ICBTG in Routine Care (iCBTG)

Karolinska Institute

Status: Completed

Conditions: Gambling Disorder; Problem Gambling

Treatments: Behavioral: iCBT

Study type: Interventional

Funder types: Other

Identifiers

NCT03946098

2019-0428

Details and patient eligibility

About

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.

Enrollment: 23 patients

Sex: All

Ages: 18+ years old

Volunteers: No 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)

Exclusion criteria

• fulfilling criteria for ongoing manic episode
• currently undergoing a parallel CBT treatment for Gambling Disorder or problem gambling.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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23 participants in 1 patient group

iCBT for Gambling Disorder

Experimental group

Description:

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.

Treatment:

Behavioral: iCBT