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AI & SOCIETY (2020) 35:245–255

https://doi.org/10.1007/s00146-018-0858-0

OPEN FORUM

Is it possible to cure Internet addiction with the Internet?


William Liu1 · Farhaan Mirza1 · Ajit Narayanan1 · Seng Souligna1

Received: 16 April 2018 / Accepted: 16 July 2018 / Published online: 25 July 2018
© Springer-Verlag London Ltd., part of Springer Nature 2018

Abstract
Significant technological advancements over the last two decades have led to enhanced accessibility to computing devices
and the Internet. Our society is experiencing an ever-growing integration of the Internet into everyday lives, and this has
transformed the way we obtain and exchange information, communicate and interact with one another as well as conduct
business. However, the term ‘Internet addiction’ (IA) has emerged from problematic and excessive Internet usage which
leads to the development of addictive cyber-behaviours, causing health and social problems. The most commonly used
intervention treatments such as motivational interviewing, cognitive-behavioural therapy, and retreat or inpatient care mix
a variety of psychotherapy theories to treat such addictive behaviour and try to address underlying psychosocial issues that
are often coexistent with IA, but the efficacy of these approaches is not yet proved. The aim of this paper is to address the
question of whether it is possible to cure IA with the Internet. After detailing the current state-of-the-art including various
IA definitions, risk factors, assessment methods and IA treatments, we outline the main research challenges that need to be
solved. Moreover, we propose an Internet-based IA Recovery Framework (IARF) which uses AI to closely observe, visual-
ize and analyse patient’s Internet usage behaviour for possible staged intervention. The proposal to use smart Internet-based
systems to control IA can be expected to be controversial. This paper is intended to stimulate further discussion and research
in IA recovery through Internet-based frameworks.

Keywords  Internet addiction · Intervention · Recovery framework · Artificial intelligence

1 Introduction exchange information, interact socially with each other and


spend our leisure time (Yuan et al. 2011).
The Internet has grown exponentially since its first intro- Despite the storage of a vast amount of useful online
duction and appearance to the public in the mid-1990s. information along with the potential social benefits and
Technological advances over the last two decades have ena- educational values of the Internet, many of its attributes
bled enhanced accessibility to the Internet by all sectors of can lead to forms of online addictive behaviour. Those
society. We experience increased integration of the Internet attributes include 24/7 easy access to the Internet, free of
in our everyday lives (e.g., Internet of Things, or IoT) and charge or affordable service provision, borderless com-
the Internet has transformed the way we conduct business, munication and social networking. Positive human impacts
include opportunities to feel a sense of belonging, and
the ability to escape from emotional problems and hard-
* William Liu ships. However, there is growing unease about the negative
william.liu@aut.ac.nz human impact caused by heavy dependence on the Inter-
Farhaan Mirza net. Internet Addiction (IA) was first researched in 1996,
farhaan.mirza@aut.ac.nz with contrary outcomes. Thompson (1996) surveyed over
Ajit Narayanan 100 Internet users through a questionnaire on their atti-
ajit.narayanan@aut.ac.nz tudes to the Internet based on questions originally used for
Seng Souligna identifying alcohol problems. The conclusion to that study
ss.souligna@gmail.com was that IA was more about how users felt about them-
1
School of Engineering, Computer and Mathematical
selves rather than a clinical condition. However, another
Sciences, Auckland University of Technology, Auckland, paper that same year (Young 1996), after surveying over
New Zealand

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246 AI & SOCIETY (2020) 35:245–255

