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| Name | Class |
|---|---|
| Deakin University | OTHER |
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The study is a randomized controlled trial (Total N=150; each condition n=75) of internet-based cognitive behavioral therapy (iCBT), with measures at pre, weekly during treatment, post, three and at six month follow-up. Participants will be assigned to either standard iCBT and "Spelpaus" (treatment condition), or "Spelpaus" only (control condition).
Recruitment will be done through online advertisement via social media and gambling-related websites. Participants will self-referred to the study via a study dedicated website (www.spelstudien.se). Login to a treatment platform will be verified using double authentication (detailed description of the online platform is provided in the application to the Swedish Ethical Review Authority). Written information about the study will be provided on the web page. Consent will be done online, with the possibility for participants to download study information and consent. Consenting participants will start a screening procedure. After screening, participants will be contacted for a telephone assessment with a clinical psychologist. During this interview, participants will be assessed for GD with a diagnostic interview, as well as the inclusion criteria for utilization of "Spelpaus". If meeting criteria for the study, participants will be referred to the baseline/pre-measures - which will start with an additional informed consent for the treatment phase and the iCBT. Inclusion will be done after the completion of the informed consent and baseline/pre-measures. After that, participant will be randomized to iCBT and "Spelpaus" (treatment condition), or "Spelpaus" only (control condition). Randomization will be conducted by a third party using a true random service, https://random.org. Participants assigned to the control condition in the randomized controlled trial will receive a voucher of total 1000 Swedish Krona's when completing the post and follow up measures. Participants assigned to the control condition in the randomized controlled trial will receive a voucher of total 1000 Swedish Krona's when completing the post and follow up measures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Internet-based cognitive behavioral therapy (iCBT) | Experimental | An 8-module internet-delivered cognitive behavioral therapy program. Participants receiving treatment will simultaneously use "Spelpaus" - a self-exclusion gambling service. |
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| "Spelpaus" (gambling self-exclusion) | No Intervention | "Spelpaus" only - a self-exclusion gambling service. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Internet-based cognitive behavioral therapy (iCBT) | Behavioral | The treatment is a newly developed iCBT 8 module program, with interventions targeting gambling-related loss of control, through 4 clinical processes: Gambling triggers, Gambling-related anticipation, the Gambling zone and Chasing behaviors. The treatment will be delivered with therapist support. |
| Measure | Description | Time Frame |
|---|---|---|
| The Gambling Symptom Assessment Scale | Primary outcome will be gambling symptoms, measured with the the Gambling Symptom Assessment Scale. Minimum score is 0 and maximum score is 48, with higher scores indicated higher frequency of gambling symptoms. | 6 month after treatment cessation |
| Measure | Description | Time Frame |
|---|---|---|
| The TimeLine Followback for gambling | Gambling behavior (days per week gambled) will be measured with a self-report item adapted from the TimeLine Followback for gambling. | 6 month after treatment cessation |
| The Generalized Anxiety Disorder 7-itemscale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Olof Molander, PhD | Contact | 0700011241 | olof.molander@ki.se |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre for psychiatry research | Recruiting | Stockholm | 116 30 | Sweden |
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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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Participants will be assigned to either standard iCBT and "Spelpaus" (treatment condition), or "Spelpaus" only (control condition).
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Anxiety symptoms will be measured by the Generalized Anxiety Disorder 7-itemscale. |
| 6 month after treatment cessation |
| The Patient Health Questionnaire | Depressive symptoms will be measured with the The Patient Health Questionnaire. | 6 month after treatment cessation |
| The Alcohol Use Disorders Identification Test | Alcohol problems will be measured with the Alcohol Use Disorders Identification Test. | 6 month after treatment cessation |
| The Drug Use Disorders Identification Test | Drug problems will be measured with the Drug Use Disorders Identification Test. | 6 month after treatment cessation |