Traditional Social Sports Games and Mental Training for Smartphone Addiction and Psychological Distress in School-Aged Adolescents: Randomized Controlled Trial
Yaakoubi M, Ghorbel A, Abdelkafi H, Masmoudi L, Trabelsi O, Trabelsi O, Elkholi SM, Yagin FH, Badicu G, Gharbi A
JMIR mHealth and uHealth · 0 citas
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 independiente
- Universidad u hospital
- Princess Nourah Bint Abdulrahman University
Según 1 financiador declarado y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2026-05-04 · JMIR Mhealth Uhealth · vol. 14 · pág. e85353
- Editorial
- JMIR Publications
- Citado
- 0 citas · más que el 32% de estudios similares · 0.0× el promedio de su campo
- Referencias
- 42 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Impact of Technology on Adolescents · Physical Activity and Health · Child Development and Digital Technology
- Palabras clave
- smartphone addiction, nomophobia, psychological distress, loneliness, mental exercise, school-based intervention, adolescents, digital health interventions, social connectedness, mediation, culturally tailored interventions, Tunisian adolescents
- MeSH
- humans, behavior, addictive, loneliness, psychometrics, video games, adolescent, tunisia, female, male, smartphone, surveys and questionnaires, psychological distress, internet addiction disorder
9 autores
- Mohamed Yaakoubi🇹🇳University of Jendouba
- Ahmed Ghorbel🇹🇳University of Jendouba
- Hiba Abdelkafi🇹🇳University of Monastir
- Liwa Masmoudi🇹🇳University of Jendouba
- Omar Trabelsi🇹🇳University of Monastir; University of Jendouba
- Safaa Mostafa Ali Elkholi🇸🇦Princess Nourah bint Abdulrahman University
- Fatma Hilal Yağın🇹🇷Malatya Turgut Özal Üniversitesi; Turgut Özal University
- Georgian Bădicu🇷🇴Transylvania University of Brașov
- Adnene Gharbi🇹🇳University of Sfax
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Problematic smartphone use among adolescents is a growing public health concern closely associated with psychological distress and loneliness. Effective, culturally grounded, school-based interventions are needed.
Objective
The aim of this study was to assess the effects of a 12-week program combining traditional social sports games and mental exercises on smartphone addiction, nomophobia, psychological distress, and loneliness in adolescents.
Methods
In this randomized controlled trial, 69 school-recruited Tunisian adolescents (aged 14-16 years) with clinically elevated smartphone addiction scores were assigned to an experimental group (n=36, 52.2%) or a control group (n=33, 47.8%). The experimental group received a 12-week intervention comprising 4 weekly sessions integrating traditional social sports games with mental exercises, whereas the control group continued standard physical education. Outcomes (smartphone addiction, nomophobia, psychological distress, and loneliness) were assessed at baseline and after the intervention using scales validated in Arabic.
Results
Linear mixed-effects models adjusted for age, sex, and BMI revealed significant group × time interactions of moderate magnitude across all outcomes (P<.05 in all cases) favoring the experimental group. Adjusted postintervention comparisons confirmed significantly lower scores in the experimental group for smartphone addiction, nomophobia, psychological distress, and loneliness (P<.05 in all cases; partial ηp2=0.08-0.12). Mediation analysis indicated that reductions in loneliness accounted for 34.4% of the intervention's effect on smartphone addiction, consistent with partial mediation.
Conclusions
A culturally adapted, school-based intervention combining traditional social sports games and mental exercises significantly reduced problematic smartphone use and improved psychological well-being. The partial mediation through reduced loneliness highlights the critical role of social connectedness in adolescent digital health interventions.
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