300 users, argued for a new clinical term, “pathological important to assess whether and how IA can be moderated
Internet use” (PIU), as an impulse-control disorder based or ‘cured’ through smart Internet technology.
on common and shared addiction characteristics with path- The rest of the paper is organized as follows: Various
ological gambling. Subsequently, Young (1999) identified definitions of IA and its associated risk factors are reviewed
five Internet-related impulse control problems: cybersex- in Sect. 2, which also presents the different assessment tools
ual addiction (compulsive use of adult websites); cyber- and addiction prevention and mediation approaches. The
relationship addiction (over-involvement in on-line rela- main research challenges are reported in Sect. 3. In Sect. 4,
tionships); net compulsions (obsessive online gambling we identify the possible role of AI in an evidence- and Inter-
or shopping); information overload (compulsive web surf- net-based IARF. Finally, Sect. 5 concludes our work and
ing); and computer addiction (obsessive computer game identifies future research possibilities.
playing). These pioneering studies led to further studies
internationally and to widespread acceptance of IA as a
clinically relevant problem [see Pawlikoski et al. (2014 ) 2 Related work
for a historical survey], even though there was no stand-
ard agreement on terminology and classification (Byun We categorize related work under the following headings:
et  al. 2009). However, there is general agreement that definitions, risk factors, assessment tools, and prevention
IA behaviour may have negative and undesirable social, and mediation strategies.
health and economic impact on our society if no effective
prevention techniques or solutions are found to address it 2.1 IA definitions
(Young 2004).
Effective behaviour monitoring and intervention are As noted earlier, the term “Internet addiction” (IA) was
important, and of great interest in addiction research. introduced to refer to the excessive and uncontrolled online
While much research has so far focused on the detection activity with prolonged Internet use, especially in social net-
of the causes and symptoms of IA and the treatment of the working, online-gaming and use of pornography sites (Mül-
aftermath of excessive Internet use (Douglas et al. 2008), ler et al. 2016). To date, there is no universally accepted
far less is known about effective solutions or prevention definition of IA. Many researchers describe and define IA
techniques for dealing with IA in particular, as opposed differently. Some have described it as compulsive Inter-
to addiction problems in general. Even more interestingly, net use (Meerkerk et al. 2009), behavioural addiction (Al
there has been little discussion on how or whether Inter- Sheibani 2015), Internet addiction disorder (Salicetia 2015),
net technology can be used to help Internet addicts from pathological Internet use and Internet ‘dependence’ (Kuss
spending too much time on the Internet. Of particular con- et al. 2013). Other researchers simply refer to it as the exces-
cern is the growing influence of the “attention economy” sive use of the Internet for diverse online activities such as
(Brynjolfsson and Oh 2012), where the Internet is increas- online gaming, pornography, instant messaging, information
ingly focusing on the demands of an advertising economy. acquisition and social media. The excessive use of applica-
In such an environment, human attention is considered tions on mobile phones and tablets (Zochil 2015) is also
to be a limited and scare commodity, with the task of included in recent work. Similarly, as Lortie and Guitton
social media, for instance, being to continually distract explain (Lortie and Guitton 2013), Internet addictive symp-
human attention through subtle triggers and rewards. Links toms include losing control over Internet use and spending
between IA and attention disorders are emerging [e.g. Ber- an excessive amount of time online. This leads to people
nardi and Pallantini (2009); Carli et al. (2013); Tufail et al. wanting to spend time online more often and longer than
(2015)] to further strengthen the case that IA is a clinical needed, and as a result, there is an ever-growing social isola-
condition that can have a significant impact not just on tion from the real world.
behaviour but also on cognitive development. Figure 1 shows six specific IA types that have been iden-
This paper critically reviews the status of IA and pro- tified and categorised by the American Centre for Online
poses a smart Internet-based IA Recovery Framework Addiction (Salicetia 2015). Kuss et al. (2013) expand the
(IARF) to tackle this emerging and serious problem. The definition of IA by looking at the symptoms appearing in
controversial aspect here is the use of the means of addic- users, such as:
tion as the cure for that addiction. The use of the Inter-
net to cure IA, it could be argued, is like using alcohol • Loss of control over their behaviours.
to cure alcohol addiction, or gambling to cure gambling. • A conflict between the internal and interpersonal aspects
This is where an AI approach is required to ensure that, in of the users.
the absence of any well-established alternative cure, it is • An increasing preoccupation with the Internet.
• The use of the Internet to modify moods.

