Internet-based Cognitive Behavioral Therapy for Gambling Disorder and and Comorbidities - a Pilot Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Karolinska Institutet
- Enrollment
- 30
- Locations
- 2
- Primary Endpoint
- The Gambling Symptom Assessment Scale
Study Overview
Brief Summary
The study is a pilot study (Total N=30), with at pre, weekly during treatment, post and at three-month follow-up.
Detailed Description
Recruitment will be done through online advertisement via social media and gambling-related websites. Participants will self-referred to the study via a study dedicated website (www.spelstudien.se). Login to a treatment platform will be verified using double authentication (detailed description of the online platform is provided in the application to the Swedish Ethical Review Authority). Written information about the study will be provided on the web page. Consent will be done online, with the possibility for participants to download study information and consent. Consenting participants will start a screening procedure. After screening, participants will be contacted for a telephone assessment with a clinical psychologist. During this interview, participants will be assessed for GD with a diagnostic interview, as well as the inclusion criteria for utilization of "Spelpaus".
If meeting criteria for the study, participants will be referred to the baseline/ pre-measures - which will start with an additional informed consent for the treatment phase and the iCBT. Inclusion will be done after the completion of the informed consent and baseline/pre-measures. After that, participant will get access to the iCBT.
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
- •Screen positive for GD, as measured with the Gambling Disorder Identification Test (total score ≥20 GDIT).
- •Fulfilling GD, assessed according to the Structured Clinical Interview for Gambling Disorder (SCI-GD).
- •Utilization of "Spelpaus" (3 months from treatment start).
- •≥18 years of age.
- •Able to provide digital informed consent.
- •Classified within pathways 2 or 3, as measured with the Gambling pathways Questionnaire (GPQ).
- •Screen positive for at least one common mental diagnosis in addition to GD, assessed according to the Web Screening Questionnaire (WSQ).
Exclusion Criteria
- •Other ongoing psychological treatment for GD.
- •Severe depression, screened according to the Montgomery Åsberg Depression Rating Scale (total score >34 MADRS-S).
- •Suicidality, screening of ≥4 points on item 9 of the MADRS-S
Arms & Interventions
Internet-based iCBT targeting Gambling Disorder and comorbidities
An 8 module internet-based iCBT program targeting Gambling Disorder and comorbidities, administered with treatment support.
Intervention: iCBT for Gambling Disorder and psychiatric comorbidities (Behavioral)
Outcomes
Primary Outcomes
The Gambling Symptom Assessment Scale
Time Frame: Six months after treatment cessation
Primary outcome will be gambling symptoms, measured with the the Gambling Symptom Assessment Scale. Minimum score is 0 and maximum score is 48, with higher scores indicated higher frequency of gambling symptoms.
Secondary Outcomes
- The Generalized Anxiety Disorder 7-itemscale(Six months after treatment cessation)
- The TimeLine Followback for gambling(Six months after treatment cessation)
- The Patient Health Questionnaire(Six months after treatment cessation)
- The Alcohol Use Disorders Identification Test(Six months after treatment cessation)
- The Drug Use Disorders Identification Test(Six months after treatment cessation)
Investigators
Olof Molander
Principal Investigator
Karolinska Institutet