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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| iCBT for Gambling Disorder | Experimental | 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| iCBT | Behavioral | A newly developed iCBT protocol targeting problem gambling. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The Gambling Symptom Assessment Scale (G-SAS) | Gambling symptoms | Past 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| The Gambling Time Line Follow Back (TLFB-G) | Gambling behavior | Past 7 days |
| The 9-item Patient Health Questionnaire (PHQ-9 | Depressive symptoms |
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Inclusion criteria:
Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Philip H Lindner, PhD | Karolinska Institutet | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| eStöd | Stockholm | 117 61 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32699645 | Derived | Molander O, Lindner P, Ramnero J, Bjureberg J, Carlbring P, Berman AH. Internet-based cognitive behavior therapy for problem gambling in routine care: protocol for a non-randomized pilot and feasibility trial. Pilot Feasibility Stud. 2020 Jul 21;6:106. doi: 10.1186/s40814-020-00647-5. eCollection 2020. |
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| ID | Term |
|---|---|
| D005715 | Gambling |
| ID | Term |
|---|---|
| D012309 | Risk-Taking |
| D001519 | Behavior |
| D007174 | Disruptive, Impulse Control, and Conduct Disorders |
| D001523 | Mental Disorders |
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| Past 2 weeks |
| The 7-item Generalised Anxiety Disorder scale (GAD-7) | Anxiety symptoms | Past 2 weeks |
| The Alcohol Use Disorders Identification Test (AUDIT) | Alcohol use | Past 12 months |
| The Drug Use Disorders Identification Test (DUDIT) | Drug use | Past 12 months |
| the 26-item World Health Organization Quality of Life-BREF (WHOQOL-BREF) | Quality of life | Past 2 weeks |