Paper
Friday, July 11, 2008
This presentation is part of : Strategies to Address Adolescent Behavior Issues
Effect of Health Education Program on Internet Games Addiction and Self-Esteem among Adolescents
Mi Wha Yang, RN, BSN, Nursing, Center for Mental Health, Gwangju, Gwangju, South Korea and Hae Young Kang, PhD, College of Nursing, Chonnam National University, Gwangju, South Korea.
Learning Objective #1: To share our experience on school-based education program for adolescents
Learning Objective #2: To share and discuss health issues from internet game addiction among adolescents

Objective: The purpose of this study was to examine the effect of school-based health education program to prevent internet games addiction and to enhance self-esteem among adolescents at middle school in a metropolitan city.

Methods: The subjects were 615 students in the 2nd graders (exp. = 315, control = 300) from six middle schools in G city. Education program was composed of 6-sessions: warming-up, what is internet? internet games & its addiction, internet etiquette, stress and personal time management. Study instrument to test internet games addiction was 5-point 25-items scale (á = .908) with five subcategories developed by Lee (2001) and that to test self-esteem was Korean version of 5-point 25-items scale (á = .755) with four subcategories developed by Cooper-smith (1967). Data were collected by self-reported from September 1 to October 15, 2005, and analyzed with frequency, percentage, ÷2-test, t-test, and ANOVA using SPSS-PC program,

Results: The subjects in 53.0% used internet and online games daily basis and 24.1% of them used three to four times per week. School-based health education program lowered the level of internet games addiction (t = -1.612, p = .027), and enhanced that of self-esteem (t = 2.905, p = .004) in experimental group relatively. Difference between experimental and control groups was also significant in internet games addiction (t = 2.625, p = .009) and in self-esteem (t = -7.222, p = .001).

Conclusion: Based on these findings, the authors recommend that school-based health education program should be implemented to reduce internet games addiction and to enhance self-esteem for adolescents, and started from lower graders or from primary school. School-based health education program can be synergized in collaboration with parents, multidisciplinary professionals and various institutions in community.

Key words: Internet game addiction, Self-esteem, Adolescents