Contingency Management to Reinforce Attendance to Cognitive Behavioral Treatment for Gambling Disorder
A Randomized Clinical Trial of Contingency Management for Gambling Disorder: Enhancing Treatment Retention and Outcomes
1 other identifier
interventional
80
1 country
1
Brief Summary
The aim of this study is to conduct a trial to investigate the effectiveness of adding contingency management treatment (CM) to standard care cognitive behavioral therapy (CBT) for the treatment of gambling disorder to increase attendance to treatment. CM will be used to incentivize therapy session attendance with a therapist and engagement in recovery-related engagement with a peer recovery specialist. The proposed research will evaluate whether CM can enhance the overall effectiveness of CBT, the most widely tested treatment for individuals with gambling disorder.
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 Sep 2025
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
First Submitted
Initial submission to the registry
June 3, 2025
CompletedFirst Posted
Study publicly available on registry
June 11, 2025
CompletedStudy Start
First participant enrolled
September 1, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
April 1, 2027
June 15, 2025
June 1, 2025
1.2 years
June 3, 2025
June 11, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportion of sessions attended out of total
From treatment start to the end of treatment at 8 weeks
Secondary Outcomes (3)
Frequency of days gambled
From 30 days prior to treatment start to the end of the 3-month follow-up window
Net monetary expenditures in US $ on gambling
From 30 days prior to treatment start to the end of the 3-month follow-up window
Number of gambling symptoms
From 30 days prior to treatment start to the end of the 3-month follow-up window
Study Arms (2)
Contingency Management
EXPERIMENTALContingency management is designed to reinforce treatment attendance. Participants will earn gift card vouchers for attendance to therapy sessions and recovery-related engagements with peer support specialists. This treatment is in addition to the standard care/ treatment as usual (cognitive behavioral therapy).
Cognitive Behavioral Treatment/ Treatment as Usual
ACTIVE COMPARATORThis five phase cognitive behavioral therapy addresses participants' behaviors, thoughts, and emotions to help them change their gambling.
Interventions
See arm description
Eligibility Criteria
You may qualify if:
- Adults age 18 or older
- Seeking treatment for gambling-related concerns at The Gambling Clinic
- Available to meet weekly for eight treatment sessions without a known structural barrier to continuation that could interfere with study conclusions (e.g., planned relocation out of state).
- Proficient in English (assumed by request of gambling treatment in English).
- Must be physically present in the US.
You may not qualify if:
- Minors under the age of 18.
- Recent history of psychotic symptoms or suicidal intent
- Not proficient in English.
- Seeking gambling treatment for someone other than themselves (e.g., a loved one).
- Will not be available for a full eight weeks of study participation.
- Not physically present in the US.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
East Tennessee State University
Johnson City, Tennessee, 37614, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- CARE PROVIDER
- Masking Details
- Peer recovery specialists who facilitate recovery-related engagements will be masked.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 3, 2025
First Posted
June 11, 2025
Study Start
September 1, 2025
Primary Completion (Estimated)
December 1, 2026
Study Completion (Estimated)
April 1, 2027
Last Updated
June 15, 2025
Record last verified: 2025-06