The effectiveness of dialectical behavioral therapy to treat adults with internet addiction during the COVID-19 pandemic
| ISRCTN | ISRCTN17273762 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN17273762 |
| Secondary identifying numbers | KET-866/UN2.F1/ETIK/PPM.00.02/2020 |
- Submission date
- 02/10/2021
- Registration date
- 12/10/2021
- Last edited
- 07/07/2022
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Plain English summary of protocol
Background and study aims
Excessive use of the internet can lead to addiction. Currently, there are no guidelines on the management of internet addiction. Dialectical behavioral therapy (DBT), an adaptation of cognitive-behavioural therapy (CBT), is a behavioral therapy that emphasizes mindfulness practice and acceptance-based interventions. The aim of this study is to assess DBT as a therapy in patients with internet addiction.
Who can participate?
Indonesian adults aged 18 – 40 years who went to Dr Cipto Mangunkusumo General Hospital Addiction Clinic
What does the study involve?
Participants are divided into two groups to receive either the DBT skill group training intervention or individual psychotherapy (brief cognitive and behavioral therapy [CBT]). All participants complete several questionnaires. The intervention group undergo eight therapy sessions with a 1-week interval, while the control group undergo four sessions with a 2-week interval. All therapy is performed using an online video platform (e.g., video call or Zoom). After the therapy sessions are completed, the participants are assessed by another research team member who does not know what type of treatment was given.
What are the possible benefits and risks of participating?
The advantages of participating in this study when participating in the intervention group are getting non-pharmacological therapy in the form of DBT and making new friends to share experiences and share advice about internet addiction and ways to prevent internet addiction. Participants have the advantage of getting non-pharmacological therapy that has never been used in Indonesia before. If joining in the control group, participants also still benefit from getting individual treatment in the form of CBT. There is no significant risk when participating in this study because this study is a non-pharmacological intervention.
Where is the study run from?
Dr Cipto Mangunkusumo General Hospital (Indonesia)
When is the study starting and how long is it expected to run for?
August 2020 to November 2020
Who is funding the study?
University of Indonesia
Who is the main contact?
1. Ms Enjeline Hanafi, enjelinehanafi@gmail.com
2. Dr Kristiana Siste, ksiste@yahoo.com
Contact information
Public
Jl. Pangeran Diponegoro No. 71
Central Jakarta
10430
Indonesia
 ORCID ID |
0000-0003-1668-3347 |
|---|---|
| Phone | +62 (0)82110639974 |
| enjeline51@ui.ac.id |
Scientific
Jl. Pangeran Diponegoro No. 71
Central Jakarta
10430
Indonesia
| ORCID ID |
0000-0001-7435-6243 |
|---|---|
| Phone | +62 (0)87782516771 |
| kristiana.siste@ui.ac.id |
Study information
| Study design | Single-center quasi-experimental trial design without matching non-equivalent control group design non-randomized masking for the statistician and the assessor |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Non randomised study |
| Study setting(s) | Hospital |
| Study type | Treatment |
| Participant information sheet | Not available in web format, please use contact details to request a participant information sheet. |
| Scientific title | Dialectical behavioral therapy for adults with internet addiction: a clinical trial in the COVID-19 pandemic era |
| Study objectives | Online dialectical behavioral therapy (DBT) group training is more effective at treating patients with internet addiction compared to the control group receiving individual psychotherapy of brief cognitive and behavioral therapy (CBT). |
| Ethics approval(s) | Approved 10/08/2020, The Institutional Ethics Committee of the Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital (Jl. Salemba Raya No.6, Senen, Central Jakarta, DKI Jakarta, Indonesia, 10430; +62 (0)213157008; ec_fkui@yahoo.com), ref: KET-866/UN2.F1/ETIK/PPM.00.02/2020 |
| Health condition(s) or problem(s) studied | Internet addiction |
| Intervention | Subjects who met the inclusion and exclusion criteria were allocated using consecutive sampling. All participants complete several questionnaires such as sociodemographic questionnaire, Internet Addiction Test (IAT), Rosenberg Self-Esteem Scale (RSES), Temperament and Character Inventory (TCI), University of Rhode Island Change Assessment (URICA), and Mini International Neuropsychiatric Interview for International Classification of Disease-10 (MINI ICD-10). The intervention group undergoes eight Dialectical Behavioral Therapy (DBT) sessions with a 1-week interval, while the control group undergoes four brief Cognitive Behavioral Therapy (CBT) sessions with a 2-week interval. The DBT skill group training consists of introducing DBT and orientation to mindfulness, mindfulness, emotion regulation, orientation to distress tolerance, distress tolerance, orientation to interpersonal effectiveness, and interpersonal effectiveness. Each DBT skill group training session is conducted for 90 minutes. Therapies in the intervention and control group are performed via an online video platform. After the therapy sessions are completed, the subjects are assessed by another research team member who does not know what type of treatment was given to the subject. Participants are assessed using the IAT and URICA after therapy. |
| Intervention type | Behavioural |
| Primary outcome measure | The effectiveness of DBT-IA at improving internet addiction after 8 weeks of therapy sessions measured by: 1. Internet Addiction Test (IAT) score 2. Duration of internet use |
| Secondary outcome measures | Motivation for change measured using URICA after 8 weeks of therapy sessions |
| Overall study start date | 10/08/2020 |
| Completion date | 23/11/2020 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Both |
| Target number of participants | 40 |
| Total final enrolment | 40 |
| Key inclusion criteria | Adults aged 18 – 40 years diagnosed with internet addiction who went to Dr Cipto Mangunkusumo General Hospital Addiction Clinic |
| Key exclusion criteria | Comorbid severe mental disorders |
| Date of first enrolment | 11/08/2020 |
| Date of final enrolment | 02/09/2020 |
Locations
Countries of recruitment
- Indonesia
Study participating centre
Senen
Central Jakarta
10430
Indonesia
Sponsor information
University/education
Jl. Salemba Raya No. 6
Senen
Central Jakarta
10430
Indonesia
| Phone | +62 (0)213157008 |
|---|---|
| humas@fk.ui.ac.id | |
| Website | https://fk.ui.ac.id/ |
"ROR" |
https://ror.org/0116zj450 |
Hospital/treatment centre
Jl. Pangeran Diponegoro No. 71
Senen
Central Jakarta
10430
Indonesia
| Phone | +62 (0)211500135 |
|---|---|
| info@rscm.co.id | |
| Website | http://rscm.co.id/ |
|
"ROR" |
https://ror.org/05am7x020 |
Funders
Funder type
University/education
Government organisation / Universities (academic only)
- Alternative name(s)
- University of Indonesia, UI
- Location
- Indonesia
Results and Publications
| Intention to publish date | 31/10/2021 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Available on request |
| Publication and dissemination plan | Planned publication in a high-impact peer-reviewed journal. |
| IPD sharing plan | Data are available from the Ethics Committee of the Faculty of Medicine University of Indonesia for researchers who meet the criteria for access to confidential data. Data requests should be submitted to ec_fkui@yahoo.com. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol file | 07/10/2021 | 11/10/2021 | No | No | |
| Results article | 30/06/2022 | 07/07/2022 | Yes | No |
Additional files
Editorial Notes
07/07/2022: Publication reference added.
01/12/2021: The sponsor email has been chnaged from office@fkui.ac.id to humas@fk.ui.ac.id.
13/10/2021: Internal review.
11/10/2021: Trial's existence confirmed by Universitas Indonesia.
