InternetNCT06081751
The Effect of Traditional Children's Games on Internet Use Stress Level of Primary School Students
A study testing Nurse-Led Traditional Children's Games Program and Usual School Activities in people with Internet and Stress Level, run by Necmettin Erbakan University at 1 site in Turkey (Türkiye).
Trial summary
his randomized controlled trial aimed to evaluate the effectiveness of a nurse-led traditional children's games program on weekly internet use and perceived stress among middle school students in Türkiye. Read more about this study
- Who is it for?
- Ages 10 to 12 yearsHealthy volunteers can take part
- Conditions the study is for
- Internet, Stress Level
- What is being tested?
- Nurse-Led Traditional Children's Games Program and Usual School Activities
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 65 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 23 Oct 2022to 22 Feb 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 10 to 12 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Students enrolled in the 5th or 6th grade.
- Aged 10-12 years.
- Daily internet use of more than 2 hours.
- Written informed consent obtained from a parent or legal guardian.
- Child assent obtained before participation.
Who cannot join
- Having a physical, orthopedic, or mental illness or disability that could interfere with participation in the intervention.
- Regular participation in organized sports activities or sporting events.
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Necmettin Erbakan University
Konya, Konya, 42000
About this study
Official title: Effect of a Nurse-Led Traditional Children's Games on Internet Use and Stress Levels in Middle School Students: A Randomized Controlled Study
his randomized controlled trial aimed to evaluate the effectiveness of a nurse-led traditional children's games program on weekly internet use and perceived stress among middle school students in Türkiye. Students who used the internet for more than two hours per day were randomly assigned to either an intervention group or a control group.
The intervention group participated in a structured traditional children's games program for 60 minutes, three times per week for eight weeks, while the control group continued their usual school activities. Weekly internet use and perceived stress were assessed before and after the intervention. The study evaluated whether participation in traditional children's games could reduce internet use and perceived stress and support school-based health promotion led by nurses.
Read the detailed description
This randomized controlled trial was conducted to evaluate the effectiveness of a nurse-led traditional children's games program on reducing internet use and perceived stress among middle school students in Türkiye.
Excessive internet use among children has become an important public health concern because of its association with psychological stress, physical inactivity, sleep problems, and psychosocial difficulties. Traditional children's games are culturally relevant, physically active, group-based activities that may provide a healthy alternative to excessive screen time while promoting children's physical, emotional, and social well-being.
The study employed a pre-test/post-test, parallel-group randomized controlled design. Eligible students who used the internet for more than two hours per day were randomly assigned to either an intervention group or a control group. Randomization was performed using a computer-generated random allocation sequence created through Randomizer.org by an independent statistical expert.
The intervention consisted of an eight-week traditional children's games program implemented by a nurse researcher as an extracurricular school-based activity. Students in the intervention group participated in 60-minute sessions three times per week under researcher supervision. The games were selected from the Traditional Children's Games Festival Games Guide published by the Turkish Ministry of National Education and the Ministry of Youth and Sports. Activities included structured, age-appropriate group games such as Duck, Duck, Goose, Hide and Seek, Handkerchief Grab, Dodgeball, and Jump Rope, emphasizing physical activity, teamwork, communication, attention, and self-regulation.
Participants in the control group continued their routine school curriculum, including regular physical education classes, without receiving any additional intervention.
Primary study outcomes were weekly internet use duration and perceived stress levels. Weekly internet use duration was obtained from parental reports using a descriptive characteristics questionnaire, whereas perceived stress was assessed using the Turkish version of the Perceived Stress Scale for Children (8-11 years). Measurements were performed before the intervention and within one week after completion of the eight-week program.
The primary objective was to determine whether participation in traditional children's games reduced weekly internet use and perceived stress compared with usual school activities. The study also aimed to provide evidence supporting the role of school nurses in implementing culturally appropriate, school-based health promotion interventions designed to encourage healthy technology use and improve children's psychosocial well-being.
- Conditions
- Internet, Stress Level
- Being tested
- Nurse-Led Traditional Children's Games Program, Usual School Activities
- Keywords
- stress, internet, traditional children's games
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Nurse-Led Traditional Children's Games ProgramBehavioural
Also called Questionnaire (Including Internet Usage Time,Child Perceived Stress Scale )
Participants received a nurse-led traditional children's games program consisting of 60-minute sessions, three times per week for eight weeks. The intervention included age-appropriate traditional Turkish children's games conducted as an extracurricular school-based activity under researcher supervision.
