ICBTG in Routine Care

Not Applicable

Completed

• Conditions: Problem Gambling; Gambling Disorder
• Interventions: Behavioral: iCBT

• Registration Number: NCT03946098
• Lead Sponsor: Karolinska Institutet

Brief Summary

Problem gambling (PG) is a major public health concern worldwide. As awareness of PG has risen, treatment demand is increasing, and internet interventions is a promising alternative for providing fast, evidence-based treatment at scale, to a low cost. This article presents the protocol of an open label, uncontrolled pilot and feasibility trial of a novel internet-delivered cognitive behavioral treatment, conducted in regular addiction care with adult treatment-seeking patients (max N=25) with problematic gambling. Weekly measures of gambling symptoms and gambling will serve as outcome measures. Study results will further guide the development of the intervention and its implementation into regular addiction care.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-04-28
• Study First Submitted QC: 2019-05-09
• Study First Posted: 2019-05-10
• Study Start: 2019-10-04
• Primary Completion: 2021-02-09
• Study Completion: 2021-02-09
• Status Verified: 2021-12
• Last Update Submitted: 2021-12-11
• Last Update Posted: 2022-01-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 23

Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
iCBT for Gambling Disorder	iCBT	Treatment will consist of a 1+10 module internet delivered CBT program targeting problem gambling, newly developed. A bottom-up procedure was used to develop the treatment protocol, inspired by Clark's (2004) method for developing novel CBT treatments. We developed a clinical model delineating what factors contribute to the persistence of problem gambling behavior, and aligned these with targeted treatment interventions; based on behavioral upon research on the learning and maintenance processes of gambling behavior (Ramnerö et al, in press), theoretical models of gambling and comorbidity (Blaszczynski \& Nower, 2002); as well as qualitative interviews with treatment seeking gamblers with or without comorbidity.

Primary Outcome Measures

Name	Time	Method
The Gambling Symptom Assessment Scale (G-SAS)	Past 7 days	Gambling symptoms

Secondary Outcome Measures

Name	Time	Method
The 9-item Patient Health Questionnaire (PHQ-9	Past 2 weeks	Depressive symptoms
the 26-item World Health Organization Quality of Life-BREF (WHOQOL-BREF)	Past 2 weeks	Quality of life
The Drug Use Disorders Identification Test (DUDIT)	Past 12 months	Drug use
The 7-item Generalised Anxiety Disorder scale (GAD-7)	Past 2 weeks	Anxiety symptoms
The Gambling Time Line Follow Back (TLFB-G)	Past 7 days	Gambling behavior
The Alcohol Use Disorders Identification Test (AUDIT)	Past 12 months	Alcohol use

Trial Locations

Locations (1)

eStöd; 🇸🇪 Stockholm, Sweden