Efficacy of a Group Intervention Grounded in Acceptance and Commitment Therapy (ACT) to Address Problem Gambling in Youth: A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 72
- 试验地点
- 1
- 主要终点
- Change in Problem Gambling Severity Index (PGSI)
研究概览
简要总结
The goal of this randomized clinical trial is to study if Acceptance and Commitment Therapy (ACT) is effective to treat Problem Gambling in young adults.The main questions it aims to answer are:
- Does ACT therapy improve health and gambling behavior?
- Are the clinical improvements of youth with gambling disorder receiving ACT-based intervention significantly greater than the clinical improvements of youth with gambling disorder on the waiting list?
Researchers will assess whether changes in health, gambling behavior, and other psychological variables are observed after eight weeks of therapy.
Participants will:
- Attend weekly online group sessions for 8 weeks
- Learn new tools that they will put into practice after the sessions
- Be required to complete evaluation questionnaires before and after the intervention and at the 3- and 6-month follow-up
详细描述
After being informed about the study, all patients giving written informed consent will be assessed to determine eligibility for study entry.
Patients who meet eligibility requirements will receive psychological intervention consisting in an 8-session group on line-delivered ACT-based treatment.
The participants will be assessed through self-report instruments before and after treatment and at 3 and 6 months follow-up.
The clinical trial will include a control group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 25 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 18 and 25 years
- •Score ≥ 3 on the Problem Gambling Severity Index (PGSI)
- •Comprehension of Spanish, online connection, and signed consent
排除标准
- •In active psychological or pharmacological treatment for gambling disorder
- •Having received ACT-based psychological treatment in the last 6 months
- •Problematic substance use: CAGE Adapted to Include Drugs Questionnaire (CAGE-AID) score ≥ 3
- •Difficulty consistently attending online sessions
研究组 & 干预措施
ACT group
8 individual weekly sessions which included ACT methods
干预措施: Acceptance and Commitment Therapy (ACT) (Behavioral)
Waiting list
Participants assigned to Waiting List arm waited for 2 months before receiving treatment
结局指标
主要结局
Change in Problem Gambling Severity Index (PGSI)
时间窗: Change from Baseline severity of problem gambling at 8 months
The PGSI is a 9-item, 4-point Likert-format self-report scale (0 = never, 3 = almost always) that assesses the severity of problem gambling. Scores range from 0 to 27. A score of 8 or higher is considered indicative of problem gambling. Higher scores indicate greater severity of the disorder.
次要结局
- Change in Difficulties in Emotion Regulation Scale (DERS-28)(Change from Baseline emotion regulation at 8 months)
- Change in the Comprehensive ACT Process Assessment Questionnaire (CompACT)(Change from Baseline psychological flexibility at 8 months)
- Change in General Health Questionnaire (GHQ-12)(Change from Baseline psychological distress and perceived general health at 8 months)
- Change in Values Living Questionnaire (VLQ)(Change from Baseline value-behavior alignment at 8 months)
- Change in Gambling-Related Emotional Distress Scale(Change from Baseline gambling-related distress at 8 months)
- Change in Gambling-Related Experiential Avoidance scale(Change from Baseline Experiential Avoidance at 8 months)
- Change in the frequency of self-reported gambling behaviors(Change from Baseline gambling behaviors at 8 months)
- Change in the frequency of committed actions(Change from Baseline committed actions at 8 months)