际疾病分类第 11 版》中的一种精神障碍。然而，由于缺乏动机或缺乏足够的当地治疗选择，受网络成瘾障碍或网络使用障碍（IUD）影响的个人往往无法获得足够的治疗。为了缩小 IUD 患者与护理系统之间的差距，我们开展了一项基于网络的动机干预措施，以减少网络成瘾障碍和网络使用障碍（OMPRIS）中的问题性网络使用并促进治疗动机。
在这项随机对照试验中，共有 162 名参与者将通过顺序平衡随机分配到 OMPRIS 干预组或等待名单对照组。该研究包括广泛的诊断，随后进行为期 4 周的基于动机访谈、（与网络相关的）成瘾治疗、行为治疗技术和额外的社会咨询的心理干预。主要结局是通过网络和计算机游戏成瘾量表评估的问题性网络使用减少。次要结局包括上网时间、改变动机（网络使用障碍阶段变化准备和治疗渴望量表）、合并精神症状（患者健康问卷-9、广泛性焦虑障碍筛查-7）、生活质量（EuroQoL 标准健康相关生活质量-5 维度、一般生活满意度-1）、自我效能感（一般自我效能感量表）、人格特质（大五人格量表-10）、治疗联盟（帮助联盟问卷）和健康经济学成本。（合并）精神障碍的诊断通过标准临床访谈进行。在 OMPRIS 干预前（T0）、中点（T1）和干预后（T2）进行测量，这代表主要终点。干预后 6 周（T3）和 6 个月（T4）进行两次随访评估。主要通过协方差分析分析结果。将进行意向治疗和方案分析。
参与者将提供书面知情同意。该试验已获得鲁尔大学波鸿医学院伦理委员会的批准（批准号 19-6779）。研究结果将通过演讲、同行评议期刊和会议进行传播。
DRKS00019925。
