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Internet-based cognitive behavior therapy for problem gambling in routine care: protocol for a non-randomized pilot
Olof Molander1,2, Philip Lindner1,2,3, Jonas Ramnerö1,3
1Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet and Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Pilot and Feasibility Studies
|July 24, 2020
Summary
A new internet-delivered cognitive behavioral treatment shows promise for problem gambling. This pilot study assesses its acceptability, safety, and feasibility in routine addiction care, guiding future trials.
Area of Science:
- Addiction research
- Digital mental health
- Cognitive behavioral therapy
Background:
- Problem gambling and gambling disorder are significant global public health issues.
- Rising awareness of negative consequences increases demand for effective treatments.
- Internet interventions offer scalable, low-cost, evidence-based solutions.
Purpose of the Study:
- To develop and pilot a novel internet-delivered cognitive behavioral treatment (iCBT) for problem gambling.
- To assess the acceptability, safety, and feasibility of iCBT in routine addiction care.
- To explore potential effectiveness and mediators of change in treatment-seeking gamblers.
Main Methods:
- A non-randomized pilot and feasibility trial involving up to 25 adult treatment-seeking patients with problem gambling.
- Development of iCBT based on qualitative interviews, behavioral research, and the pathway model for problem gambling.
- Assessment of acceptability (satisfaction, credibility, alliance, adverse effects) and feasibility (recruitment, procedures).
- Weekly measurement of gambling symptoms, gambling behavior, quality of life, depression, anxiety, and substance use.
Main Results:
- The study protocol is designed to ensure acceptability and safety of the novel internet-delivered cognitive behavioral treatment.
- Feasibility of recruitment and measurement procedures will be assessed.
- Potential effectiveness will be measured using gambling symptoms as the primary outcome.
Conclusions:
- This study pioneers a new approach to gambling disorder treatment development and implementation.
- Results will inform a future randomized controlled trial.
- Findings will guide the refinement and integration of the intervention into standard addiction care.
Keywords:
GamblingGambling disorderOrdinary addiction careProblem gamblingPsychiatric comorbidityiCBTMore Related Videos
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