A Pilot SMART Design for Pathological Gamblers

NCT ID: NCT00685724

Last Updated: 2019-04-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2011-03-31

Brief Summary

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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.

Detailed Description

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Conditions

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Pathological Gambling

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Following 2 sessions of MET intervention received by all patients, patients in Condition 1 receive no further intervention.

Group Type EXPERIMENTAL

Motivational Enhancement Therapy (MET)

Intervention Type BEHAVIORAL

MET is a client-centered, directive form of therapy designed to enhance clients' intrinsic motivation to change.

2

Patients in Condition 2 will receive 8 sessions of the CBT (Cognitive Behavioral Therapy) intervention.

Group Type EXPERIMENTAL

Motivational Enhancement Therapy (MET)

Intervention Type BEHAVIORAL

MET is a client-centered, directive form of therapy designed to enhance clients' intrinsic motivation to change.

3

Patients in Condition 3 will receive 8 sessions of CBT plus aftercare treatment.

Group Type EXPERIMENTAL

Motivational Enhancement Therapy (MET)

Intervention Type BEHAVIORAL

MET is a client-centered, directive form of therapy designed to enhance clients' intrinsic motivation to change.

Cognitive-Behavioral Therapy (CBT)

Intervention Type BEHAVIORAL

In CBT, clients learn to modify their thoughts as well as their behaviors by increasing awareness of the relationship between thoughts, emotions, and actions.

Interventions

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Motivational Enhancement Therapy (MET)

MET is a client-centered, directive form of therapy designed to enhance clients' intrinsic motivation to change.

Intervention Type BEHAVIORAL

Cognitive-Behavioral Therapy (CBT)

In CBT, clients learn to modify their thoughts as well as their behaviors by increasing awareness of the relationship between thoughts, emotions, and actions.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 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.

Exclusion Criteria

* Reading level below 5th grade
* uncontrolled psychiatric conditions (e.g., active suicidal intention, psychosis, bipolar disorder)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

UConn Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nancy M Petry, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

UConn Health

Locations

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University of Connecticut Health Center

Farmington, Connecticut, United States

Site Status

Countries

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United States

Other Identifiers

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P50DA009241

Identifier Type: NIH

Identifier Source: secondary_id

View Link

07-259

Identifier Type: -

Identifier Source: org_study_id

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