Implementation of Internet-based Cognitive Behavior Therapy for Problem Gambling in Routine Addiction Care: A Feasibility Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Karolinska Institutet
- Enrollment
- 23
- Locations
- 1
- Primary Endpoint
- The Gambling Symptom Assessment Scale (G-SAS)
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •being at least 18 years old
- •living in Sweden
- •being able to read and write Swedish.
- •having a total score of >= 3 on the Problem Gambling Severity Index (PGSI; Ferris & Wynne, 2001)
- •having the ability to work with online treatment material by themselves (with support from a therapist)
Exclusion Criteria
- •fulfilling criteria for ongoing manic episode
- •currently undergoing a parallel CBT treatment for Gambling Disorder or problem gambling.
Arms & Interventions
iCBT for Gambling Disorder
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.
Intervention: iCBT (Behavioral)
Outcomes
Primary Outcomes
The Gambling Symptom Assessment Scale (G-SAS)
Time Frame: Past 7 days
Gambling symptoms
Secondary Outcomes
- The 9-item Patient Health Questionnaire (PHQ-9(Past 2 weeks)
- the 26-item World Health Organization Quality of Life-BREF (WHOQOL-BREF)(Past 2 weeks)
- The Drug Use Disorders Identification Test (DUDIT)(Past 12 months)
- The 7-item Generalised Anxiety Disorder scale (GAD-7)(Past 2 weeks)
- The Gambling Time Line Follow Back (TLFB-G)(Past 7 days)
- The Alcohol Use Disorders Identification Test (AUDIT)(Past 12 months)
Investigators
Anne H Berman
Associate professor
Karolinska Institutet