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relationships seem a safer, more comfortable and easier way


of interacting with others. Some studies claim loneliness
might be a critical factor associated with the development of
IA (Hardie and Tee 2007; Morahan-Martin 1999). The most
addictive Internet-specific activities such as online forum,
chat rooms, or social media such as Facebook and Twitter
suggest that those addictive behaviours are socially moti-
vated. Online affairs (Whitty 2005) are related to marital
problems and discord but it is not always clear which comes
first.
From the psychological perspective, there are two types
of Internet addicts. The first type is the Dual Diagnosed
Internet Addict who suffers from prior psychological illness
or problems such as depression (Ryu et al. 2004), anxiety
(Yen et al. 2007), or obsessive–compulsive disorder (Shapiro
et al. 2000). The second type is the new Internet addict who
does not have any previous psychiatric history, with their
Fig. 1  Six types of internet addition addictive use of Internet being newly acquired.
Some researchers link biological associations with IA
disorders. Liu et al. (2010) used functional magnetic reso-
• Symptoms of withdrawal and escape from the offline nance image (fMRI) to analyse biological development of
(external) environment. brain regions such as the cerebellum and brainstem between
addicts and non-addicts. Along with fMRI studies, electro-
2.2 Risk factors encephalogram (EEG) studies were conducted by Dong et al.
(2010) who found less efficiency in information processing
Some studies focus on the risk factors associated with IA and lower impulse control of addicts than in their normal
development, with Young (2015) identifying three such fac- peers. However, this was not obvious behaviourally (i.e. the
tors: social factors, psychological factors, and biological fac- difference among two groups was only in the EEG signal).
tors, as shown in Fig. 2. Compulsive or problematic Internet Some other studies report that the brain’s grey matter density
use is often caused by interpersonal dysfunction and social (GMD) of Internet addicts is lower than non-addicts in the
difficulties (Ebeling-Witte et al. 2007). Usually the addicts left anterior cingulate cortex and posterior cingulate cortex,
struggle with face-to-face communication while their virtual using voxel-based morphometry (VBM) analysis (Zhou et al.

