Clinical trial NCT05084885: The Context of Gambling Treatment: Towards Creating an Online Service to Reduce Problem Gambling - Part Five
Official title: The Context of Gambling Treatment: Towards Creating an Online Service to Reduce Problem Gambling - Part Five
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Problem Gambling
Lead sponsor: Centre for Addiction and Mental Health
Sponsor class: OTHER
Collaborators: name: Ontario Ministry of Health and Long Term Care
First posted: 2021-10-20
Enrollment: 16
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: SINGLE_GROUP
Intervention model description: The study will be evaluated using a pre-test vs. post-test design.
Primary purpose: TREATMENT

Brief summary: This application involves a multi-stage study with the ultimate goal of developing an online treatment service for problem gamblers. We will recruit up to 100 problem gamblers, and offer problem gambling treatment services to them entirely over the internet. The program will be evaluated based on uptake, experience of the participants, and pre-test vs post-test differences in gambling and well-being.

Detailed description: Disordered gambling is now recognized as a behavioral addiction. Although the physical consequences of the disorder are very mild, the financial and emotional costs can be enormous. This application involves a multi-stage study with the ultimate goal of developing an online treatment service for problem gamblers. This project was originally designed to take place over a three-year period but has been condensed into two. Part one was scoping review. Part two involved focus groups with service providers and people experiencing gambling problems. Part three will gather some general population information on two on going population survey's run by our research team. Part four Involved key informant interviews, and part five would be the development and evaluation of a pilot online treatment service. This application deals with part five of the overall project, Parts two and four were conducted as 025-2017. In this study, we will recruit up to 100 problem gamblers, and offer problem gambling treatment services to them entirely over the internet. The program will be evaluated based on uptake, experience of the participants, and pre-test vs post-test differences in gambling and well-being. The data reported here are related to part 5 only. Due to funding cuts, we were only able to include 2 people in the completed study.

Eligibility criteria: Inclusion Criteria:

* problem gamblers seeking treatment who are 18 years and older must be willing to have therapy conducted online must have access to a computer and Internet be able to communicate in English.

Exclusion Criteria:

* not able to communicate in English, has current suicidal ideation, acute psychotic symptoms, current involvement in other gambling treatment, has severe substance abuse problem or complex mental health problems (as assessed by screening tools)

Primary outcomes:
measure: Changes in Gambling Frequency as Measured by Self Reported Frequency on 12 Different Types of Gambling.
timeFrame: Change from baseline to 3 months
measure: Changes in Problem Gambling Severity Index (PGSI; Ferris & Wynne, 2001).
timeFrame: Change from baseline to 3 months
measure: Changes in Kessler-6 (K6; Galea, et al., 2007).
timeFrame: Change from baseline to 3 months
measure: Changes in Mindful Attention Awareness Scale (MAAS; Brown & Ryan, 2003).
timeFrame: Change from baseline to 3 months
measure: Changes in Number of Games Played
timeFrame: Change from baseline to 3 months
Secondary outcomes:
measure: Changes in Gambling Frequency as Measured by Self Reported Frequency on 12 Different Types of Gambling
timeFrame: Change from baseline to 12 months followup
measure: Changes in Problem Gambling Severity Index (PGSI; Ferris & Wynne, 2001).
timeFrame: Change from baseline to 12 months followup
measure: Changes in Kessler-6 (K6; Galea, et al., 2007).
timeFrame: Change from baseline to 12 months followup
measure: Changes in Mindful Attention Awareness Scale (MAAS; Brown & Ryan, 2003).
timeFrame: Change from baseline to 12 months followup
measure: Changes in Number of Games Played
timeFrame: Change from baseline to 12 months followup
Other outcomes:
measure: Changes in Quality of lifeInventory (QLI) (Heun, et al., 2001)
timeFrame: Change from baseline to 3 months
measure: Changes in Quality of lifeInventory (QLI) (Heun, et al., 2001)
timeFrame: Change from baseline to 12 months followup
measure: Changes in Perceived Social Support (PSS) (Zimet et al., 1988)
timeFrame: Change from baseline to 3 months
measure: Changes in Perceived Social Support (PSS) (Zimet et al., 1988)
timeFrame: Change from baseline to 12 months followup
measure: Changes in The Random Events Knowledge Test (REKT)
timeFrame: Change from baseline to 3 months
measure: Changes in The Random Events Knowledge Test (REKT) Turner et al., (2006)
timeFrame: Change from baseline to 12 months followup
measure: Changes in Visual Analog Scale of Cravings.
timeFrame: Change from baseline to 3 months
measure: Changes in Visual Analog Scale of Cravings.
timeFrame: Change from baseline to 12 months followup.
measure: Changes in Total Money Spent
timeFrame: Change from baseline to 3 months
measure: Changes in Total Money Spent
timeFrame: Change from baseline to 12 months followup.
Locations:
city: Toronto
country: Canada
facility: Centre for Addiction and Mental Health
state: Ontario
Study officials:
affiliation: Centre for Addiction and Mental Health
name: Nigel E Turner, Ph.D
role: PRINCIPAL_INVESTIGATOR
References: