{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:46:58Z","timestamp":1777852018142,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Deanship of Research and Graduate studies at King Khalid University","award":["RGP2\/273\/46"],"award-info":[{"award-number":["RGP2\/273\/46"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess the effectiveness of a brief cognitive behavioral intervention (CBI) on digital dependence among nursing students in Saudi Arabia and to examine demographic and usage predictors of post-intervention outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A pretest\u2013posttest quasi-experimental study was conducted with 163 students (aged 18\u201323 years) at K\u2019 University. Participants completed the Digital Addiction Scale (DAS) before and after a three-session group CBI. Paired t-tests and correlations explored inter-domain relationships, and linear regressions examined predictors of post-intervention scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean DAS scores improved significantly for overuse (mean difference 0.40, p &lt; .001), non-restraint (0.22, p = .010), and dependence (0.39, p &lt; .001). Emotional state increased but not significantly (p = .135) and inhibiting the flow of life was unchanged (p = .742). Post-intervention overuse was predicted by daily hours of device use (\u03b2 = 0.94 for 3\u20134 h; \u03b2 = 1.04 for \u22657 h; all p &lt; .05), while other demographic factors were non-significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A brief CBI improved behavioral aspects of digital dependence but had limited effect on emotional dimensions. Integrating culturally adapted CBIs and digital-wellness modules into nursing curricula could reduce digital distraction and enhance self-regulation. Further controlled studies are needed to validate and expand upon these results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14604582261444118","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T08:44:50Z","timestamp":1777020290000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cognitive behavioral intervention on digital addiction behavior among nursing students in Saudi Arabia"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3815-9557","authenticated-orcid":false,"given":"Vanitha Innocent","family":"Rani","sequence":"first","affiliation":[{"name":"King Khalid University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6460-8962","authenticated-orcid":false,"given":"Khalda Ahmed","family":"Mohammed Ahmed","sequence":"additional","affiliation":[{"name":"King Khalid University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4410-8307","authenticated-orcid":false,"given":"Hanem Ahmed","family":"Abdelkhalek Ahmed","sequence":"additional","affiliation":[{"name":"King Khalid University"},{"name":"Department of Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Zagazig University, Al-Sharqia Governorate, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6102-1460","authenticated-orcid":false,"given":"Shylaja","family":"Jeyapaul","sequence":"additional","affiliation":[{"name":"Saveetha University"},{"name":"Department of Medical and Surgical Nursing, College of Nursing, King Khalid University, Mahayil Asser, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2874-739X","authenticated-orcid":false,"given":"Nawal Yahya","family":"H Asiri","sequence":"additional","affiliation":[{"name":"King Khalid University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8230-0194","authenticated-orcid":false,"given":"Chithra","family":"Radhamany Arackal Thekkathil","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Nursing, College of Nursing, King Khalid University, Mahayil Asser, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1951-8224","authenticated-orcid":false,"given":"Manal","family":"Abdu B Albishi","sequence":"additional","affiliation":[{"name":"King Khalid University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5131-8949","authenticated-orcid":false,"given":"Hanan Awad Moawad","family":"Elmashad","sequence":"additional","affiliation":[{"name":"King Khalid University,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iman Awad Siddig","family":"Mohammed","sequence":"additional","affiliation":[{"name":"King Khalid University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-172678"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.3889\/oamjms.2019.138"},{"issue":"11","key":"e_1_3_7_4_2","article-title":"Internet addiction among school adolescents in Jeddah-Saudi Arabia","volume":"99","author":"Ismail A","year":"2024","unstructured":"Ismail A. 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