Beliefs About Mental Health Treatment - Gambling Addiction Study in Colorado
NCT Number: NCT06517849
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Gambling Disorder|Gambling Problem|Mental Health Issue
Interventions: BEHAVIORAL: Monetary Incentive for Take-Up of Cognitive Behavioral Therapy
Sponsor: Stanford University
Collaborators: Kindbridge Research Institute
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 375
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: SINGLE (CARE_PROVIDER)|Primary Purpose: OTHER
Start Date: 2024-09
Completion Date: 2025-05

Summary:
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.

Primary Outcome Measures: Change in Willingness to Pay for CBT, Change in participants' willingness to pay (in USD; elicited through multiple price lists) for CBT from baseline to follow-up survey., Baseline and 4 months|Change in Beliefs about CBT, Change in participants' beliefs about therapy (such as effectiveness, unpleasantness, stigma, etc.) will between baseline and follow-up survey (4 months after baseline)., Baseline and 4 months|Attendance of CBT sessions, 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)., 4 months|Change in Gambling Consumption, 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., Baseline and 4 months|Change in Subjective Well-Being, 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., Baseline and 4 months