Efficacy of an internet-based psychological intervention for problem gambling and gambling disorder: Study protocol for a randomized controlled trial
Gambling Disorder is a prevalent non-substance use disorder, which contrasts with the low number of people requesting treatment. Information and Communication Technologies (ICT) could help to enhance the dissemination of evidence-based treatments and considerably reduce the costs. The current study...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-12-01
|
| Series: | Internet Interventions |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214782921001068 |
| _version_ | 1818405047823761408 |
|---|---|
| author | Laura Diaz-Sanahuja Daniel Campos Adriana Mira Diana Castilla Azucena García-Palacios Juana María Bretón-López |
| author_facet | Laura Diaz-Sanahuja Daniel Campos Adriana Mira Diana Castilla Azucena García-Palacios Juana María Bretón-López |
| author_sort | Laura Diaz-Sanahuja |
| collection | DOAJ |
| description | Gambling Disorder is a prevalent non-substance use disorder, which contrasts with the low number of people requesting treatment. Information and Communication Technologies (ICT) could help to enhance the dissemination of evidence-based treatments and considerably reduce the costs. The current study seeks to assess the efficacy of an online psychological intervention for people suffering from gambling problems in Spain. The proposed study will be a two-arm, parallel-group, randomized controlled trial. A total of 134 participants (problem and pathological gamblers) will be randomly allocated to a waiting list control group (N = 67) or an intervention group (N = 67). The intervention program includes 8 modules, and it is based on motivational interviewing, cognitive-behavioral therapy (CBT), and extensions and innovations of CBT. It includes several complementary tools that are present throughout the entire intervention. Therapeutic support will be provided once a week through a phone call with a maximum length of 10 min. The primary outcome measure will be gambling severity and gambling-related cognitions, and secondary outcome measures will be readiness to change, and gambling self-efficacy. Other variables that will be considered are depression and anxiety symptoms, positive and negative affect, difficulties in emotion regulation strategies, impulsivity, and quality of life. Individuals will be assessed at baseline, post-treatment, and 3-, 6-, and 12-month follow-ups. During the treatment, participants will also respond to a daily Ecological Momentary Intervention (EMI) in order to evaluate urges to gamble, self-efficacy to cope with gambling urges, gambling urge frequency, and whether gambling behaviour occurs. The EMI includes immediate automatic feedback depending on the participant's responses. Treatment acceptance and satisfaction will also be assessed. The data will be analysed both per protocol and by Intention-to-treat. As far as we know, this is the first randomized controlled trial of an online psychological intervention for gambling disorder in Spain. It will expand our knowledge about treatments delivered via the Internet and contribute to improving treatment dissemination, reaching people suffering from this problem who otherwise would not receive help. Trial registration: Clinicaltrials.gov as NCT04074681. Registered 22 July 2019. |
| first_indexed | 2024-12-14T08:49:50Z |
| format | Article |
| id | doaj.art-85e2ebda4d86423e96aa8236f9916d64 |
| institution | Directory Open Access Journal |
| issn | 2214-7829 |
| language | English |
| last_indexed | 2024-12-14T08:49:50Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Internet Interventions |
| spelling | doaj.art-85e2ebda4d86423e96aa8236f9916d642022-12-21T23:09:04ZengElsevierInternet Interventions2214-78292021-12-0126100466Efficacy of an internet-based psychological intervention for problem gambling and gambling disorder: Study protocol for a randomized controlled trialLaura Diaz-Sanahuja0Daniel Campos1Adriana Mira2Diana Castilla3Azucena García-Palacios4Juana María Bretón-López5Universitat Jaume I, Castellón, Spain; Corresponding author at: Department of Basic Psychology, Clinical and Psychobiology, Universitat Jaume I, Avenida de Vicent Sos Baynat, s/n, 12071 Castellón, (Spain).Universidad de Zaragoza, Huesca, Spain; Instituto de Investigación Sanitaria Aragón (IISAragon), Zaragoza, SpainUniversidad de Valencia, Valencia, SpainUniversidad de Valencia, Valencia, Spain; CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Madrid, SpainUniversitat Jaume I, Castellón, Spain; CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Madrid, SpainUniversitat Jaume I, Castellón, Spain; CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Madrid, SpainGambling Disorder is a prevalent non-substance use disorder, which contrasts