Family-Centered Treatment Program for Problematic Gaming and Excessive Screen Use in a Clinical Child and Youth Population (FAME): Protocol for a Feasibility Pilot Mixed Method Study.

IF 1.4 Q3 HEALTH CARE SCIENCES & SERVICES JMIR Research Protocols Pub Date : 2024-10-08 DOI:10.2196/56387
Marie Werner, Sabina Kapetanovic, Emma Claesdotter-Knutsson
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Abstract

Background: Screen time among children and adolescents has increased dramatically, raising concerns about its impact on development and mental health. While research highlights both potential benefits and risks, excessive use has been linked to issues like anxiety, depression, and gaming addiction. Despite growing concern, effective interventions are scarce. Recognizing the importance of family dynamics in child development, we propose a family-centered program to address problematic gaming and excessive screen use in a clinical population. By involving both children and parents, we aim to create a more comprehensive approach to prevention and treatment.

Objective: This study aims to determine the possibility of distributing and evaluating a family-centered group program for problematic gaming and excessive screen use (FAME) in a clinical child and adolescent psychiatry (CAP) population. We will monitor the recruitment rate; track the retention and attendance rates of both parents and children; and assess whether each session's objectives are met, the content is delivered within the allotted time, and the necessary resources (eg, facilitators and materials) are available. Additionally, we will gather qualitative and quantitative feedback from participants through postprogram surveys and individual interviews with both children and parents.

Methods: A total of 10 families with ongoing contact with CAP in Skåne, Sweden, will be recruited and offered participation in a family-centered group program targeting children aged 10-18 years with reported difficulties regarding screen gaming or screen use. The intervention to be tested is a newly developed, family-centered, psychoeducational, cognitive behavioral therapy-based intervention addressing both positive and negative aspects of screen use; setting boundaries; the connection between thoughts, feelings, and behaviors; conflict triggers; and sleep hygiene. The primary goal of the pilot study is to test the feasibility of the program, as well as recruitment and the analysis of participants' experiences with the program.

Results: A total of 11 children and their parents were enrolled during first quarter of 2024. A 4-session pilot was delivered in first quarter of 2024, and the first results are expected in the third quarter of 2024.

Conclusions: The overarching goal of this pilot study is to determine the possibility of distributing and evaluating a family-centered group program for problematic gaming and excessive screen use (FAME) in a clinical CAP population. The insights gained from this study will guide our future research, which will focus on conducting a larger-scale evaluation of the intervention's impact on family screen time conflicts and inform future strategies for the implementation of family-centered interventions in child and youth clinics.

Trial registration: ClinicalTrials.gov NCT06098807; https://clinicaltrials.gov/study/NCT06098807.

International registered report identifier (irrid): DERR1-10.2196/56387.

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以家庭为中心的临床儿童和青少年问题性游戏和屏幕过度使用治疗计划(FAME):可行性试点混合方法研究协议》。
背景:儿童和青少年使用屏幕的时间急剧增加,引发了人们对其对发育和心理健康影响的担忧。虽然研究强调了潜在的益处和风险,但过度使用屏幕与焦虑、抑郁和游戏成瘾等问题有关。尽管人们越来越关注这一问题,但有效的干预措施却很少。认识到家庭动态对儿童发展的重要性,我们提出了一项以家庭为中心的计划,以解决临床人群中存在的游戏和过度使用屏幕的问题。通过让儿童和家长共同参与,我们旨在创建一种更全面的预防和治疗方法:本研究旨在确定是否有可能在临床儿童和青少年精神病学(CAP)人群中推广和评估一项针对问题游戏和过度使用屏幕(FAME)的以家庭为中心的小组计划。我们将监测招募率;跟踪家长和孩子的保留率和出席率;评估是否达到了每节课的目标,是否在规定时间内完成了内容,以及是否提供了必要的资源(如主持人和材料)。此外,我们还将通过计划后调查以及对儿童和家长的个别访谈,收集参与者的定性和定量反馈意见:方法:我们将在瑞典斯科纳招募 10 个与 CAP 有持续接触的家庭,让他们参加一项以家庭为中心的小组项目,该项目针对 10-18 岁在屏幕游戏或屏幕使用方面有困难的儿童。要测试的干预措施是一种新开发的、以家庭为中心的心理教育认知行为疗法干预措施,涉及屏幕使用的积极和消极方面;设定界限;思想、情感和行为之间的联系;冲突触发因素;以及睡眠卫生。试点研究的主要目的是测试该计划的可行性,以及招募和分析参与者对该计划的体验:结果:在 2024 年第一季度,共有 11 名儿童及其父母报名参加。在 2024 年第一季度进行了为期 4 节课的试点,预计在 2024 年第三季度取得初步成果:本试点研究的总体目标是确定在临床 CAP 群体中推广和评估以家庭为中心的游戏和屏幕过度使用(FAME)问题小组计划的可能性。从这项研究中获得的见解将指导我们今后的研究,重点是对干预措施对家庭屏幕时间冲突的影响进行更大规模的评估,并为今后在儿童和青少年诊所实施以家庭为中心的干预措施提供参考:试验注册:ClinicalTrials.gov NCT06098807;https://clinicaltrials.gov/study/NCT06098807.International 注册报告标识符 (irrid):DERR1-10.2196/56387。
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