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A randomized controlled trial of a personalized feedback intervention for problem gamblers.
John A Cunningham1, David C Hodgins, Tony Toneatto
1Centre for Addiction and Mental Health, Toronto, Ontario, Canada. John_Cunningham@camh.net
Plos One
|February 21, 2012
Summary
Personalized feedback for problem gamblers showed no impact from normative data. However, partial feedback without norms reduced gambling days, suggesting brief interventions may help reduce gambling behavior.
Area of Science:
- Addiction Research
- Behavioral Psychology
- Public Health Interventions
Background:
- Personalized feedback is a promising self-help strategy for problem gamblers.
- Previous pilot tests and studies on other addictive behaviors suggest positive outcomes.
- This study evaluates the effectiveness and sustained efficacy of personalized feedback intervention materials for problem gamblers.
Purpose of the Study:
- To evaluate the effectiveness of personalized normative feedback for problem gamblers.
- To assess the sustained efficacy of personalized feedback interventions.
- To compare personalized normative feedback, partial feedback, and a waiting list control.
Main Methods:
- A randomized controlled trial was conducted with Ontario adults experiencing moderate to severe gambling problems.
- Participants were randomly assigned to receive full personalized normative feedback, partial feedback (without norms), or a waiting list control.
- The primary outcome measured was the reduction in gambling days at the six-month follow-up.
Main Results:
- No statistically significant impact was found for personalized normative feedback compared to the control group.
- Participants receiving partial feedback (without normative comparisons) showed a significant reduction in gambling days compared to the control group.
- The personalized feedback interventions were well-received by participants.
Conclusions:
- Personalized feedback interventions, particularly those without normative data, may help reduce gambling behavior.
- Brief interventions like this may have a limited, short-term impact on problem gambling severity.
- An internet-based version could provide accessible support and motivate individuals to seek further assistance.