Effects of Internet-based Treatment of Pathological Gambling - Full Text View

Purpose

A trial testing the outcome of an Internet-based treatment of pathological gambling with the hypothesis that there will be improvements both immediately and up to 36 months. It is also hypnotized that treatment response can be predicted from background variables.

Condition	Intervention
Pathological Gambling	Behavioral: cognitive behavior therapy

Study Type:	Interventional
Study Design:	Intervention Model: Single Group Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment
Official Title:	Prediction and Treatment Outcome of Internet-based Treatment of Pathological Gambling With Three-year Follow-up

Resource links provided by NLM:

MedlinePlus related topics: Compulsive Gambling

U.S. FDA Resources

Further study details as provided by Umeå University:

Primary Outcome Measures:

The National Opinion Research Center DSM Screen for Gambling Problems (NODS) [ Time Frame: 1 month ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Hospital Anxiety and Depression Scale [ Time Frame: 1 week ] [ Designated as safety issue: No ]
Quality of Life Inventory [ Time Frame: Present moment ] [ Designated as safety issue: No ]

Enrollment:	284
Study Start Date:	May 2004
Study Completion Date:	January 2009
Primary Completion Date:	January 2006 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Treatment The treatment was based on established cognitive behavior therapy methods, as described in self-help books (Hodgins, 2002; Ladouceur & Lachance, 2006). The text was divided into eight modules and was adapted for Internet use. The first four modules had a motivational interviewing focus and included building motivation for change by letting the participant answer open-ended questions that would evoke talk of change. The participants were encouraged to ask for input from their relatives on different aspects of their gambling. In addition, the first four modules included time line follow-back and mapping of the reasons for gambling. The remaining four modules were based on CBT. Each module included information and exercises and ended with three to eight essay-style questions. Feedback on homework assignments was usually given within 24 hr after participants had sent their answers via e-mail. Once weekly, a telephone call was made by the therapists to each participant.	Behavioral: cognitive behavior therapy The treatment was based on established cognitive behavior therapy methods, as described in self-help books (Hodgins, 2002; Ladouceur & Lachance, 2006). The text was divided into eight modules and was adapted for Internet use. The first four modules had a motivational interviewing focus and included building motivation for change by letting the participant answer open-ended questions that would evoke talk of change. The participants were encouraged to ask for input from their relatives on different aspects of their gambling. In addition, the first four modules included time line follow-back and mapping of the reasons for gambling. The remaining four modules were based on CBT. Each module included information and exercises and ended with three to eight essay-style questions. Feedback on homework assignments was usually given within 24 hr after participants had sent their answers via e-mail. Once weekly, a telephone call was made by the therapists to each participant.

Arms

Assigned Interventions

Experimental: Treatment

The treatment was based on established cognitive behavior therapy methods, as described in self-help books (Hodgins, 2002; Ladouceur & Lachance, 2006). The text was divided into eight modules and was adapted for Internet use. The first four modules had a motivational interviewing focus and included building motivation for change by letting the participant answer open-ended questions that would evoke talk of change. The participants were encouraged to ask for input from their relatives on different aspects of their gambling. In addition, the first four modules included time line follow-back and mapping of the reasons for gambling. The remaining four modules were based on CBT. Each module included information and exercises and ended with three to eight essay-style questions. Feedback on homework assignments was usually given within 24 hr after participants had sent their answers via e-mail. Once weekly, a telephone call was made by the therapists to each participant.

Behavioral: cognitive behavior therapy

The treatment was based on established cognitive behavior therapy methods, as described in self-help books (Hodgins, 2002; Ladouceur & Lachance, 2006). The text was divided into eight modules and was adapted for Internet use. The first four modules had a motivational interviewing focus and included building motivation for change by letting the participant answer open-ended questions that would evoke talk of change. The participants were encouraged to ask for input from their relatives on different aspects of their gambling. In addition, the first four modules included time line follow-back and mapping of the reasons for gambling. The remaining four modules were based on CBT. Each module included information and exercises and ended with three to eight essay-style questions. Feedback on homework assignments was usually given within 24 hr after participants had sent their answers via e-mail. Once weekly, a telephone call was made by the therapists to each participant.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Pathological gambling according to DSM and having gambled at least once the past month
Being atleast 18 years old
Living in Sweden

Exclusion Criteria:

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01381250

Locations

Sweden
University
Umea, Sweden

Sponsors and Collaborators

Umeå University

Uppsala University

Investigators

Principal Investigator:

Per Carlbring, PhD

Umeå University

More Information

No publications provided

Responsible Party:	The Swedish National Institute of Public Health
ClinicalTrials.gov Identifier:	NCT01381250 History of Changes
Other Study ID Numbers:	Spelstudie2
Study First Received:	June 22, 2011
Last Updated:	June 29, 2011
Health Authority:	Vetting the ethics of research involving humans: SWEDEN

Keywords provided by Umeå University:

Pathological gambling according to DSM and having gambled at least once the past month.
Being atleast 18 years old

Additional relevant MeSH terms:

Gambling
Impulse Control Disorders
Mental Disorders

ClinicalTrials.gov processed this record on June 18, 2013