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This discrepancy in judgment diminished across the study period as parents became milder in rating problem severity. MDFT better retained families in treatment than FTAU. Family therapy, especially MDFT, was effective in treating adolescent IGD. Improvements in family relationships may contribute to the treatment success. Our findings are promising but need to be replicated in larger study. ISRCTN 11142726. ISRCTN 11142726.Water, sanitation, and hygiene (WASH) practices emerged as a critical component to controlling and preventing the spr