Testing Resources: Manual and Webinar Guided Treatment vs. Manual Guided Treatment

NCT ID: NCT01743092

Last Updated: 2016-04-01

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 59 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2012-11-30
• Study Completion Date: 2015-08-31

Brief Summary

Research specific to women's gambling treatment needs is limited but suggests a critical need for women sensitive options and reduced barriers to access. This pilot will test the effectiveness of a Tutorial Workbook (TW) both as a self-help tool and used in combination with a webinar. Ontario women(n=48) over the age of 19, with gambling concerns, will be recruited through flyers, on-line and newspaper ads and randomly assigned to one of two groups: (a) TW or (b) TWW (TW plus Webinar). All will complete questionnaires addressing gambling behaviours, personal history and mood states prior to and after the 12 week study. Groups (a) and (b) will also provide feedback on the TW's content and relevance. Group (b) will, in addition, provide feedback on the Webinar Group. TW and TWW will be valuable additions to current treatments, of special importance to reduce barriers for women. The study will contribute to best practices in developing web-based treatments.

Detailed Description

Most gambling specific research involves men yet findings are typically generalized to women, a shortcoming addressed in the literature. Women are underrepresented in treatment. A previous study (Boughton and Brewster, 2002) with 365 Ontario women not in treatment, explored barriers and treatment needs. Many respondents indicated that women-only groups and self-help materials would be of value. Using web-based resources to increase treatment options has merit in a growing technological age. This study will introduce two unique forms of treatment, a women friendly tutorial workbook developed specifically to address issues commonly underlying women's gambling and a webinar based group facilitated by a gambling clinician. Group support has been demonstrated to be highly beneficial for women in reducing isolation and shame. The research will assist in developing Best Practices in the problem gambling field, especially for women, a neglected and vulnerable group.

There are two questions:

1. First, to what extent is the Tutorial Workbook effective by itself as a treatment option in helping women make changes to their gambling.

2. What extent is the addition of the webinar discussion group option an incremental benefit to the participant in helping women make changes to their gambling.

Web based therapy has proven effective in the treatment of addiction and mental health issues but more research is needed to assess its efficacy for problem gambling. Self-help tools have been demonstrated as effective in reducing gambling but no women specific tools are available. Evidence of the effectiveness of the TW and TWW treatment options will reduce barriers for hard to serve populations of women and expand options for clinical programs to meet the needs of women unable to attend face to face programs. The TW attends to the unique issues and treatment/support needs of women with gambling concerns.

Ultimately the TW materials, once fully developed, can be made available to the general public as an online tool, used to assist n providing telephone counselling, individually or in a group (Webinar) format or be made available as a self-help paper based utorial workbook.

Conditions

Pathological Gambling

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Tutorial Workbook

Tutorial Workbook Group only receives a Tutorial Workbook Group

Group Type: OTHER

Tutuorial workbook

Intervention Type: BEHAVIORAL

A work book about their addiciton

Tutorial Workbook Group plus webinar

Tutorial Workbook Group plus webinar will receive in addition, a webinar as an additional resource.

Group Type: EXPERIMENTAL

Webinar

Intervention Type: BEHAVIORAL

Some clients will receive a webinar as part of their treatment.

Tutuorial workbook

Intervention Type: BEHAVIORAL

A work book about their addiciton

Interventions

Webinar

Some clients will receive a webinar as part of their treatment.

Intervention Type: BEHAVIORAL

Tutuorial workbook

A work book about their addiciton

Intervention Type: BEHAVIORAL

Other Intervention Names

online discussion

Eligibility Criteria

Inclusion Criteria

• pathological gamblers
• not currently in formal gambling specific treatment
• English proficiency (reading, writing and speech)
• access to private computer and phone
• sufficient computer skills to engage in webinar
• able to fully commit to time demands of weekly participation

Exclusion Criteria

• active psychosis
• unstable mood disorders
• emotion dysregulation
• extreme social anxiety
• cognitive challenges in reading
• not proficient in in English (reading, writing and speech)
• suicidal behaviours
• current problems with drugs/ alcohol abuse

• Minimum Eligible Age: 18 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Centre for Addiction and Mental Health

OTHER

Sponsor Role: lead

Responsible Party

Nigel Turner

Independent Scientist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Nigel E Turner, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Centre for Addiction and Mental Health

Locations

Problem Gambling Treatment Service

Toronto, Ontario, Canada

Countries

Canada

Related Links

http://www.problemgambling.ca

Website for the Problem Gambling Institute of Ontario and CAMH's problem gambling service

Other Identifiers

153-2012

Identifier Type: -

Identifier Source: org_study_id