Effectiveness of Therapy Treatment
Effectiveness of Cognitive-Motivational Behaviour Therapy in Community
1 other identifier
interventional
150
1 country
1
Brief Summary
The efficacy of psychosocial treatments for PG, including cognitive-behaviour therapy (CBT) and motivational interviewing (MI) approaches, has been supported in a handful of clinical trials. Indeed, there is more evidence supporting these two approaches than for any other psychosocial treatment for problem gambling. However, while efficacy studies have been conducted, few studies have examined the effectiveness of behavioural treatment in community-based gambling treatment settings. That is to say, the investigators have a good idea of what works in a laboratory setting (i.e., university research settings), but the investigators have no research assessing the transfer of evidence-based treatments for problem gambling to community care. Efficacy studies provide substantially less information about the actual utility of treatments than do effectiveness trials because the way in which treatment is actually provided in the field (with flexibility in terms of time-frame and technique and the tendency to address co-occurring problems) is different from the much more single-focused (on gambling) way it is conducted in laboratory settings. The proposed study is designed to address this significant gap in the research literature. The investigators propose to conduct a treatment effectiveness trial examining a combined cognitive motivational behavior therapy (CMBT) delivered by community-based problem gambling treatment providers, compared with treatment as usual (TAU).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2011
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
December 1, 2011
CompletedFirst Submitted
Initial submission to the registry
April 26, 2012
CompletedFirst Posted
Study publicly available on registry
May 11, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedJanuary 11, 2017
May 1, 2012
2 years
April 26, 2012
January 10, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Changes in pathological gambling severity through treatment
changes in gambling severity from baseline at post-treatment
Changes in problem gambling severity through follow-up
Changes in gambling severity from post-treatment through 6-month and 12-month follow-up periods
Secondary Outcomes (1)
Examine putative mechanisms of action of "cognitive motivational behavior therapy" relative to "treatment as usual".
Baseline, and changes in gambling mechanisms of action from baseline at post-treatment, 6 and 12 months after beginning treatment
Study Arms (3)
Treatment As Usual
ACTIVE COMPARATORThe standard treatment usually provided at the clinic.
Cognitive Motivational Behavior Therapy
ACTIVE COMPARATORAn approach that addresses motivation to change gambling and behavioral patterns related to gambling.
12-week wait list
ACTIVE COMPARATORParticipant will start treatment 12 weeks from day of consent.
Interventions
Participants will receive Treatment as Usual, on an individual basis, for 60-minutes once per week for 12 weeks.
Participants will receive a combined motivational and cognitive-behavioral therapy, on an individual basis, for 60-minutes once per week for 12 weeks.
Participants will be randomly assigned to start treatment immediately or to go on a 12-week wait list (where they will start treatment 12 weeks from day of consent).
Eligibility Criteria
You may qualify if:
- Main Study: Participants must score at least a 5 on the NODS, and have gambled in the previous two months. Participants must speak English and be able to provide informed consent.
- Pilot Phase: Participants must be patients of the Problem Gambling Services at Windsor Regional Hospital.
You may not qualify if:
- Main Study: Acute psychosis, mania or suicidality for which the participant needs immediate treatment, and current enrollment in formal problem gambling treatment (other than the current admission).
- Participants with a co-occurring psychiatric or substance use condition will receive referrals to appropriate ancillary services.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Problem Gambling Institute of Ontariolead
- Wayne State Universitycollaborator
- Windsor Regional Hospitalcollaborator
Study Sites (1)
Windsor Regional Hospital Problem Gambling Services
Windsor, Ontario, Canada
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
David Ledgerwood, PhD
Wayne State University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
April 26, 2012
First Posted
May 11, 2012
Study Start
December 1, 2011
Primary Completion
December 1, 2013
Study Completion
December 1, 2013
Last Updated
January 11, 2017
Record last verified: 2012-05