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Effect of Cognitive Behavioral Based Psychoeducation Program on Internet Addiction and Academic Procrastination Tendency in Nursing Students

28. juni 2026 oppdatert av: Ümmühan Dikililer, Saglik Bilimleri Universitesi

The Effect of a Cognitive Behavioral Based Psychoeducation Program on Internet Addiction and Academic Procrastination Tendency Among Nursing Students

This randomized controlled trial was conducted to determine the effectiveness of a cognitive behavioral approach-based psychoeducation program on internet addiction and academic procrastination tendency among undergraduate nursing students.

Studieoversikt

Detaljert beskrivelse

Internet addiction and academic procrastination tendency are increasingly common problems among university students and may negatively affect academic performance, psychological well-being, and professional development. Nursing students are considered a high-risk group due to intensive academic workload and frequent exposure to digital technologies. Cognitive behavioral approaches are widely used in addressing maladaptive thoughts and behaviors associated with problematic internet use and procrastination; however, evidence regarding structured psychoeducation programs based on this approach among nursing students is limited.

This randomized controlled experimental study with a pre-test, post-test, and one-month follow-up design was conducted between November 2025 and January 2026 at the Faculty of Nursing of a public university in Ankara, Türkiye. The study population consisted of undergraduate nursing students, and a total of 56 participants were included, with 28 assigned to the intervention group and 28 to the control group through random allocation.

The intervention group received a cognitive behavioral approach-based psychoeducation program consisting of eight weekly sessions. Each session lasted 90 minutes and was delivered face-to-face in a group format. For implementation purposes, the intervention group was divided into three smaller subgroups. The program focused on increasing awareness of internet use behaviors, identifying cognitive distortions, developing time management skills, and improving coping strategies. The control group did not receive any intervention during the study period.

Data were collected using a Personal Information Form, the Young Internet Addiction Test-Short Form, and the Academic Procrastination Tendency Scale. Measurements were obtained at three time points: baseline (pre-test), immediately after the intervention (post-test), and one month after the intervention (follow-up). In the control group, assessments were conducted in parallel with the intervention group.

Statistical analyses were performed using SPSS version 22.0. Normality of data distribution was assessed using the Shapiro-Wilk test. Depending on the distribution characteristics, independent samples t-test, one-way analysis of variance, Mann-Whitney U test, Friedman test, and Wilcoxon signed-rank test were used. Post-hoc analyses with Bonferroni correction were applied where appropriate. Statistical significance was set at p<0,05.

Studietype

Intervensjonell

Registrering (Faktiske)

56

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

      • Ankara, Tyrkia (Türkiye), 06010
        • Health Sciences University Gülhane Faculty of Nursing

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • Aged 18 years or older
  • Being enrolled as a nursing student in a Faculty of Nursing
  • Willing to participate in the study

Exclusion Criteria:

  • Having a diagnosed psychiatric disorder
  • Being currently under psychological intervention (e.g., psychoeducation, psychotherapy) or psychiatric treatment

Participant Discontinuation Criteria (Withdrawal Criteria):

  • Incomplete or incorrectly completed data collection forms
  • Missing two consecutive intervention sessions
  • Receiving a psychiatric diagnosis during the study period

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Forebygging
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Intervention Group

Participants in the intervention group received an eight-session cognitive behavioral approach-based psychoeducation program. The program was delivered face-to-face once a week in 90-minute group sessions. Participants were divided into three small subgroups for implementation.

This program was structured to enhance participants' awareness of emotions and thoughts and to develop skills in identifying and managing automatic thoughts and cognitive distortions. In addition to theoretical content, the program included practical activities based on a cognitive behavioral approach. It also incorporated relaxation exercises and training aimed at improving problem-solving and time management skills.

A structured cognitive behavioral psychoeducation program was implemented. The program focused on enhancing awareness of emotions and thoughts, identifying and managing automatic thoughts and cognitive distortions, and improving coping skills.

Each session included a brief mood check, review of the previous session, feedback on homework assignments, and structured psychoeducational activities. At the end of each session, new homework was assigned and the session was summarized.

The intervention incorporated cognitive restructuring exercises, relaxation techniques, problem-solving strategies, and time management training. The program aimed to reduce internet addiction and academic procrastination tendency among nursing students.

Ingen inngripen: Control Group
Participants in the control group did not receive any intervention during the study period. Assessments were conducted at baseline, post-intervention, and one-month follow-up in parallel with the intervention group.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Internet Addiction Severity Assessed by Young Internet Addiction Test - Short Form
Tidsramme: Baseline, week 8 (post-intervention), and 1-month follow-up
Internet addiction severity was measured using the Young Internet Addiction Test - Short Form, a 12-item Likert-type scale. The total score ranges from 12 to 60, with higher scores indicating greater levels of internet addiction severity.
Baseline, week 8 (post-intervention), and 1-month follow-up
Academic Procrastination Tendency Assessed by Academic Procrastination Scale
Tidsramme: Baseline, week 8 (post-intervention), and 1-month follow-up
Academic procrastination tendency was measured using a 16-item Likert-type Academic Procrastination Scale. The total score ranges from 16 to 80, with higher scores indicating greater academic procrastination tendency.
Baseline, week 8 (post-intervention), and 1-month follow-up

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Hovedetterforsker: Emine Öksüz, PhD, Health Sciences University Hamidiye Faculty of Nursing, Istanbul, Turkey

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Generelle publikasjoner

  • Young KS; Internet addiction: the emergence of a new clinical disorder; CyberPsychology & Behavior; 1998; 1; 237-244
  • Balkıs M; Öğretmen adaylarının davranışlarındaki erteleme eğiliminin düşünme ve karar verme tarzları ile ilişkisi; Dokuz Eylül Üniversitesi; 2006; Yayınlanmamış doktora tezi
  • Aitken M E; A personality profile of the college student procrastinator; University of Pittsburgh; 1982; Dissertation Abstracts International; 43; 722
  • Kutlu M, Savci M, Demir Y, Aysan F; Young İnternet Bağımlılığı Testi Kısa Formu'nun Türkçe uyarlaması: Üniversite öğrencileri ve ergenlerde geçerlik ve güvenirlik çalışması; Anadolu Psikiyatri Dergisi; 2016; 17; 69-76
  • Pawlikowski M, Altstötter-Gleich C, Brand M; Validation and psychometric properties of a short version of Young's Internet Addiction Test; Computers in Human Behavior; 2013; 29; 1212-1223

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

1. november 2025

Primær fullføring (Faktiske)

31. januar 2026

Studiet fullført (Faktiske)

31. januar 2026

Datoer for studieregistrering

Først innsendt

28. juni 2026

Først innsendt som oppfylte QC-kriteriene

28. juni 2026

Først lagt ut (Faktiske)

6. juli 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

6. juli 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

28. juni 2026

Sist bekreftet

1. juni 2026

Mer informasjon

Begreper knyttet til denne studien

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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