A Pilot SMART Design for Pathological Gamblers
SMART
2 other identifiers
interventional
66
1 country
1
Brief Summary
Pathological gambling is serious problem, with significant psychological, financial, and public health consequences. Nevertheless, controlled trials examining the efficacy of therapeutic interventions for pathological gamblers are sparse, and many pathological gamblers recover on their own, or with only minimal interventions. In this initial study of a SMART design for pathological gamblers, we will offer a brief intervention to all (n = 100), and subsequently randomize individuals based upon their initial treatment response to varying intensities of additional care from none to 8 sessions of individual cognitive behavioral therapy (CBT) plus 14 weeks of Aftercare. Gambling outcomes will be assessed pre-treatment and at about weeks 10, 24, 36 and 52.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2008
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2008
CompletedFirst Submitted
Initial submission to the registry
May 23, 2008
CompletedFirst Posted
Study publicly available on registry
May 28, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2011
CompletedApril 9, 2019
April 1, 2019
3.2 years
May 23, 2008
April 5, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
self and collateral indices of gambling and gambling related problems
baseline and each follow-up
Study Arms (3)
1
EXPERIMENTALFollowing 2 sessions of MET intervention received by all patients, patients in Condition 1 receive no further intervention.
2
EXPERIMENTALPatients in Condition 2 will receive 8 sessions of the CBT (Cognitive Behavioral Therapy) intervention.
3
EXPERIMENTALPatients in Condition 3 will receive 8 sessions of CBT plus aftercare treatment.
Interventions
MET is a client-centered, directive form of therapy designed to enhance clients' intrinsic motivation to change.
In CBT, clients learn to modify their thoughts as well as their behaviors by increasing awareness of the relationship between thoughts, emotions, and actions.
Eligibility Criteria
You may qualify if:
- age \> 18 years old, DSM-IV criteria for pathological gambling
- \>2 gambling episodes in past 60 days
- spent \>$100 wagering in the past 60 days
- willingness to accept random assignment after the brief intervention.
You may not qualify if:
- Reading level below 5th grade
- uncontrolled psychiatric conditions (e.g., active suicidal intention, psychosis, bipolar disorder)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- UConn Healthlead
- National Institute on Drug Abuse (NIDA)collaborator
Study Sites (1)
University of Connecticut Health Center
Farmington, Connecticut, 06030, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Nancy M Petry, Ph.D.
UConn Health
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 23, 2008
First Posted
May 28, 2008
Study Start
January 1, 2008
Primary Completion
March 1, 2011
Study Completion
March 1, 2011
Last Updated
April 9, 2019
Record last verified: 2019-04