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Effectiveness of a nurse-led health belief model-based educational intervention for reducing smartphone addiction in adolescents: A randomized controlled trial

Mohamed AH, Alsaqri SH, Shaban M, Razek RAA, Grande RAN, Berdida DJE, Sayed YM

Journal of pediatric nursing · 0 citas

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2026-04-10 · J Pediatr Nurs · vol. 89 · págs. 18–28
Editorial
Elsevier BV
Citado
0 citas · más que el 26% de estudios similares · 0.0× el promedio de su campo
Referencias
26 trabajos
Acceso
De pago
Áreas de investigación
Impact of Technology on Adolescents · Child Development and Digital Technology · School Health and Nursing Education
Palabras clave
smartphone addiction, adolescents, Health Belief Model, nursing education intervention, school-based prevention, digital overuse, perceived susceptibility, perceived severity, self-efficacy, cues to action, pediatric nursing
MeSH
humans, health knowledge, attitudes, practice, adolescent behavior, behavior, addictive, health education, adolescent, egypt, female, male, smartphone, internet addiction disorder, health belief model

7 autores

  • Amal Hashem Mohamed🇸🇦🇪🇬 · autor de correspondenciaNorth Private College of Nursing; Minia University
  • Salman Alsaqri🇸🇦 · autor de correspondenciaUniversity of Ha'il
  • Mostafa Shaban🇪🇬🇸🇦 · autor de correspondenciaCairo University; Jouf University
  • Radwa Ahmed Abdel Razek🇪🇬Zagazig University
  • Rizal Angelo N. Grande🇸🇦 · autor de correspondenciaFakeeh College for Medical Sciences
  • Daniel Joseph E. Berdida🇸🇦 · autor de correspondenciaNorth Private College of Nursing
  • Yahia Mohamed Sayed🇪🇬 · autor de correspondenciaMinia University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Smartphone addiction is an emerging behavioral concern among adolescents affecting their well-being. Nurse-led interventions grounded in behavioral theories like the Health Belief Model (HBM) offer promising strategies for prevention and reduction smartphone addcition. This investigation aimed to evaluate the effects of a nurse-led educational intervention, based on the HBM, on reducing smartphone addiction among adolescents.

Design

Randomized controlled trial was conducted with 200 adolescents aged 13-16 in Egypt. Participants were randomly assigned to either study group (n = 100), which received five structured nurse-led educational sessions based on HBM constructs, or a control group (n = 100), which received no additional education beyond the standard curriculum. Data were collected pre- and post-intervention using validated tools (Smartphone Addiction Inventory, knowledge assessments, and HBM-based scales). Statistical analyses included paired t-tests and linear regression.

Results

The intervention group demonstrated a significant decrease in smartphone addiction levels, from 85% at baseline to 32% post-intervention (p < 0.001). All HBM subscale scores (perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy) significantly improved in the intervention group (p < 0.05). Regression analysis identified age, sex, parental education, economic status, and daily smartphone use as significant predictors of addiction risk (p < 0.001).

Conclusion

A nurse-led, HBM-based educational intervention was effective in reducing smartphone addiction, improving adolescents' knowledge and health beliefs. These findings underscore the value of theory-driven, school-based programs in addressing adolescents' digital overuse.

Practice implications

Pediatric nurses are well-positioned to lead preventive educational interventions on smartphone addiction into routine school health services during critical adolescent stage.

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