An app-based training for adolescents with problematic digital-media use and their parents (Res@t digital)

TY - JOUR

T1 - An app-based training for adolescents with problematic digital-media use and their parents (Res@t digital)

T2 - protocol for a cluster-randomized clinical trial

AU - Paschke, Kerstin

AU - Diestelkamp, Silke

AU - Zapf, Antonia

AU - Busch, Katharina

AU - Arnaud, Nicolas

AU - Prehn-Kristensen, Alexander

AU - Reis, Olaf

AU - Stark, Maria

AU - Cloes, Jan-Ole

AU - Schulz, Anna-Lena

AU - Brauer, Hannah

AU - Krömer, Thomas

AU - Thomasius, Rainer

AU - Res@t Consortium

N1 - Copyright © 2024 Paschke, Diestelkamp, Zapf, Busch, Arnaud, Prehn-Kristensen, Reis, Stark, Cloes, Schulz, Brauer, Krömer and Thomasius.

PY - 2024/1/24

Y1 - 2024/1/24

N2 - BACKGROUND: Digital media-use disorders (DMUD) in adolescents are a rising phenomenon associated with psychological distress, comorbid mental disorders, and high burden on affected families. Since the ICD-11 introduced criteria for gaming disorder, these can now be transferred to describe additional DMUD associated with social media platforms and streaming services. Most evidence for effective treatments comes from cognitive-behavioral therapy (CBT). However, interventions based on theoretical models for adolescents and their parents are widely missing, leading to a significant clinical gap.METHODS: Res@t digital (Resource-Strengthening Training for Adolescents with Problematic Digital-Media Use and their Parents) is the app-based translation of the first model-based digital intervention for adolescents with DMUD and their parents based on CBT. It comprises separate but content-related modules for adolescents (Res@t-A) and parents (Res@t-P), applying multimodal techniques. The effectiveness of Res@t will be evaluated within a multicenter cluster-randomized controlled evaluator-blinded pre-post follow-up trial with the waitlist control group (CG). In addition to the Res@t program in the intervention group, both groups will receive treatment as usual within primary child and adolescent psychiatric/psychotherapeutic healthcare. The primary outcome addresses DMUD symptom reduction after 10 weeks. Secondary outcomes are related to a reduction in psychological and family-related problems and an increase in parental self-efficacy. All outcomes will be assessed using standardized self-report measures. A total of 1,334 participating adolescent-parent dyads from a large clinical network throughout Germany are planned to be included in the primary analyses based on an intention-to-treat approach, applying linear mixed models.DISCUSSION: Assuming superiority of Res@t over the control condition, the intervention has the potential to provide evidence-based treatment for a significant number of help-seeking families, supporting local healthcare structures and resources. It is a promising program for practicable implementation and flexible use in different settings.CLINICAL TRIAL REGISTRATION: https://drks.de, DRKS00031043.

AB - BACKGROUND: Digital media-use disorders (DMUD) in adolescents are a rising phenomenon associated with psychological distress, comorbid mental disorders, and high burden on affected families. Since the ICD-11 introduced criteria for gaming disorder, these can now be transferred to describe additional DMUD associated with social media platforms and streaming services. Most evidence for effective treatments comes from cognitive-behavioral therapy (CBT). However, interventions based on theoretical models for adolescents and their parents are widely missing, leading to a significant clinical gap.METHODS: Res@t digital (Resource-Strengthening Training for Adolescents with Problematic Digital-Media Use and their Parents) is the app-based translation of the first model-based digital intervention for adolescents with DMUD and their parents based on CBT. It comprises separate but content-related modules for adolescents (Res@t-A) and parents (Res@t-P), applying multimodal techniques. The effectiveness of Res@t will be evaluated within a multicenter cluster-randomized controlled evaluator-blinded pre-post follow-up trial with the waitlist control group (CG). In addition to the Res@t program in the intervention group, both groups will receive treatment as usual within primary child and adolescent psychiatric/psychotherapeutic healthcare. The primary outcome addresses DMUD symptom reduction after 10 weeks. Secondary outcomes are related to a reduction in psychological and family-related problems and an increase in parental self-efficacy. All outcomes will be assessed using standardized self-report measures. A total of 1,334 participating adolescent-parent dyads from a large clinical network throughout Germany are planned to be included in the primary analyses based on an intention-to-treat approach, applying linear mixed models.DISCUSSION: Assuming superiority of Res@t over the control condition, the intervention has the potential to provide evidence-based treatment for a significant number of help-seeking families, supporting local healthcare structures and resources. It is a promising program for practicable implementation and flexible use in different settings.CLINICAL TRIAL REGISTRATION: https://drks.de, DRKS00031043.

U2 - 10.3389/fpsyt.2023.1245536

DO - 10.3389/fpsyt.2023.1245536

M3 - SCORING: Journal article

C2 - 38328520

VL - 14

JO - FRONT PSYCHIATRY

JF - FRONT PSYCHIATRY

SN - 1664-0640

M1 - 1245536

ER -