Minimal and Brief Treatments for Pathological Gamblers

University of Calgary

Status and phase: Completed; Phase 3

Conditions: Pathological Gambling

Treatments: Behavioral: Self-help treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT00203645

1016 - OPGRC

110328 - CIHR

Details and patient eligibility

About

The purpose of the study is to examine whether problem gamblers who receive therapy calls in addition to a self-help manual will be more likely to quit or cut back on their gambling when compared with problem gamblers who receive just the manual.

Full description

With gambling becoming more accessible, the occurrence of problems related to gambling are on the rise. The costs of problem gambling are enormous.There are social and economic costs, the gambler can sometimes lose a significant relationship, job, or commit an illegal activity. Pathological gamblers are also at risk for developing a general medical condition related to stress. There is a high risk of suicide and problem gamblers also have increased rates of mental health disorders. Relatively few people choose to attend formal treatment programs so it's important to provide a range of options to make treatment more accessible. The present study examines the effectiveness of minimal and brief interventions delivered by the telephone.

Comparison(s): The "Workbook Only Control" condition involves receiving the self-help booklet through the mail after a brief telephone assessment. The "Minimal Treatment" condition involves receiving the same workbook but also having a motivational enhancement intervention by telephone. The "Brief Treatment" condition provides the workbook, motivational enhancement, and follow-up support on six occasions spread over 36 weeks. The "Wait List Control" condition involves participants being assigned to a six week waiting list. Participants are assessed and after a six week waiting period they will have a reassessment at which time they will be sent the gambling self-help workbook.

Enrollment: 312 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Over age 17
• Perception of a gambling problem and a score of 3 or higher (moderate risk) on the Canadian Problem Gambling Index.
• Not involved in treatment at present.
• Willingness to read a short book written in English as a major treatment.
• Willing to have telephone contacts recorded.
• Willing to provide follow-up data on gambling.
• Willing to provide the name of a collateral to help locate them for follow-up interviews.
• Must have gambled at least once in the past month

Exclusion criteria

• Participants in the preliminary study will be excluded.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Single Blind

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312 participants in 4 patient groups

Brief self-directed treatment

Experimental group

Description:

self-help workbook plus motivational telephone intervention

Treatment:

Behavioral: Self-help treatment

Self-directed plus telephone support

Experimental group

Description:

Self-help workbook, motivational telephone intervention plus telephone booster calls

Treatment:

Behavioral: Self-help treatment

Workbook only

Active Comparator group

Description:

Workbook only

Treatment:

Behavioral: Self-help treatment

Waitlist

No Intervention group

Description:

Six week waitlist