Internet-based Cognitive Behavioral Therapy for Individuals With Gambling Disorder in Indonesia

Study Overview
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Brief Summary
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Gambling disorder (GD) has become a wide concern in Indonesia, as many negative consequences aroused from this psychiatric condition. Prompt treatment with appropriate method of delivery is required to achieve optimal outcome in GD patients. This study aims to determine the effectiveness and feasibility of internet-based cognitive behavioral therapy (iCBT) in treating GD. This non-randomised pilot and feasibility study will recruit 20 people with GD. All participants will receive the iCBT intervention through self-learning videos and guided weekly group sessions. The effectiveness of the intervention will be assessed at baseline (week 0), post-treatment completion (week 10), and 6 weeks post-treatment (week 16). Expanded access of the iCBT module will not be available until after the study completion.

Official Title
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Internet-based Cognitive Behavioral Therapy for Individuals With Gambling Disorder in Indonesia: a Pilot and Feasibility Study

Conditions
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Gambling

Intervention / Treatment
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* Behavioral: iCBT


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: be aged 18-59 years old; be screened as probable pathological gambler based on South Oaks Gambling Screen (SOGS); have access to electronic devices (ie, smartphone, mobile tablet, personal computer) with internet connection; be proficient in Indonesian language; have agreed to take part in the study by filling out the informed consent form. Exclusion Criteria: have severe mental disorders or intellectual disabilities; have extreme agitation that hinder instrument fill out and adequate cognitive behavior therapy participation.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 59 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Internet-based Cognitive Behavioral Therapy<br>10 guided therapy sessions (once-weekly) with each session lasting 20 minutes. | Behavioral: iCBT<br>* All participants will undergo 10 guided therapy sessions (once-weekly) with each session lasting 20 minutes. The therapy module will be given as an online self-learning source via videos in a website specifically developed for this training. The videos will divide the module content into several parts with each video lasting about 10 minutes.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gambling symptom severity | a decrease in Gambling Symptom Assessment Scale (G-SAS) score | G-SAS will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16) | 
| Problem gambling severity | a decrease in Problem Gambling Severity Index score | PGSI will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16) | 
| Gambling urges | a decrease in Gambling Urge Scale (GUS) score | GUS will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16) | 
| Gambling-related cognitive distortions | a decrease in Gambling Related Cognitions Scale (GRCS) score | GRCS will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nonspecific psychological distress | a decrease in Self Rating Questionnaire-20 (SRQ-20) score | SRQ-20 will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16) | 
| Subjective quality of life | an increase in World Health Organization Quality-of-Life Scale (WHOQOL-BREF) score | WHOQOL-BREF will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16) |