Usual School ActivitiesBehavioural
Also called Questionnaire (Including Internet Usage Time, Child Perceived Stress Scale)
Participants continued their usual school curriculum, including regular physical education classes, and did not receive the traditional children's games program.
| Study group | Role | What they receive |
|---|---|---|
| İntervention Group | Experimental | Participants in the intervention group received a nurse-led traditional children's games program conducted as an extracurricular school-based activity. The program consisted of 60-minute sessions, three times per week for eight weeks. Age-appropriate traditional Turkish children's games involving physical activity, teamwork, cooperation, and social interaction were implemented under the supervision of the researcher. Games were selected from the Traditional Children's Games Festival Guide published by the Turkish Ministry of National Education and the Ministry of Youth and Sports. Receives: Behavioral: Nurse-Led Traditional Children's Games Program |
| Control Group | Active comparator | Participants continued their usual school curriculum, including regular physical education classes, without receiving the traditional children's games program. Receives: Behavioral: Usual School Activities |
What is being measured
The primary outcome is the main question the study is designed to answer.
Weekly Internet Use Duration
Weekly internet use duration (hours/week) reported by parents using the Descriptive Characteristics Form
Measured: Baseline and Week 8 (immediately after the intervention)
Perceived Stress Scale for Children Total Score
Perceived stress assessed using the Turkish version of the Perceived Stress Scale for Children (8-11 years). Total scores range from 9 to 36, with higher scores indicating higher perceived stress.
Measured: Baseline and Week 8 (immediately after the intervention)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Oct 2023
- Study start23 Oct 2022
- Primary completion22 Feb 2023
- Study completion22 Feb 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for InternetStudies of the same condition, open and under way.
- More trials run by Necmettin Erbakan UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants were randomly assigned in parallel to either a traditional children's games intervention group or a control group receiving usual school activities. Outcomes were assessed before and after the 8-week intervention.
- Masking
- None (open label)
- Enrolment
- 65 participants (actual)
Sponsor and investigators
- Lead sponsor
- Necmettin Erbakan University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Serap Batı, Necmettin Erbakan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06081751
- Sponsor's protocol ID
- Sbati
- Status last verified
- Jul 2026
- First submitted
- 28 Aug 2023
- Last updated
- 10 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of a Nurse-Led Traditional Children's Games on Internet Use and Stress Levels in Middle School Students: A Randomized Controlled Study
- ClinicalTrials.gov ID
- NCT06081751
- Acronym / sponsor ID
- Sbati
- Conditions
- Internet, Stress Level
- Keywords
- stress, internet, traditional children's games
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 65 participants (actual)
- Lead sponsor
- Necmettin Erbakan UniversityUniversity, hospital or other
- Study start
- 23 Oct 2022 (actual)
- Primary completion
- 22 Feb 2023 (actual)
- Study completion
- 22 Feb 2023 (actual)
- First posted
- 13 Oct 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
his randomized controlled trial aimed to evaluate the effectiveness of a nurse-led traditional children's games program on weekly internet use and perceived stress among middle school students in Türkiye. Students who used the internet for more than two hours per day were randomly assigned to either an intervention group or a control group.
The intervention group participated in a structured traditional children's games program for 60 minutes, three times per week for eight weeks, while the control group continued their usual school activities. Weekly internet use and perceived stress were assessed before and after the intervention. The study evaluated whether participation in traditional children's games could reduce internet use and perceived stress and support school-based health promotion led by nurses.
Detailed description
This randomized controlled trial was conducted to evaluate the effectiveness of a nurse-led traditional children's games program on reducing internet use and perceived stress among middle school students in Türkiye.
Excessive internet use among children has become an important public health concern because of its association with psychological stress, physical inactivity, sleep problems, and psychosocial difficulties. Traditional children's games are culturally relevant, physically active, group-based activities that may provide a healthy alternative to excessive screen time while promoting children's physical, emotional, and social well-being.
