iCBTG: ICBTG in Routine Care

Sponsor

Karolinska Institutet (Other)

Overall Status

Completed

CT.gov ID

NCT03946098

Collaborator

(none)

Enrollment

Location

Arm

16.2

Actual Duration (Months)

1.4

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Problem gambling (PG) is a major public health concern worldwide. As awareness of PG has risen, treatment demand is increasing, and internet interventions is a promising alternative for providing fast, evidence-based treatment at scale, to a low cost. This article presents the protocol of an open label, uncontrolled pilot and feasibility trial of a novel internet-delivered cognitive behavioral treatment, conducted in regular addiction care with adult treatment-seeking patients (max N=25) with problematic gambling. Weekly measures of gambling symptoms and gambling will serve as outcome measures. Study results will further guide the development of the intervention and its implementation into regular addiction care.

Condition or Disease	Intervention/Treatment	Phase
Problem Gambling Gambling Disorder	Behavioral: iCBT	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

23 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Implementation of Internet-based Cognitive Behavior Therapy for Problem Gambling in Routine Addiction Care: A Feasibility Study

Actual Study Start Date :

Oct 4, 2019

Actual Primary Completion Date :

Feb 9, 2021

Actual Study Completion Date :

Feb 9, 2021

Arms and Interventions

Arm	Intervention/Treatment
Experimental: iCBT for Gambling Disorder Treatment will consist of a 1+10 module internet delivered CBT program targeting problem gambling, newly developed. A bottom-up procedure was used to develop the treatment protocol, inspired by Clark's (2004) method for developing novel CBT treatments. We developed a clinical model delineating what factors contribute to the persistence of problem gambling behavior, and aligned these with targeted treatment interventions; based on behavioral upon research on the learning and maintenance processes of gambling behavior (Ramnerö et al, in press), theoretical models of gambling and comorbidity (Blaszczynski & Nower, 2002); as well as qualitative interviews with treatment seeking gamblers with or without comorbidity.	Behavioral: iCBT A newly developed iCBT protocol targeting problem gambling.

Arm

Intervention/Treatment

Experimental: iCBT for Gambling Disorder

Treatment will consist of a 1+10 module internet delivered CBT program targeting problem gambling, newly developed. A bottom-up procedure was used to develop the treatment protocol, inspired by Clark's (2004) method for developing novel CBT treatments. We developed a clinical model delineating what factors contribute to the persistence of problem gambling behavior, and aligned these with targeted treatment interventions; based on behavioral upon research on the learning and maintenance processes of gambling behavior (Ramnerö et al, in press), theoretical models of gambling and comorbidity (Blaszczynski & Nower, 2002); as well as qualitative interviews with treatment seeking gamblers with or without comorbidity.

Behavioral: iCBT

A newly developed iCBT protocol targeting problem gambling.

Outcome Measures

Primary Outcome Measures

The Gambling Symptom Assessment Scale (G-SAS) [Past 7 days]
Gambling symptoms

Secondary Outcome Measures

The Gambling Time Line Follow Back (TLFB-G) [Past 7 days]
Gambling behavior
The 9-item Patient Health Questionnaire (PHQ-9 [Past 2 weeks]
Depressive symptoms
The 7-item Generalised Anxiety Disorder scale (GAD-7) [Past 2 weeks]
Anxiety symptoms
The Alcohol Use Disorders Identification Test (AUDIT) [Past 12 months]
Alcohol use
The Drug Use Disorders Identification Test (DUDIT) [Past 12 months]
Drug use
the 26-item World Health Organization Quality of Life-BREF (WHOQOL-BREF) [Past 2 weeks]
Quality of life

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion criteria:

being at least 18 years old
living in Sweden
being able to read and write Swedish.
having a total score of >= 3 on the Problem Gambling Severity Index (PGSI; Ferris & Wynne, 2001)
having the ability to work with online treatment material by themselves (with support from a therapist)