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Contingency Management + Cognitive Behavioural Therapy for Gambling Addiction

N/A

Recruiting

Led By Darren R Christensen, PhD

Research Sponsored by University of Lethbridge

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Be older than 18 years old

Timeline

Screening 3 weeks

Treatment Varies

Follow Up 12-weeks

Awards & highlights

No Placebo-Only Group

Summary

This trialwill test if providing rewards to remote gamblers during counselling helps them stay in the program and improve their treatment outcomes.

Who is the study for?

This trial is for English-speaking individuals living in rural or remote areas who have been diagnosed with a gambling disorder and have gambled within the last month. They must be able to give written consent. People with unmanaged psychiatric or neurological conditions, other than gambling disorder, cannot participate.

What is being tested?

The study tests if adding Contingency Management to regular Cognitive Behavioural Therapy (CBT) helps improve attendance and retention in counselling sessions for disordered gamblers using video-conferencing tools designed for those living far from treatment centers.

What are the potential side effects?

Since this trial involves psychological treatments rather than medications, traditional side effects are not expected. However, participants may experience emotional discomfort or stress during therapy sessions.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ 12 weeks

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~12 weeks

This trial's timeline: 3 weeks for screening, Varies for treatment, and 12 weeks for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Gambling Abstinence

Secondary study objectives

Session Attendance

Study Retention

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups

Experimental Treatment

Active Control

Group I: Contingency ManagementExperimental Treatment1 Intervention

This is a treatment where participants earn points for treatment attendance and for providing evidence of gambling abstinence. These points are added to study accounts that can be redeemed for goods and services available at a variety of on-line businesses (e.g., Amazon, Walmart, etc.). Submission of evidence of gambling behaviour or non-attendance at an on-line counselling session re-sets subsequent points to the starting level. The CM procedure is implemented as part of the CBT counselling session.

Group II: Cognitive Behavioural TherapyActive Control1 Intervention

CBT is currently considered "best practice" for the treatment of problem gambling, as noted in the National Health and Medical Research Council (Australia) endorsed Clinical Guidelines for problem and pathological gambling treatment (Problem Gambling Research and Treatment Centre, 2011). CBT is typically a semi-structured approach for delivering cognitive behavioural therapy addressing the participant's experiences, thoughts, and emotions relating to their gambling and substance use. Techniques include psychoeducation, behavioural interventions, and cognitive strategies. Participants are expected to attend on-line counselling sessions three times a week for approximately 12 weeks. All participants will receive individual counselling from an experienced counsellor/therapist.

Treatment

First Studied

Drug Approval Stage

How many patients have taken this drug

Contingency Management

2014

Completed Phase 4

~3440

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