The study employed a pre-test/post-test, parallel-group randomized controlled design. Eligible students who used the internet for more than two hours per day were randomly assigned to either an intervention group or a control group. Randomization was performed using a computer-generated random allocation sequence created through Randomizer.org by an independent statistical expert.
The intervention consisted of an eight-week traditional children's games program implemented by a nurse researcher as an extracurricular school-based activity. Students in the intervention group participated in 60-minute sessions three times per week under researcher supervision. The games were selected from the Traditional Children's Games Festival Games Guide published by the Turkish Ministry of National Education and the Ministry of Youth and Sports. Activities included structured, age-appropriate group games such as Duck, Duck, Goose, Hide and Seek, Handkerchief Grab, Dodgeball, and Jump Rope, emphasizing physical activity, teamwork, communication, attention, and self-regulation.
Participants in the control group continued their routine school curriculum, including regular physical education classes, without receiving any additional intervention.
Primary study outcomes were weekly internet use duration and perceived stress levels. Weekly internet use duration was obtained from parental reports using a descriptive characteristics questionnaire, whereas perceived stress was assessed using the Turkish version of the Perceived Stress Scale for Children (8-11 years). Measurements were performed before the intervention and within one week after completion of the eight-week program.
The primary objective was to determine whether participation in traditional children's games reduced weekly internet use and perceived stress compared with usual school activities. The study also aimed to provide evidence supporting the role of school nurses in implementing culturally appropriate, school-based health promotion interventions designed to encourage healthy technology use and improve children's psychosocial well-being.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants were randomly assigned in parallel to either a traditional children's games intervention group or a control group receiving usual school activities. Outcomes were assessed before and after the 8-week intervention.
| Arm | Type | Receives |
|---|---|---|
| İntervention Group | Experimental | Behavioral: Nurse-Led Traditional Children's Games ProgramParticipants in the intervention group received a nurse-led traditional children's games program conducted as an extracurricular school-based activity. The program consisted of 60-minute sessions, three times per week for eight weeks. Age-appropriate traditional Turkish children's games involving physical activity, teamwork, cooperation, and social interaction were implemented under the supervision of the researcher. Games were selected from the Traditional Children's Games Festival Guide published by the Turkish Ministry of National Education and the Ministry of Youth and Sports. |
| Control Group | Active comparator | Behavioral: Usual School ActivitiesParticipants continued their usual school curriculum, including regular physical education classes, without receiving the traditional children's games program. |
Who may qualify
- Ages
- 10 to 12 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (5 listed)
- Students enrolled in the 5th or 6th grade.
- Aged 10-12 years.
- Daily internet use of more than 2 hours.
- Written informed consent obtained from a parent or legal guardian.
- Child assent obtained before participation.
Key exclusion criteria (2 listed)
- Having a physical, orthopedic, or mental illness or disability that could interfere with participation in the intervention.
- Regular participation in organized sports activities or sporting events.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Nurse-Led Traditional Children's Games ProgramAlso: Questionnaire (Including Internet Usage Time,Child Perceived Stress Scale )Participants received a nurse-led traditional children's games program consisting of 60-minute sessions, three times per week for eight weeks. The intervention included age-appropriate traditional Turkish children's games conducted as an extracurricular school-based activity under researcher supervision. | Behavioural | İntervention Group |
| Usual School ActivitiesAlso: Questionnaire (Including Internet Usage Time, Child Perceived Stress Scale)Participants continued their usual school curriculum, including regular physical education classes, and did not receive the traditional children's games program. | Behavioural | Control Group |
Primary outcome
Weekly Internet Use Duration
Time frame: Baseline and Week 8 (immediately after the intervention)
Weekly internet use duration (hours/week) reported by parents using the Descriptive Characteristics Form
Perceived Stress Scale for Children Total Score
Time frame: Baseline and Week 8 (immediately after the intervention)
Perceived stress assessed using the Turkish version of the Perceived Stress Scale for Children (8-11 years). Total scores range from 9 to 36, with higher scores indicating higher perceived stress.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jul 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Nurse-Led Traditional Children's Games Program and Usual School Activities in people with Internet and Stress Level, run by Necmettin Erbakan University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 10 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Weekly Internet Use Duration (time frame: Baseline and Week 8 (immediately after the intervention)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Jul 2026.