Blended digital health intervention for adolescents at high risk with digital media use disorders: protocol for a randomised controlled trial within the Res@t-Consortium

BackgroundDigital media use disorder (DMUD) is a prevalent problem among young people, which can result in adverse consequences and functional impairments across multiple domains of life due to a persistent inability to regulate one’s use, which can lead to the development of psychological problems....

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Main Authors: Oliver Labrenz, Lucie Waedel, Michael Kölch, Susanne Lezius, Christina Wacker, Antonia Fröhlich, Kerstin Paschke, Rainer Thomasius, Olaf Reis
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1478012/full
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author Oliver Labrenz
Oliver Labrenz
Lucie Waedel
Lucie Waedel
Michael Kölch
Michael Kölch
Susanne Lezius
Christina Wacker
Antonia Fröhlich
Antonia Fröhlich
Kerstin Paschke
Rainer Thomasius
Olaf Reis
Olaf Reis
author_facet Oliver Labrenz
Oliver Labrenz
Lucie Waedel
Lucie Waedel
Michael Kölch
Michael Kölch
Susanne Lezius
Christina Wacker
Antonia Fröhlich
Antonia Fröhlich
Kerstin Paschke
Rainer Thomasius
Olaf Reis
Olaf Reis
author_sort Oliver Labrenz
collection DOAJ
description BackgroundDigital media use disorder (DMUD) is a prevalent problem among young people, which can result in adverse consequences and functional impairments across multiple domains of life due to a persistent inability to regulate one’s use, which can lead to the development of psychological problems. In particular, children and adolescents who live in families that are part of the child and youth welfare system and receive support services are considered to be at high risk of developing mental disorders. It is less likely that these families will choose a therapeutic setting for the treatment of DMUD. The objective is to reduce DMUD-related symptoms and improve media use behaviour through the implementation of an app-based training programme.MethodsThe efficacy of Res@t digital, initially conceived as an adjunct to child and adolescent psychiatric treatment, is to be evaluated for n= 32 children and adolescents with a media use disorder or at risk of developing this disorder, and their families enrolled in child and youth welfare services. The efficacy of the app will be evaluated in a randomised controlled trial with a waitlist control group. The primary outcome is the reduction of DMUD symptoms over a 20-week period following the onset of app training. Secondary outcomes include EEG measurements and changes in standardised psychopathological variables.DiscussionShould the Res@t app prove efficacious when compared to a waitlist control group, it would constitute an evidence-based intervention for the treatment of DMUD in children and adolescents. For high-risk families, the app could serve as a motivational tool to prompt action regarding potential DMUD and facilitates access to therapeutic facilities.Clinical trial registrationhttps://drks.de, identifier DRKS00033379.
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spelling doaj-art-2ad8fe8cc2114089a710383f21a1308f2025-01-20T07:20:29ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.14780121478012Blended digital health intervention for adolescents at high risk with digital media use disorders: protocol for a randomised controlled trial within the Res@t-ConsortiumOliver Labrenz0Oliver Labrenz1Lucie Waedel2Lucie Waedel3Michael Kölch4Michael Kölch5Susanne Lezius6Christina Wacker7Antonia Fröhlich8Antonia Fröhlich9Kerstin Paschke10Rainer Thomasius11Olaf Reis12Olaf Reis13Department of Child and Adolescent Psychiatry, Neurology, Psychosomatics, and Psychotherapy, University Medical Center Rostock, Rostock, GermanyGerman Center for Child and Adolescent Health (DZKJ), Site Greifswald/Rostock, Rostock, GermanyDepartment of Child and Adolescent Psychiatry, Neurology, Psychosomatics, and Psychotherapy, University Medical Center Rostock, Rostock, GermanyGerman Center for Child and Adolescent Health (DZKJ), Site Greifswald/Rostock, Rostock, GermanyDepartment of Child and Adolescent Psychiatry, Neurology, Psychosomatics, and Psychotherapy, University Medical Center Rostock, Rostock, GermanyGerman Center for Child and Adolescent Health (DZKJ), Site Greifswald/Rostock, Rostock, GermanyInstitute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Child and Adolescent Psychiatry, Neurology, Psychosomatics, and Psychotherapy, University Medical Center Rostock, Rostock, GermanyDepartment of Child