Implementation of Internet-based Cognitive Behavior Therapy for Problem Gambling in Routine Addiction Care: A Feasibility Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 23
- 试验地点
- 1
- 主要终点
- The Gambling Symptom Assessment Scale (G-SAS)
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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)
排除标准
- •fulfilling criteria for ongoing manic episode
- •currently undergoing a parallel CBT treatment for Gambling Disorder or problem gambling.
研究组 & 干预措施
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.
干预措施: iCBT (Behavioral)
结局指标
主要结局
The Gambling Symptom Assessment Scale (G-SAS)
时间窗: Past 7 days
Gambling symptoms
次要结局
- 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)
研究者
Anne H Berman
Associate professor
Karolinska Institutet