NCT01340274

Brief Summary

Nova Scotia is experiencing a proliferation of gambling opportunities and their related gambling problems. The 2003 Nova Scotia Prevalence Study (2004) found that approximately 50,000 adult Nova Scotians are at some risk for problem gambling and that approximately 93,000 adult Nova Scotians are intimately connected to at least one person who has a gambling problem. The serious consequences of problem gambling are being felt by the Individuals engaging in Problem Gambling (IPGs), their Concerned Significant Others (CSOs) and their Communities. Very few IPGs access support services for their gambling problems. Some reports (National Gambling Impact Study Commission 1999) have found that only 3% of IPGs seek treatment. The Nova Scotia Gambling Prevalence Study (2004) states: "Overall, 3.5% (26,000 adults) have been motivated to help someone else with a current gambling problem versus 0.5% (3,700 adults) seeking assistance or information for a personal problem". While the CSOs of IPGs are seven times more likely to access professional addiction treatment the options for these individuals are limited and treatment programs often lack evidence in support of their effectiveness. The Community Reinforcement and Family Training (CRAFT) (Meyers \& Wolfe 2004) approach provides significant benefits to the CSOs of persons abusing alcohol and other drugs. They benefits include: improvement in the quality of life of the CSOs; increasing the rate of substance abusers entering treatment; and decreased substance use. CRAFT empowers CSOs by providing tools to positively influence theirs and their significant other's behavior. The current study investigates the applicability and effectiveness of the CRAFT approach to the CSOs of IPGS. It is predicted that benefits to the CSOs receiving CRAFT will significantly surpass those receiving treatment as usual. The predicted benefits are: improvement in quality of life for the CSO; engagement of IPGs in treatment; and decreased gambling by the IPGs. With these achieved outcomes, this research will provide opportunity for earlier intervention, improved individual and family functioning and a reduction of the negative impact of problem gambling on the community.

Trial Health

30
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Jun 2011

Shorter than P25 for phase_2

Geographic Reach
1 country

3 active sites

Status
withdrawn

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

First Submitted

Initial submission to the registry

February 4, 2011

Completed
3 months until next milestone

First Posted

Study publicly available on registry

April 22, 2011

Completed
1 month until next milestone

Study Start

First participant enrolled

June 3, 2011

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 15, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 15, 2012

Completed
Last Updated

January 23, 2020

Status Verified

April 1, 2011

Enrollment Period

11 months

First QC Date

February 4, 2011

Last Update Submit

January 21, 2020

Conditions

Pathological Gambling

Keywords

Community Reinforcement and Family TrainingConcerned Significant OthersIdentified Problem GamblerTherapeutics

Outcome Measures

Primary Outcomes (1)

  • Concerned Significant Other Status (Quality of Life)

    Measured through the following Tests: Beck Depression Inventory (Beck, Steer \& Garbin 1988) State/Trait Anxiety Inventory (Speilberger 1999) State-trait Anger Expression Inventory-II (Speilberger et al. 1988) DSM -IV Screening Questionnaire; Social functioning and Resources Scale (Moos et al 1987) Physical symptoms (Moos et al 1987)

    Baseline: At 0 weeks

Secondary Outcomes (2)

  • Concerned Significant Other Status (Quality of Life)

    Post treatment: 1 week

  • Concerned Significant Other Status (Quality of Life)

    Follow up: 9 months

Study Arms (2)

Treatment as Usual

ACTIVE COMPARATOR

Clients will receive 12 sessions of "Treatment as usual ", delivered 1 session per week for 12 consecutive weeks.

Behavioral: Treatment as Usual

CRAFT Treatment

EXPERIMENTAL

Clients will receive 12 sessions of "CRAFT", delivered 1 session per week for 12 consecutive weeks.

Behavioral: CRAFT treatment

Interventions

CRAFT treatmentBEHAVIORAL

Clients will receive 12 sessions of CRAFT delivered over a 12 week period. There will be 1 session per week.

Also known as: Community Reinforcement Approach and Family Training
CRAFT Treatment
Treatment as UsualBEHAVIORAL

Clients will receive Treatment as Usual delivered over 12 session. There will be 1 session per week.

Also known as: Cognitive Behavioural Therapy, Motivational Enhancement
Treatment as Usual

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Concerned Significant Other (CSO) must have a significant relationship with the Individuals Engaged in Problem Gambling (IPG)(e.g. parent, child, sibling, friend, partner).
  • CSO must have face-to-face contact with the IPG at least 3 days per week and for at least 1 hour per day with no anticipated relationship change (e.g. separation) over the next 90 days.
  • Impaired functioning of the CSO consequential to their significant other being engaged in problem gambling.
  • Evidence (from the CSOs) that the IPG meets Canadian Problem Gambling Index (CPGI) criteria for problem gambling.
  • The CSO's primary motivation for treatment is to influence their IPG's gambling behaviour.

You may not qualify if:

  • CSO meets CPGI criteria for having problem gambling.
  • CSO has a condition, including substance dependency and/or significant psychopathology, which could impede the CSO's ability to understand and participate in treatment.
  • The IPG has received treatment for problem gambling in the previous 3 months, is currently willing to receive treatment, or has been court ordered to receive treatment.
  • Domestic violence is a significant risk based on the CSOs report and psychometric measure.
  • The CSO is currently receiving psychotherapy for issues related to their IPG's gambling.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Addiction Services

Amherst, Nova Scotia, B0M 1X0, Canada

Location

Addiction Services

Pictou, Nova Scotia, B0K 1H0, Canada

Location

Addictions Services

Truro, Nova Scotia, Canada

Location

MeSH Terms

Conditions

Gambling

Interventions

TherapeuticsCognitive Behavioral Therapy

Condition Hierarchy (Ancestors)

Risk-TakingBehaviorDisruptive, Impulse Control, and Conduct DisordersMental Disorders

Intervention Hierarchy (Ancestors)

Behavior TherapyPsychotherapyBehavioral Disciplines and Activities

Study Officials

  • Greg Purvis, MSc

    Pictou County Health Authority

    PRINCIPAL INVESTIGATOR

  • David Hodgins, PhD

    University of Calgary

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 4, 2011

First Posted

April 22, 2011

Study Start

June 3, 2011

Primary Completion

April 15, 2012

Study Completion

April 15, 2012

Last Updated

January 23, 2020

Record last verified: 2011-04

Locations

CA(3)