Integrative Couple Treatment for Gambling/Substance Use Disorder
NCT ID: NCT05833503
Last Updated: 2024-04-11
Study Results
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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RECRUITING
NA
100 participants
INTERVENTIONAL
2023-05-01
2026-02-28
Brief Summary
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Detailed Description
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Goal : Evaluate the effectiveness of a couple-based treatment (Integrative Couple Therapy for Addiction ICT-A; experimental group) compared to the individual treatment usually offer (control group) for people with GD/SUD.
Method/Design : A sample of at least 100 couples will be randomized to either ICT-A (experimental group) or the usual individual treatment (control group). The couple treatment called Integrative Couple Therapy for Addiction (ICT-A) is inspired by the "Alcohol Behavior Couple Therapy" from Epstein and McCrady, to which the team added diverse components to adjust to gamblers. During the sessions, the focus is on a) reducing/stopping gambling or substance use behaviors, b) helping the partner to stop behaviors facilitating gambling habits or substance use and rise the frequency of behaviors incompatible with gambling habits or substance use c) improve marital components (communication, sharing positive moments, negotiation, mutual support).The control group receives individual treatment as already offered by the specialized centers in addiction. All participants are recruited in Specialized Addiction Treatment Centers in Quebec Province, Canada. Repeated measures will be conducted at admission, 6, 12 and 18 months post-admission on the addiction's severity (primary outcome), on various couples' dimensions (secondary outcome) and various indicators of personal well-being (secondary outcome).In order to compare the effectiveness of the two treatment modalities, a series of regression analyzes will be carried out taking into account the correlation between the observations for the same individual and measurements repeated over time (linear mixed models; PROC MIXED of SAS).
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Integrative Couple Treatment for Addiction (ICT-A)
Inspired by the "Alcohol Behavior Couple Therapy" from Epstein \& McCrady, the ICT-A will be offered over 12 to 16 sessions of 90 minutes. Typically, approximately the first half of each session is dedicated to GD/SUD problems,in a predominantly cognitive behavioral model. In the second part of each session, the clinician will help the couple to improve their communication,to reduce the reinforcements (non-voluntary) of the behaviors of GD/SUD and to increase marital pleasure situations incompatible with the use of GD/SUD.Particular attention will also be paid to feelings of betrayal and interpersonal attacks to restore trust. Plus,they will received a sefl-care guide.
Integrative Couple Treatment for Addiction (ICT-A)
Couple-based intervention called Integrative Couple Treatment for Addiction (ICT-A).
Individual treatment as usually offered
The usual treatment control group will receive individual treatment as already offered by the specialized centres in addiction.
For the person with GD/SUD, this treatment consists of 12 to 16 individual cognitive-behavioral sessions of 60 minutes. In general, the intervention aims to secure financial assets, awareness of erroneous thoughts and improvement of alternative skills to gambling in order to meet the normal demands of psychic and relational life. People undergoing this intervention will receive a self-care guide.
As for the partners randomized in this intervention, they will receive the services that are usually offered to members of the entourage of a person with GD/SUD. In groups or individually, these services are generally aimed at improving the partner's well-being and relationship with their spouse, which includes information about GD/SUD and the recovery process.
Treatment individual as usually offered
Individual-based treatment as usually offer by the specialized centres in addiction.
Interventions
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Integrative Couple Treatment for Addiction (ICT-A)
Couple-based intervention called Integrative Couple Treatment for Addiction (ICT-A).
Treatment individual as usually offered
Individual-based treatment as usually offer by the specialized centres in addiction.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* The Gambler has engaged in gambling or substance use behaviors in the past three months (Time Line Follow-Back).
* The Partner may or may not engage in gambling, consume alcohol or other substances of abuse.
* Living in couple for at least six months OR report being in a significant relationship for at least two years.
* Neither member of the couple presents a mental health problem that could hinder their ability to participate in the therapeutic process.
Exclusion Criteria
* The Gambler received treatment for gambling disorder or substance abuse disorder during the last six months (excluding Gamblers Anonymous, Alcoholics Anonymous or Narcotics Anonymous).
* Low level of marital commitment between the couple in the past 2 weeks indicating a high risk of short-term separation (Marital Status Inventory, score ≥9)
* Presence of serious acts of violence committed within the past year endangering the safety or life of one of the spouses (Modified Conflict Tactics Scales: Answer YES to any question from Q27-33) OR use of services for victims of domestic violence in the past year.
* Presence of an active mental health disorder in either partner hindering therapeutic participation, such as a psychotic disorder OR a suicide attempt in the last 30 days (Psychological Scale of the Addiction Severity Index) OR severe borderline personality disorder (BSL-23 ≥2.8) OR excessively extreme antisocial behaviors (Conduct Disorder Scale from the GAIN ≥ 9).
18 Years
ALL
No
Sponsors
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Université du Québec a Montréal
OTHER
Université de Sherbrooke
OTHER
Laval University
OTHER
Université de Montréal
OTHER
Université du Québec à Trois-Rivières
OTHER
Responsible Party
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Joël Tremblay
PhD. Professor to department of psychoeducation
Principal Investigators
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Joël Tremblay, PhD
Role: PRINCIPAL_INVESTIGATOR
Université du Québec à Trois-Rivières
Locations
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Centre Intégré de Santé et de Services Sociaux de Lanaudière
Joliette, Quebec, Canada
Centre intégré de Santé et de Services Sociaux de Chaudière-Appalaches (CISSS-CA)
Lévis, Quebec, Canada
Centre Universitaire Intégré de Santé et de Services Sociaux du Centre Sud de l'Ile de Montréal
Montreal, Quebec, Canada
Centre Intégré de Santé et de Services Sociaux de la Montérégie-Ouest
Saint-Hubert, Quebec, Canada
Centre Intégré de Santé et de Services Sociaux des Laurentides
Saint-Jérôme, Quebec, Canada
Centre Universitaire Intégré de Santé et de Services Sociaux de l'Estrie
Sherbrooke, Quebec, Canada
Centre Universitaire Intégré de Santé et de Services Sociaux de la Capitale Nationale
Québec, , Canada
Countries
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Central Contacts
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Facility Contacts
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References
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Mccullough ME, Emmons RA, Tsang JA. The grateful disposition: a conceptual and empirical topography. J Pers Soc Psychol. 2002 Jan;82(1):112-27. doi: 10.1037//0022-3514.82.1.112.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Document Type: Informed Consent Form
Other Identifiers
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FRQSC-2022-0JUL-307826
Identifier Type: -
Identifier Source: org_study_id
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