and Adolescent Psychiatry, Neurology, Psychosomatics, and Psychotherapy, University Medical Center Rostock, Rostock, GermanyGerman Center for Child and Adolescent Health (DZKJ), Site Greifswald/Rostock, Rostock, GermanyGerman Center for Addiction Research in Childhood and Adolescence (DZSKJ), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, GermanyGerman Center for Addiction Research in Childhood and Adolescence (DZSKJ), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, GermanyDepartment of Child and Adolescent Psychiatry, Neurology, Psychosomatics, and Psychotherapy, University Medical Center Rostock, Rostock, GermanyGerman Center for Child and Adolescent Health (DZKJ), Site Greifswald/Rostock, Rostock, GermanyBackgroundDigital media use disorder (DMUD) is a prevalent problem among young people, which can result in adverse consequences and functional impairments across multiple domains of life due to a persistent inability to regulate one’s use, which can lead to the development of psychological problems. In particular, children and adolescents who live in families that are part of the child and youth welfare system and receive support services are considered to be at high risk of developing mental disorders. It is less likely that these families will choose a therapeutic setting for the treatment of DMUD. The objective is to reduce DMUD-related symptoms and improve media use behaviour through the implementation of an app-based training programme.MethodsThe efficacy of Res@t digital, initially conceived as an adjunct to child and adolescent psychiatric treatment, is to be evaluated for n= 32 children and adolescents with a media use disorder or at risk of developing this disorder, and their families enrolled in child and youth welfare services. The efficacy of the app will be evaluated in a randomised controlled trial with a waitlist control group. The primary outcome is the reduction of DMUD symptoms over a 20-week period following the onset of app training. Secondary outcomes include EEG measurements and changes in standardised psychopathological variables.DiscussionShould the Res@t app prove efficacious when compared to a waitlist control group, it would constitute an evidence-based intervention for the treatment of DMUD in children and adolescents. For high-risk families, the app could serve as a motivational tool to prompt action regarding potential DMUD and facilitates access to therapeutic facilities.Clinical trial registrationhttps://drks.de, identifier DRKS00033379.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1478012/fulldigital media use disordersdigital health interventionyouth at high riskadolescentschild and youth welfare services
spellingShingle Oliver Labrenz
Oliver Labrenz
Lucie Waedel
Lucie Waedel
Michael Kölch
Michael Kölch
Susanne Lezius
Christina Wacker
Antonia Fröhlich
Antonia Fröhlich
Kerstin Paschke
Rainer Thomasius
Olaf Reis
Olaf Reis
Blended digital health intervention for adolescents at high risk with digital media use disorders: protocol for a randomised controlled trial within the Res@t-Consortium
Frontiers in Psychiatry
digital media use disorders
digital health intervention
youth at high risk
adolescents
child and youth welfare services
title Blended digital health intervention for adolescents at high risk with digital media use disorders: protocol for a randomised controlled trial within the Res@t-Consortium
title_full Blended digital health intervention for adolescents at high risk with digital media use disorders: protocol for a randomised controlled trial within the Res@t-Consortium
title_fullStr Blended digital health intervention for adolescents at high risk with digital media use disorders: protocol for a randomised controlled trial within the Res@t-Consortium
title_full_unstemmed Blended digital health intervention for adolescents at high risk with digital media use disorders: protocol for a randomised controlled trial within the Res@t-Consortium
title_short Blended digital health intervention for adolescents at high risk with digital media use disorders: protocol for a randomised controlled trial within the Res@t-Consortium
title_sort blended digital health intervention for adolescents at high risk with digital media use disorders protocol for a randomised controlled trial within the res t consortium
topic digital media use disorders
digital health intervention
youth at high risk
adolescents
child and youth welfare services
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1478012/full
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