Fig. 2  Risk factors associated with IA development

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2011). There is a promising new biological research interest of compulsive behaviours in relation to Internet use, such as
in IA through the use of genetic markers. The study of Mon- loss of control, preoccupation, conflict, withdrawal symp-
tag et al. (2012) found that Internet addicts showed higher toms and coping. Its advantage is its brevity and ease of
elevations of their CC genotype of rs1044396 compared to use, allowing the test to be used with other measures. It has
those of non-addicts. been used in several research studies examining compulsive
Improvements in clinical instruments for measuring pos- Internet use (e.g. Wartberg et al. 2014).
sible biological and genetic links with IA may help to iden- South Korea was the first country in the world to estab-
tify individuals potentially most at risk. Further research is lish national laws and systems to address the problem of
required to separate cause of IA from effect of IA using such IA. As part of their effort to tackle the problem, the Korean
measurements. government developed the evaluation and diagnostic scale
for IA known as the K-Scale (Korean Scale) (Koh 2015).
2.3 Internet addiction assessment tools The K-Scale was initially developed and introduced into
middle and high schools across South Korea as a screening
By the end of 2014, approximately 45 psychometric (ques- tool for addictive Internet users (Kim et al. 2008). It was
tionnaire) tools for IA assessments had been developed, but later used in schools and professional counselling centres to
have inherent challenges, such as insufficient validation and diagnose Internet addicts. The scale consists of 20 questions
testing as they were used in only one study (Laconi et al. that measure seven factors including positive anticipation,
2014). This section lists some of the most commonly used withdrawal symptoms, tolerance, virtual interpersonal rela-
assessment tools for IA. tionship, deviant behaviours, and disturbance of adaptive
The Internet Addiction Test (IAT) developed by Young functions (Heo et al. 2014). The severity of the effects of the
(1998) is one of the most well-used diagnostic tools for Internet is measured by the response range, from 20 to 80
Internet addiction. It consists of a 20-item questionnaire points, with each question rated from 1 (never) to 4 (always).
designed to measure users’ psychological dependence, The self-reporting assessment for Internet and computer
compulsive use of the Internet, withdrawal from the outside addiction (AICA-S) include 16-item Self-Reporting Ques-
world, and other related problems associated with an exces- tionnaire. It was designed to measure the components of
sive use of the Internet. Young has classified the questions Internet addiction such as salience, withdrawal, tolerance,
into five categories: academic; relationships; financial; occu- mood modification, relapse, and conflict (Wölfling et al.
pational; and physical. The respondents are required to rate 2010). AICA-S is used in clinical settings and the response
each question on a five-point Likert scale, ranging from 1 is based on the 5-point Likert scale, ranging from 0 (never)
(rarely) to 5 (always). The questionnaire covers the degree to 4 (very often) for the first 15 questions. The last question
to which excessive Internet usage affects different aspects is about the presence of problems as a result of excessive or
of the users’ lives, such as daily routines, social life, work addictive Internet use and is scored from 0.5 (if one problem
productivity, eating, sleeping and feelings (Widyanto and is present) to 3 (if six or more problems are present).
McMurran 2004). The test scores ranges from 20 (minimum) According to Kraut et al. (2002), people with different
to 100 (maximum); the higher the score implies higher level personality traits tend to have different ways of using the
of IA. The results can be very helpful in determining the Internet. In other words, some personality traits are closely
seriousness of problem and can be used as a short screening related to Internet usage behaviours. The Quick Big Five
test (Škaˇrupová et al. 2015). (QBF) questionnaire is a shorter version of the original 100
A person with Compulsive Internet Use (CIU) is regarded item Goldberg’s Big Five questionnaire, which was devel-
as someone who is incapable of controlling his or her online oped in 1992 (Goldberg 1992). It assesses personality traits
activities. CIU has five main characteristics: (1) inability to that can predict a variety of concepts and behaviours of a
stop using the Internet despite the intention to stop; (2) the person in different situations (Vermulst and Gerris 2006),
Internet use has power and influence over the user’s cogni- and is based on five dimensions of personality. These are
tion and behaviour; (3) the user experiences unpleasant emo- emotional stability, extraversion, agreeableness, conscien-
tions when unable to access to the Internet; (4) the Internet is tiousness and openness (Kim et al. 2009).
used as a way to escape from negative feelings or emotions, The scale consists of a 30-item questionnaire (six items
and (5) Internet use can cause disputes and conflict with for each of the five personality traits). The response is based
others or with oneself (Van der Aa et al. 2009). on a 7-point Likert scale, which ranges from 1 = completely
In order to assess the severity of CIU, the compulsive incorrect to 7 = completely correct. A high score on each
Internet use scale (CIUS) was developed in 2009 (Meerkerk personality traits indicates a high level on that personality
et al. 2009). It contains 14 items in a questionnaire with a dimension (Van der Aa et al. 2009).
5-point Likert scale: 0, never; 1, seldom; 2, sometimes; 3, Interestingly, the vast majority of IA assessment tools
often; and 4, very often. CIUS assesses five core elements has been through questionnaires and hardly an attempt has

