The Stanford Gambling Addiction Therapy Study (SGATS) in Colorado
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 375
- 主要终点
- Change in Willingness to Pay for CBT
研究概览
简要总结
Many people with mental health conditions do not seek treatment, and it is unclear what exactly prevents people from taking up treatment. The goal of this interventional study is to learn about how people think about cognitive behavioral therapy (CBT) for gambling disorders. The main questions it aims to answer are:
- Do people have incorrect beliefs about the net benefits of CBT? If yes, which beliefs are those, and how much do people underestimate or overestimate the benefits?
- Is a small monetary incentive (that participants receive conditional on trying out CBT) helpful in increasing take-up of CBT?
Apart from these questions, the researchers will also study how well CBT works to treat gambling disorders.
Participants will be asked to complete two surveys over four months and might be offered a modest monetary incentive for doing (free) CBT if they are in the treatment group. Researchers will compare that treatment group to a control group. Participants in the control group will have access to free CBT and do the same two surveys as those in the treatment group, but will not receive the monetary incentive.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Care Provider)
盲法说明
Participants will know whether they are offered the incentive or not. Care providers (i.e., counselors at Kindbridge Behavioral Health) will not know (and participants can access care regardless of whether they are in the treatment group or not).
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •must reside in Colorado
- •must be English-speaking
排除标准
- •does not reside in Colorado
- •is not English-speaking
研究组 & 干预措施
No Incentive
The "No Incentive" arm will participate in two surveys-including questions about beliefs about therapy and willingness to pay for therapy, gambling behavior, and well-being-at the baseline and at the end (four months after the first survey). The arm will have access to free cognitive behavioral therapy through Kindbridge Behavioral Health, but will not receive a monetary incentive to undergo therapy.
Fixed Incentive
The "Fixed Incentive" arm will participate in two surveys-including questions about beliefs about therapy and willingness to pay for therapy, gambling behavior, and well-being-at the baseline and at the end (four months after the first survey). The arm will have access to free cognitive behavioral therapy through Kindbridge Behavioral Health and will be offered a modest monetary incentive to undergo therapy. The incentive will be in form of an electronic gift card. The amount of money offered as an incentive will not depend on the participants' survey replies.
干预措施: Monetary Incentive for Take-Up of Cognitive Behavioral Therapy (Behavioral)
Payment According to Multiple Price List Choices
The "Multiple Price List" arm will participate in two surveys-including questions about beliefs about therapy and willingness to pay for therapy, gambling behavior, and well-being-at the baseline and at the end. The arm will have access to free cognitive behavioral therapy through Kindbridge Behavioral Health and might be offered a modest monetary incentive to undergo therapy. More specifically, for all arms, the surveys will include a multiple price list to gauge willingness to pay for CBT. For this "multiple price list" arm, one of the rows from the multiple price list will be (randomly) picked and implemented. Depending on what the participant answered in the randomly picked row, they will either receive an unconditional payment or a payment conditional on undergoing CBT. In either case, the payment will be in form of an electronic gift card.
干预措施: Monetary Incentive for Take-Up of Cognitive Behavioral Therapy (Behavioral)
结局指标
主要结局
Change in Willingness to Pay for CBT
时间窗: Baseline and 4 months
Change in participants' willingness to pay (in USD; elicited through multiple price lists) for CBT from baseline to follow-up survey.
Change in Beliefs about CBT
时间窗: Baseline and 4 months
Change in participants' beliefs about therapy (such as effectiveness, unpleasantness, stigma, etc.) will between baseline and follow-up survey (4 months after baseline).
Attendance of CBT sessions
时间窗: 4 months
Dates and number of CBT sessions participants attend (as long as they are with Kindbridge Behavioral Health) between baseline survey and follow-up survey (afer 4 months).
Change in Subjective Well-Being
时间窗: Baseline and 4 months
Change in measure of participants' wellbeing from baseline to follow-up (at four months), computed using Likert scale style questions about feeling happy/depressed/satisfied/anxious/etc. Answers are on a seven-point scale from "strongly disagree" through "neutral" to "strongly agree." Points for each question are coded such that more positive answers get more points (so from most negative to most positive, the points -1, -2/3, -1/3, 0, 1/3, 2/3, 1 are awarded) and subjective well-being is the sum of all points.
Change in Gambling Consumption
时间窗: Baseline and 4 months
Amount wagered (in USD) in online and offline gambling by participants over the last month. Difference between stated amount at baseline and stated amount in follow-up survey.
次要结局
未报告次要终点
研究者
Sarah Bogl
Graduate Student
Stanford University