Online Interventions for Gamblers With and Without Co-occurring Mental Health Concerns

Sponsor

Centre for Addiction and Mental Health (Other)

Overall Status

Completed

CT.gov ID

NCT02800096

Collaborator

(none)

284

Enrollment

Location

Arms

14.3

Actual Duration (Months)

19.8

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Comorbidity between problem gambling and mental health concerns such as anxiety and depression is common. Further, the treatment needs of people with co-occurring gambling and mental health concerns may be different from those of problem gamblers who do not have a co-occurring mental health concern. The present study is a two-arm, double blinded, parallel group randomized controlled trial (RCT) that will evaluate whether there is a benefit to providing access to mental health Internet interventions (G+MH intervention) in addition to an Internet intervention for problem gambling (G-only intervention) in participants with gambling problems who do or do not have co-occurring mental health concerns.

Condition or Disease	Intervention/Treatment	Phase
Gambling Depression Anxiety	Behavioral: Gambling Internet intervention Behavioral: MoodGYM	N/A

Detailed Description

People with gambling concerns will be recruited using targeted advertisements. Potential participants will be screened using an online survey to identify participants meeting criteria for problem gambling. As part of the baseline screening process, measures of current depression and anxiety will be assessed. Eligible participants agreeing to take part in the study will be randomized to one of two versions of an online intervention for gamblers - an intervention that just targets gambling issues (G-only) versus one that contains interventions for anxiety and depression in addition to an intervention for gamblers (G+MH). It is predicted that problem gamblers who do not have co-occurring mental health concerns will display no significant difference between intervention conditions at a six-month follow-up. However, for those with co-occurring mental health concerns, it is predicted that participants receiving access to G+MH website will display significantly reduced gambling outcomes at six-month follow-up as compared to those provided with G-only website.

Study Design

Study Type:

Interventional

Actual Enrollment :

284 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Double (Participant, Investigator)

Primary Purpose:

Health Services Research

Official Title:

Online Interventions for Problem Gamblers With and Without Co-occurring Mental Health Concerns: Randomized Controlled Trial

Actual Study Start Date :

Jun 1, 2016

Actual Primary Completion Date :

Aug 11, 2017

Actual Study Completion Date :

Aug 11, 2017

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: Gambling Internet intervention The gambling only Internet intervention (G-only) will consist of a new online version of self-change tools that have previously been translated successfully into an online form and shown to have a significant impact on gambling in three trials. A major focus of this intervention is to provide individuals with clear and concise behavioral and cognitive strategies for meeting the goal of reducing or quitting gambling.	Behavioral: Gambling Internet intervention The gambling Internet intervention consists of a new online version of self-change tools that have previously been translated successfully into an online form and shown to have a significant impact on gambling in three trials. A major focus of this intervention is to provide individuals with clear and concise behavioral and cognitive strategies for meeting the goal of reducing or quitting gambling.
Experimental: Gambling Internet intervention + MoodGYM The G+MH intervention condition will consist of the G-only intervention and an online intervention for depression and anxiety. The mental health intervention chosen is MoodGYM, an extensively evaluated intervention found to be effective in a variety of different settings.	Behavioral: Gambling Internet intervention The gambling Internet intervention consists of a new online version of self-change tools that have previously been translated successfully into an online form and shown to have a significant impact on gambling in three trials. A major focus of this intervention is to provide individuals with clear and concise behavioral and cognitive strategies for meeting the goal of reducing or quitting gambling. Behavioral: MoodGYM Internet intervention for depression and anxiety - MoodGYM, an extensively evaluated intervention found to be effective in a variety of different settings.

Arm

Intervention/Treatment

Active Comparator: Gambling Internet intervention

The gambling only Internet intervention (G-only) will consist of a new online version of self-change tools that have previously been translated successfully into an online form and shown to have a significant impact on gambling in three trials. A major focus of this intervention is to provide individuals with clear and concise behavioral and cognitive strategies for meeting the goal of reducing or quitting gambling.

Behavioral: Gambling Internet intervention

The gambling Internet intervention consists of a new online version of self-change tools that have previously been translated successfully into an online form and shown to have a significant impact on gambling in three trials. A major focus of this intervention is to provide individuals with clear and concise behavioral and cognitive strategies for meeting the goal of reducing or quitting gambling.

Experimental: Gambling Internet intervention + MoodGYM

The G+MH intervention condition will consist of the G-only intervention and an online intervention for depression and anxiety. The mental health intervention chosen is MoodGYM, an extensively evaluated intervention found to be effective in a variety of different settings.

Behavioral: Gambling Internet intervention

Behavioral: MoodGYM

Internet intervention for depression and anxiety - MoodGYM, an extensively evaluated intervention found to be effective in a variety of different settings.

Outcome Measures

Primary Outcome Measures

The NORC DSM-IV Screen for Gambling Problems (NODS) past 3 month version indicating DSM-IV gambling severity. [3 and 6 months]
Change in gambling severity (NODS) from baseline

Secondary Outcome Measures

Number of days gambled per month [3 and 6 months]
Change in mean days per month gambling from baseline

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

18 years of age or over
Score of 3 or greater on the Problem Gambling Severity Index of the Canadian Problem Gambling Index (PGSI- CPGI)

Exclusion Criteria:

None

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Centre for Addiction and Mental Health	Toronto	Ontario	Canada	M5S 2S1

Sponsors and Collaborators

Centre for Addiction and Mental Health

Investigators

Principal Investigator: John A Cunningham, Ph.D., Centre for Addiction and Mental Health

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

The Centre for Addiction and Mental Health (CAMH) is the leading mental health and addictions research facility in Canada, and one of the largest in the world.

Publications

None provided.

Responsible Party:

John Cunningham, Senior Scientist, Centre for Addiction and Mental Health

ClinicalTrials.gov Identifier:

NCT02800096

Other Study ID Numbers:

004/2015

First Posted:

Jun 15, 2016

Last Update Posted:

Oct 25, 2017

Last Verified:

Oct 1, 2017

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Additional relevant MeSH terms:

Gambling

Study Results

No Results Posted as of Oct 25, 2017