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been made to assess IA through monitoring or measurement While IA has not been officially recognized as a psychi-
of Internet behaviour and usage itself. That is, nearly all atric disorder, many studies recommend that those with a
IA measurement tools require the user to respond to ques- high-risk of IA should consult a doctor or another mental
tionnaires, with the reliability of the results depending on health professional to deal with it psychologically (Karim
the accuracy with which the user responds to questionnaire and Nigar 2014). However, many health professionals cur-
items. rently might not be able to offer effective treatments to this
new phenomenon of IA. A study by Xiuqin et al. (2010)
also found that mental health symptoms and some personal-
2.4 IA prevention and mediation strategies ity traits such as introversion and psychoticism often occur
simultaneously with IA. Therefore, in order to effectively
Regardless of what types of research methods or tools are tackle the problem of IA, psychological mediation has to
used in IA research, they tend to focus on some if not all of be gradually implemented and treated as part of the whole
the following steps (Lim et al. 2004): intervention process.
Step 1: Identify the pattern of IA symptoms. Parental mediation is described as the strategy employed
Step 2: Investigate the situation or underlying causes to by parents to alleviate negative media effects on their chil-
IA. dren (Clark 2011). Such effects can be mediated by parents’
Step 3: Make a plan or prevention procedure for IA efforts in monitoring and supervising their children’s media
recovery. consumption (Mesch 2009). Parental mediation is consid-
Below are the most reported prevention and mediation ered as a form of parental socialization (Youn 2008).
strategies designed to solve the IA problems. There are three forms of parental mediation strategies:
Lim et al. (2004) introduced a training model that aims to active mediation, restrictive mediation and co-using. In
address IA in schools. His paper follows all the steps men- active mediation, parents play an important role by discuss-
tioned above and develops “preventive education materials” ing appropriate media use with their children. In restrictive
for students to increase their awareness about the negative mediation, parents set rules and regulations to control their
consequences of IA, helping them to develop self-control. children’s media consumption. In co-using, parents aim to
The material is composed of three modules; each module increase their children’s awareness and educate them about
is presented and explained to the students by their class media use via sharing the media experience with them (Shin
teacher. The diagnostic module allows the students to evalu- 2015).
ate the degree of addiction by themselves, and the preventive
activities module encourages each student to keep track of 2.5 Internet‑based intervention mechanisms
and share plans, records and the evaluation of their own
Internet addiction preventive measures with other students. Little is known about smart technology solutions or pre-
Another study by Turel et al. (2015) employs a video- vention techniques that can stop people from spending too
based intervention that aims to change the Internet users’ much time on the Internet. An Internet network mechanism
attitude towards their excessive Internet use. The aim of the created by Weijia and Wenyong (2013) is amongst the very
intervention is to expose the viewers to the threat of IA and few smart technology-based solutions to IA. Their approach
show approaches to deal with it. A survey is also given to consists of an IA Control Database System integrated with
students as soon as they have seen the videos to capture an Online Assessment Service and a Host Sub System. This
their instant feedback and reactions. This video, when shown system provides online assessment services of IA, manages
together with the surveys, has proved to be effective, at least all Internet usage and controls the users’ online behaviours.
in the short run, because its informative and entertaining This has proved to be an effective system in monitoring and
content about IA have caught the viewers’ attention and preventing Internet addictive behaviours. However, a limita-
made them rethink about their Internet routines. tion of this approach is that the system is only ideal for use
Some researchers believe that physical education such at a controlled location, such as school or work place. So if
as sports can act as an intervention at all levels of the IA the user switches location, there is no effective monitoring.
mechanism. It is believed that sport can bring psychologi- MobileCoach is an open source, behavioural interven-
cal benefits that improve our cognitive behaviours, social tion platform for fully automatic digital intervention. It was
interaction, biological and mental health. A study by Liao developed in Zürich, Switzerland and it is designed to moni-
(2011) found that sport is a useful intervention in dealing tor behavioural states and trigger transition states to achieve
with Internet addiction, and that students who play sport the final intervention goals (Filler et al. 2015).
have a lower risk of it than other students. Similarly, Liu and Figure 3 shows the overall system architecture of Mobi-
Dan (2009) found that some physical unconscious needs can leCoach. It employs the concept of web application for the
be met by doing some sport or exercise training. purpose of online feedback and management, and short

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Fig. 3  MobileCoach system architecture

message service (SMS) is the main mode of intervention. et al. 2000). Therefore, diagnosing IA using a clinical inter-
The intervention detection and management are processed view can be challenging. In addition, there is no universally
via the web application of MobileCoach. Emails and SMS agreed definition of IA, and so it is difficult to judge if some-
are sent from the server to the participants. This intervention one is an addict or define the amount of time is online will
platform has been used in Switzerland to address addiction be considered too much before they can be identified as an
problems in young people, such as smoking and excessive Internet addict.
alcohol consumption (Haug 2013; Haug et al. 2013, 2014). Moreover, we are living in a globally connected society
Its effectiveness for dealing with IA in general is not known. where we can connect and communicate with one another
from almost anywhere as long as there is an Internet connec-
tion. There is no doubt that the Internet is slowly becoming
3 Research challenges an inseparable part of our daily life. Many of us rely on the
Internet for many things including work, education, com-
The main research challenges for a smart-technology munication, business, and leisure purposes. The increasing
approach for dealing with IA are identified below. existence of the Internet in many households and work-
places has made the Internet an integral part of the services
3.1 The complexity of IA diagnosis required to keep a household and a business running. In
other words, the Internet can be considered as an utility that
The diagnosis of IA is often complex. Unlike chemical over- we are heavily dependent on, both at home and at work. This
reliance and substance abuse, the Internet provides many raises a controversial argument about whether we should all
benefits as a technological instrument in our society. Peo- consider ourselves to be Internet addicts based on increased
ple conduct business transactions, access banks and edu- time spent online, especially when the Internet is known to
cation materials, communicate, and make holiday plans be useful in our homes and workplaces. Denying access to
and travel bookings using the Internet. Many researchers the Internet purely because someone uses the Internet is not
have reported the psychological and functional benefits of a solution, and so diagnosis must be smart enough to sepa-
the Internet to our society. While alcohol or drugs are not rate necessary time from addictive time.
an essential part of human personal and professional lives,
they do not offer the same advantages of increased benefit. 3.2 Ubiquitous devices
Although many practical signs of IA disorders can easily be
identified and the clinical assessments often cover relevant The emergence of fast speed Internet, social networking, the
disorders, symptoms of IA may not be revealed in an initial social web and mobile applications have influenced the way
clinical interview. Addicts may initially present with signs in which we access and use the Internet. It allows us to be
of depression, anxiety or obsessive–compulsive tendencies, more productive by having a wider access to more informa-
only for the treating professional to later discover signs of tion and to communication channels. On the other hand, we
Internet abuse upon further careful examination (Shapiro tend to be more addicted to the Internet as we spend more

