Interventions for Digital Addiction: Umbrella Review of Meta-Analyses

שמור ב:
מידע ביבליוגרפי
הוצא לאור ב:Journal of Medical Internet Research vol. 27 (2025), p. e59656
מחבר ראשי: Lu, Peng
מחברים אחרים: Qiu, Jiamin, Huang, Shiqi, Wang, Xinman, Han, Shasha, Zhu, Sui, Youjing Ning, Fang-fang, Zeng, Yuan, Yuan
יצא לאור:
Gunther Eysenbach MD MPH, Associate Professor
נושאים:
גישה מקוונת:Citation/Abstract
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024 7 |a 10.2196/59656  |2 doi 
035 |a 3222368316 
045 2 |b d20250101  |b d20251231 
100 1 |a Lu, Peng 
245 1 |a Interventions for Digital Addiction: Umbrella Review of Meta-Analyses 
260 |b Gunther Eysenbach MD MPH, Associate Professor  |c 2025 
513 |a Journal Article 
520 3 |a Background:Numerous studies have explored interventions to reduce digital addiction outcomes, but inconclusive evidence makes it difficult for decision-makers, managers, and clinicians to become familiar with all available literature and find appropriate interventions.Objective:This study aims to summarize and assess the certainty of evidence of interventions proposed to decrease digital addiction from published meta-analyses.Methods:An umbrella review of published meta-analyses was performed. We searched PubMed, Cochrane Library, Web of Science, and Embase for meta-analyses published up to February 2024. Eligible studies evaluated interventions using randomized controlled trials, nonrandomized controlled trials, or quasi-experimental studies and were assessed for methodological quality using Assessment of Multiple Systematic Reviews version 2. A random effects model was used to analyze data, considering heterogeneity and publication bias. Grading of Recommendations, Assessment, Development, and Evaluations was applied to assess evidence with certainty.Results:A total of 5 studies assessing 21 associations were included in the umbrella review, of which 4 (80%) were high-quality meta-analyses. Weak evidence was observed in 19 associations, whereas null associations appeared in the remaining 2 associations. These associations pertained to 8 interventions (group counseling, integrated internet addiction [IA] prevention programs, psychosocial interventions, reality therapy, self-control training programs, cognitive behavioral therapy, interventions to reduce screen time in children, and exercise) and 9 outcomes (self-control, self-esteem, internet gaming disorder symptoms, time spent gaming, IA scores, screen use time, interpersonal sensitivity longlines, anxiety, and depression). Cognitive behavioral therapy reduces anxiety (standardized mean difference [SMD] 0.939, 95% CI 0.311 to 1.586), internet gaming disorder symptoms (SMD 1.394, 95% CI 0.664 to 2.214), time spent gaming (SMD 1.259, 95% CI, 0.311 to 2.206), and IA scores (SMD –2.097, 95% CI –2.814 to –1.381). Group counseling had a large effect on improving self-control (SMD 1.296, 95% CI 0.269 to 2.322) and reducing IA levels (SMD –1.417, 95% CI –1.836 to –0.997). Exercise intervention reduced IA scores (SMD –2.322, 95% CI –3.212 to –1.431), depression scores (SMD –1.421, 95% CI –2.046 to –797), and interpersonal sensitivity scores (SMD –1.433, 95% CI –2.239 to –0.627).Conclusions:The evidence indicates that current interventions to reduce digital addiction are weak. Data from more and better-designed studies with larger sample sizes are needed to establish robust evidence.Trial Registration:PROSPERO CRD42024528173; crd.york.ac.uk/PROSPERO/display_record.php?RecordID=528173 
653 |a Random effects 
653 |a Exercise 
653 |a Analysis 
653 |a Internet 
653 |a Anxiety 
653 |a Prevention programs 
653 |a Self esteem 
653 |a Psychotherapy 
653 |a Intervention 
653 |a Quasi-experimental methods 
653 |a Games 
653 |a Data analysis 
653 |a Cognitive behavioral therapy 
653 |a Psychosocial intervention 
653 |a Clinical trials 
653 |a Screen time 
653 |a Systematic review 
653 |a Mental depression 
653 |a Addictions 
653 |a Stress 
653 |a Meta-analysis 
653 |a Psychosocial factors 
653 |a Decision makers 
653 |a Associations 
653 |a Group counseling 
653 |a Cognitive-behavioral factors 
653 |a Mental health 
653 |a Loneliness 
653 |a Self control 
653 |a Uncertainty 
653 |a Cognition 
653 |a Medical research 
653 |a Evaluation 
653 |a Medical decision making 
653 |a Time 
653 |a Symptoms 
653 |a Educational programs 
653 |a Computer & video games 
653 |a Registration 
653 |a Medical treatment 
700 1 |a Qiu, Jiamin 
700 1 |a Huang, Shiqi 
700 1 |a Wang, Xinman 
700 1 |a Han, Shasha 
700 1 |a Zhu, Sui 
700 1 |a Youjing Ning 
700 1 |a Fang-fang, Zeng 
700 1 |a Yuan, Yuan 
773 0 |t Journal of Medical Internet Research  |g vol. 27 (2025), p. e59656 
786 0 |d ProQuest  |t Library Science Database 
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856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3222368316/fulltextPDF/embedded/L8HZQI7Z43R0LA5T?source=fedsrch