with the low number of people requesting treatment. Information and Communication Technologies (ICT) could help to enhance the dissemination of evidence-based treatments and considerably reduce the costs. The current study seeks to assess the efficacy of an online psychological intervention for people suffering from gambling problems in Spain. The proposed study will be a two-arm, parallel-group, randomized controlled trial. A total of 134 participants (problem and pathological gamblers) will be randomly allocated to a waiting list control group (N = 67) or an intervention group (N = 67). The intervention program includes 8 modules, and it is based on motivational interviewing, cognitive-behavioral therapy (CBT), and extensions and innovations of CBT. It includes several complementary tools that are present throughout the entire intervention. Therapeutic support will be provided once a week through a phone call with a maximum length of 10 min. The primary outcome measure will be gambling severity and gambling-related cognitions, and secondary outcome measures will be readiness to change, and gambling self-efficacy. Other variables that will be considered are depression and anxiety symptoms, positive and negative affect, difficulties in emotion regulation strategies, impulsivity, and quality of life. Individuals will be assessed at baseline, post-treatment, and 3-, 6-, and 12-month follow-ups. During the treatment, participants will also respond to a daily Ecological Momentary Intervention (EMI) in order to evaluate urges to gamble, self-efficacy to cope with gambling urges, gambling urge frequency, and whether gambling behaviour occurs. The EMI includes immediate automatic feedback depending on the participant's responses. Treatment acceptance and satisfaction will also be assessed. The data will be analysed both per protocol and by Intention-to-treat. As far as we know, this is the first randomized controlled trial of an online psychological intervention for gambling disorder in Spain. It will expand our knowledge about treatments delivered via the Internet and contribute to improving treatment dissemination, reaching people suffering from this problem who otherwise would not receive help. Trial registration: Clinicaltrials.gov as NCT04074681. Registered 22 July 2019.http://www.sciencedirect.com/science/article/pii/S2214782921001068GamblingCBTEmotion regulationInternetEfficacy |
| spellingShingle | Laura Diaz-Sanahuja Daniel Campos Adriana Mira Diana Castilla Azucena García-Palacios Juana María Bretón-López Efficacy of an internet-based psychological intervention for problem gambling and gambling disorder: Study protocol for a randomized controlled trial Internet Interventions Gambling CBT Emotion regulation Internet Efficacy |
| title | Efficacy of an internet-based psychological intervention for problem gambling and gambling disorder: Study protocol for a randomized controlled trial |
| title_full | Efficacy of an internet-based psychological intervention for problem gambling and gambling disorder: Study protocol for a randomized controlled trial |
| title_fullStr | Efficacy of an internet-based psychological intervention for problem gambling and gambling disorder: Study protocol for a randomized controlled trial |
| title_full_unstemmed | Efficacy of an internet-based psychological intervention for problem gambling and gambling disorder: Study protocol for a randomized controlled trial |
| title_short | Efficacy of an internet-based psychological intervention for problem gambling and gambling disorder: Study protocol for a randomized controlled trial |
| title_sort | efficacy of an internet based psychological intervention for problem gambling and gambling disorder study protocol for a randomized controlled trial |
| topic | Gambling CBT Emotion regulation Internet Efficacy |
| url | http://www.sciencedirect.com/science/article/pii/S2214782921001068 |
| work_keys_str_mv | AT lauradiazsanahuja efficacyofaninternetbasedpsychologicalinterventionforproblemgamblingandgamblingdisorderstudyprotocolforarandomizedcontrolledtrial AT danielcampos efficacyofaninternetbasedpsychologicalinterventionforproblemgamblingandgamblingdisorderstudyprotocolforarandomizedcontrolledtrial AT adrianamira efficacyofaninternetbasedpsychologicalinterventionforproblemgamblingandgamblingdisorderstudyprotocolforarandomizedcontrolledtrial AT dianacastilla efficacyofaninternetbasedpsychologicalinterventionforproblemgamblingandgamblingdisorderstudyprotocolforarandomizedcontrolledtrial AT azucenagarciapalacios efficacyofaninternetbasedpsychologicalinterventionforproblemgamblingandgamblingdisorderstudyprotocolforarandomizedcontrolledtrial AT juanamariabretonlopez efficacyofaninternetbasedpsychologicalinterventionforproblemgamblingandgamblingdisorderstudyprotocolforarandomizedcontrolledtrial |