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time online and engage in online activities from anywhere Such workaholic behaviour is not one of the six main
and everywhere. types of IA described in Fig. 1 by the American Centre
The widespread availability and integration of the Inter- for Online Addiction (Salicetia 2015). But we believe that
net into our everyday lives ranging from what we wear there could be a strong correlation between workaholic and
(e.g., smart-watches), what we see (e.g., streamed media) Internet addictive behaviours. When someone is addicted
and what we carry around with us (mobile phones, tablets to work related to information processing sourced through
and computers). This ubiquity has made us online depend- Internet, he or she will show signs of a constant desire to get
ent. Equipped with Internet connectivity capability through online and will spend most of their time on a computer to
cellular and Wi-Fi wireless access technologies, these port- collect, process and even generate new information. These
able devices conveniently stay with us even when we move, symptoms will occur repetitively and might become a seri-
making it possible to use them anytime and anywhere, until ous permanent habit as time goes by. The research challenge
eventually we can become addicted to them. here is to separate necessary use of Internet for carrying out
Wearable devices now come equipped with Internet necessary functions from over-use and addictive use of the
access. These devices are mainly used as activity trackers Internet.
and for health monitoring purposes, as they monitor our
heart-rate, mood, blood-pressure and our physical activities
through complex sensors embedded in the devices. In other 4 Our vision
words, the research challenge here for a smart approach is to
deal with IA not just through computers but through increas- Given the above challenges, we propose an artificial intelli-
ingly portable and wearable technologies. gence (AI)-based IA Recovery Framework (IARF) to tackle
the problem of whether and how appropriate staged inter-
3.3 Workaholic behaviours vention should take place.
The proposed IARF is shown in Fig. 4, and has three key
Students and office workers are two groups of people with a smart components, which are: IA self-assessment (screen-
higher use of computers than most of us since they require ing); monitoring and AI learning; and stepped intervention
and use computers with Internet connectivity. They spend strategies and response.
hours every day in front of their computer screens, both at Firstly, an IA self-assessment or screening process needs
work and at home. This can be seen as an addictive behav- to be conducted to observe the users’ daily Internet usage to
iour if we judge it by the number of hours and the amount determine whether there is an actual IA problem by using
of data usage. a questionnaire-based test. The questionnaire is designed to

