Anson Chui Yan Tang, Regina Lai-Tong Lee, Alex Chi-Keung Chan, Rick Yiu Cho Kwan, Paul Hong Lee
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引用次数: 0
Abstract
Background: Smartphone Addiction (SA) is a rising global behavioral issue among adolescents. Extant studies rarely explore interventions to lower the risk of SA and increase resilience for adolescents.
Objective: To investigate the feasibility of the study protocol designed with a cluster-RCT and examine the preliminary effect of the first 4-week group mindfulness-based cognitive program (MBCP) on Smartphone Addiction risk and resilience in young adolescents.
Methods: A quasi-experimental approach was used. Two primary schools were randomly allocated into two study groups. 23 and 28 aged 10-11 adolescents were recruited for waitlist control and intervention groups, respectively. Intervention group received the first 4 weeks of the MBCP. The risk of Smartphone Addiction was measured by Smartphone Addiction Scale-Short Version. Smartphone behavior was evaluated by daily time spent on smartphone and frequency of using smartphone functions. Resilience was evaluated by Connor-Davidson Resilience Scale. Data was collected before intervention (T0) and after the fourth session (week 4,T1).
Results: Attrition rate, participation rate, and compliance with daily home practice were 10.7%, 80%, and 64%, respectively. There were no significant differences in outcome variables between groups. In within-group comparison, the posttest resilience score was significantly greater than that of the pretest in intervention group (Z = -2.37, p = 0.02), with a moderate effect size (d) of 0.52. No significant within-group differences were found for all smartphone behavioral outcomes (p > 0.05). However, the within-group effect size (d) of total smartphone addiction score in the intervention(I) group was larger than that of the control(C) (dI =-0.13; dC = 0.06). It gives clue to the potential influence of mindfulness practice on adolescents' smartphone behavior.
Discussion and conclusions: The preliminary findings suggest that MBCP may be a potential intervention to manage smartphone addiction problems in young adolescents in Hong Kong's school context. Further refinement of intervention protocol to boost parents' participation and compliance with daily practice is needed to ensure practice adherence.
背景：智能手机成瘾（SA）是一个日益严重的全球性青少年行为问题。现有的研究很少探讨干预措施，以降低SA的风险，提高青少年的适应能力。目的：探讨采用聚类随机对照试验设计的研究方案的可行性，并考察前4周小组正念认知项目（MBCP）对青少年智能手机成瘾风险和心理弹性的初步影响。方法：采用准实验方法。两所小学被随机分为两个学习小组。分别招募23名和28名年龄在10-11岁的青少年作为候补名单控制组和干预组。干预组接受前4周MBCP治疗。智能手机成瘾的风险是通过智能手机成瘾量表-短版本来衡量的。通过每天使用智能手机的时间和使用智能手机功能的频率来评估智能手机行为。采用Connor-Davidson弹性量表评估弹性。在干预前（T0）和第四次治疗后（第4周，T1）收集数据。结果：磨损率为10.7%，参与率为80%，依从性为64%。两组间结果变量无显著差异。组内比较，干预组后测弹性评分显著高于前测（Z = -2.37, p = 0.02），效应量(d)为0.52。所有智能手机行为结果没有发现组内显著差异（p < 0.05）。然而，干预组(I)智能手机成瘾总得分的组内效应量(d)大于对照组(C) (d I =-0.13；d C = 0.06)。这为正念练习对青少年智能手机行为的潜在影响提供了线索。讨论与结论：初步研究结果表明，MBCP可能是一种潜在的干预措施，以管理香港学校背景下的青少年智能手机成瘾问题。需要进一步完善干预方案，以促进家长参与和遵守日常实践，以确保实践的依从性。
期刊介绍：
Health Psychology and Behavioral Medicine: an Open Access Journal (HPBM) publishes theoretical and empirical contributions on all aspects of research and practice into psychosocial, behavioral and biomedical aspects of health. HPBM publishes international, interdisciplinary research with diverse methodological approaches on: Assessment and diagnosis Narratives, experiences and discourses of health and illness Treatment processes and recovery Health cognitions and behaviors at population and individual levels Psychosocial an behavioral prevention interventions Psychosocial determinants and consequences of behavior Social and cultural contexts of health and illness, health disparities Health, illness and medicine Application of advanced information and communication technology.
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