Fig. 4  The architecture of the proposed AI-based IARF

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compare a user’s actual daily Internet use to that reported identification number will be needed to associate with each
by the user as desirable or expected. The results of the test individual to ensure universal traceability. Then Internet
can make the respondents aware of their Internet usage sta- usage behaviour data, as evidences, could be further pro-
tus and the possible consequences through comparison with cessed for visualization and knowledge extraction to assist
stored case studies. This test can also be used to motivate the user and counsellors to learn, review and reflect. The
and attract users to join the IA recovery programme, if their data can also be used for training the AI component for fur-
test results suggest they have IA problems and need a treat- ther decision making.
ment. The role of AI here is to identify types of actual Inter- To make the IARF re-configurable, programmable and
net use and build a user profile based on stored profiles for scalable to accommodate human and environmental dynam-
later reference. ics, we propose a metric, called IA violation level l, to quan-
If there is a significant discrepancy between reported/ tify the various levels of violations between the patients’
expected and actual use, an IA problem can be inferred to desired or expected Internet usage and the actual observed
exist and the user will be invited to join the IA recovery Internet usage. Its value represents the different levels of
programme. If the user gives his or her consent to join the severity of this discrepancy as well as variations from
IA recovery programme, an IA consultant or a counsellor recovery plans previously agreed. The level of violation l
such as psychologist, mental health professional, counselling will automatically activate different intervention responses
group at school or at the workplaces could become part of according to the scheduled rules. Here we give an example
this IA intervention programme to help participants and their on what this l can be calculated as:
family. Participants can also request their family to be part
n
of the programme to discuss their addiction problems. The 1∑ ⌣
l= (h − hi )2 .
role of AI here is to help in the setting up plans and rules to n i=1 i
be followed throughout the whole intervention and recov-
ery period, based on monitored Internet usage and previous We can use an equation based on mean-squared-error
case studies. These rules and plans provide the framework (MSE) to calculate l, where l is the violation level. The n
to activate and conduct the various human- and subsequent represents the number of Internet related activities traced,
AI-based intervention strategies and responses. such as web browsing, online gaming, chatroom, Facebook
Secondly, the AI monitoring and learning process starts to etc., and i is the ith Internet activity. The hi is the observed
closely observe and learn the user’s daily amount of Internet usage in hours of the ith activity and ĥi the expected/desired
usage behaviour so as to conduct the corresponding inter- hours of that activity. From the nature of MSE, we can see
ventions. This process needs an AI learning and evaluation that the error margin represents the violation level between
component, and here we describe some key roles it should the observed usage and expected usage. The larger the l, the
play as shown in Fig. 5. more severe the patient violates his or her promise, and so
The IARF needs to monitor and collect patient’s Inter- the more critical the intervention response should become.
net usage data in real time and from other devices he or This is just an example on how the l could be calculated,
she is using (e.g. a desktop, laptop, tablet, mobile phone and it has great potential to also incorporate other temporal,
or any other device connected to the Internet). A unique spatial, content or context information to reveal the underly-
ing factors causing the excessive use of Internet, as well as
weighting them differently to introduce various tolerances or
priorities so as to accommodate different complex situations.
Moreover, using application interfaces (APIs), we can
integrate into to the device’s operation systems and applica-
tions to collect data. Consequently, the data analysis could
assist or enforce adjustments to the Internet supply using
embedded communications and networking. These strate-
gies will be needed to conduct different human- and/or com-
puter-based interventions, such as human alerting, automatic
slow-down or even turn off of the Internet connectivity, or
start charging fees and implementing other penalties to the
user according to overused time. Here we propose stepped
human- and AI-based intervention strategies and responses
including self-governance, peer-assisted, AI-assisted and AI-
enforced according to the different levels of severity on IA
Fig. 5  AI learning and evaluation component and its roles violation, as shown in Fig. 6.

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programme or the recovery goals are accomplished. The


overall proposed IARF is shown in Fig. 7.

5 Conclusion and future work

Today the Internet is widely available and accessible almost


anywhere through our mobile devices and computers via the
widespread use of Wi-Fi and cellular network technology.
This easy access to the Internet has led to an exponential
increase in Internet use in our lives and, in some cases, this
ease of availability has led to excessive and addictive Inter-
net use when someone fails to control and manage his or her
Internet use wisely and productively.
In this paper, we focused on the problem of Internet
addiction and advocate the use of artificial intelligence and
Internet technologies to tackle it. After surveying the current
state-of-the-art, possible risk factors causing the IA problem
and current solutions, we considered the main challenges
that need to be faced for a full exploitation of solutions in
Fig. 6  The stepped intervention strategies and responses the area of IA. In order to achieve this goal, we discussed a
number of architectural features, including self-assessment,
monitoring and AI learning, and various intervention strate-
The processes of self-assessment, monitoring and stepped gies and responses driven by AI. Additionally, we proposed
intervention are throughout the life-cycle of the IA recovery a possible smart architecture for an IARF, its possible func-
and carried out iteratively until the end of the intervention tionality for AI learning and evaluation, a new parameter

Fig. 7  The proposed smart IARF

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254 AI & SOCIETY (2020) 35:245–255

l of IA violation level, and various intervention strategies addiction: metasynthesis of 1996–2006 quantitative research.
and responses. The proposed framework (i.e., IARF) is re- CyberPsychol Behav 12(2):203–207
Carli V, Durkee T, Wasserman D, Hadlaczky G, Despalins R, Kramarz
configurable, programmable and scalable to the dynamic E, Kaess M (2013) The association between pathological internet
changes that could occur during the IA recovery treatment use and comorbid psychopathology: a systematic review. Psycho-
cycle. pathology 46(1):1–13. https​://doi.org/10.1159/00033​7971
One of the assumptions in this paper has been ‘net neu- Clark LS (2011) Parental mediation theory for the digital age. Commun
Theory 21(4):323–343
trality’, which is that all Internet users receive the same Dong G, Lu Q, Zhou H, Zhao X (2010) Impulse inhibition in people
level of service. There has been no work on the relationship with internet addiction disorder: electrophysiological evidence
between IA and net neutrality. As recent events in the USA from a Go/NoGo study. Neurosci Lett 485:138–142
have shown, we cannot take net neutrality for granted in Douglas AC, Mills JE, Niang M, Stepchenkova S, Byun S, Ruffini
C et  al (2008) Internet addiction: meta-synthesis of qualita-
future. If Internet users are charged more for the same level tive research for the decade 1996–2006. Comput Hum Behav
of service they currently receive, this could have an effect 24(6):3027–3044
on IA in the same way that adding extra tax to cigarettes and Ebeling-Witte S, Frank ML, Lester D (2007) Shyness, internet use, and
alcohol can reduce smoking and drink addiction. However, personality. CyberPsychol Behav 10:713–716
Filler A, Kowatsch T, Haug S, Wahle F, Staake T, Fleisch E (2015)
increased taxes can also make the problem worse by forcing MobileCoach: a novel open source platform for the design of
addicts to spend even more on their habits, with the increas- evidence-based, scalable and low-cost behavioral health interven-
ing financial strain leading to possible criminal behaviours. tions: overview and preliminary evaluation in the public health
However, it is too early to say what the effects of net non- context. Paper presented at the wireless telecommunications sym-
posium (WTS), New York, NY, USA
neutrality will be on IA. Goldberg LR (1992) The development of markers for the Big-Five
Given the rate of growth of the Internet as well as peo- factor structure. Psychol Assess 4(1):26–26
ple’s use of it, we believe it is only a matter of time before Hardie E, Tee MY (2007) Excessive internet use: the role of personal-
well-informed and effective intervention strategies will be ity, loneliness and social support networks in internet addiction.
Aust J Emerg Technol Soc 5:34–47
required for IA. Our proposal is to use the Internet as part Haug S (2013) Mobile phone text messaging to reduce alcohol and
of the intervention strategy and to use AI to maximise pos- tobacco use in young people—a narrative review. Smart Home-
sible effectiveness. In this paper we have outlined a proof of care Technol TeleHealth 1:11–19
concept framework that uses AI and the Internet for staged Haug S, Schaub MP, Venzin V, Meyer C, John U (2013) Efficacy of
a text message-based smoking cessation intervention for young
intervention strategies. It is not known whether our strategy people: a cluster randomized controlled trial. J Med Internet Res
will work but it is also not clear what the effectiveness will 15(8):e171
be of non-Internet-based strategies, given that currently it Haug S, Castro RP, Filler A, Kowatsch T, Fleisch E, Schaub MP (2014)
is nearly impossible to work or live without the Internet in Efficacy of an Internet and SMS-based integrated smoking ces-
sation and alcohol intervention for smoking cessation in young
some form. We therefore conclude that an Internet-based people: study protocol of a two-arm cluster randomised controlled
strategy to cure IA that is smart in the way that it goes about trial. BMC Public Health 14(1):1140
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Kim DI, Chung YJ, Lee EA, Kim DM, Cho YM (2008) Development
of internet addiction proneness scale-short form (KS scale). Korea
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