Gambling and Brief Interventions - Full Text View

Sponsors and Collaborators:	University of Connecticut Donaghue Medical Research Foundation
Information provided by:	University of Connecticut
ClinicalTrials.gov Identifier:	NCT00183599

Purpose

This study will compare four different combinations and durations of motivational enhancement therapy, cognitive behavioral therapy, and brief advice treatments for gambling versus a non-intervention condition to determine which is most effective in reducing problem gambling.

Condition	Intervention	Phase
Gambling	Behavioral: 5 Minutes of Simple Advice Behavioral: Motivational Enhancement Therapy (MET) Behavioral: Cognitive Behavioral Therapy (CBT)	Phase I

MedlinePlus related topics: Compulsive Gambling

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Open Label, Active Control, Single Group Assignment, Efficacy Study
Official Title:	Effect of Type and Duration of Therapy on Treatment for Gambling

Further study details as provided by University of Connecticut:

Primary Outcome Measures:

Addiction Severity Index (ASI)-gambling severity scores [ Time Frame: measured at baseline, Week 6, and 9 months ] [ Designated as safety issue: No ]
Amount spent gambling [ Time Frame: measured at baseline, Week 6, and 9 months ] [ Designated as safety issue: No ]
Days gambled [ Time Frame: measured at baseline, Week 6, and 9 months ] [ Designated as safety issue: No ]
Proportion meeting problem gambling criteria [ Time Frame: measured at baseline, Week 6, and 9 months ] [ Designated as safety issue: No ]
Proportion abstinent [ Time Frame: measured at baseline, Week 6, and 9 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Psychosocial functioning [ Time Frame: measured at baseline, Week 6, and 9 months ] [ Designated as safety issue: No ]

Estimated Enrollment:	500
Study Start Date:	April 1999
Study Completion Date:	March 2007
Primary Completion Date:	March 2007 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1: Experimental	Behavioral: 5 Minutes of Simple Advice
2: Experimental	Behavioral: Motivational Enhancement Therapy (MET)
3: Experimental	Behavioral: Cognitive Behavioral Therapy (CBT)

Detailed Description:

Gambling, if done compulsively, can cause psychological, physical, social, and vocational problems. Problem gambling, or compulsive gambling, is a progressive addiction characterized by a preoccupation with gambling, a need to bet more money more frequently, restlessness or irritability when attempting to stop, and gambling more to make up for losses. This study will compare four different combinations and durations of motivational enhancement therapy (MET), cognitive behavioral therapy (CBT), and brief advice treatments for gambling versus a non-intervention condition to determine which is most effective in reducing problem gambling.

This open-label study will last a total of 9 months. Participants will be randomly assigned to one of four groups. Group 1 will have no intervention and will be instructed to call if they experience any gambling problems. Group 2 will receive 5 minutes of education on the hazards of heavy gambling. In addition, they will receive a 1-page brochure on problem gambling and its consequences. Group 3 will receive a 1-hour session of MET focused on increasing commitment to change by raising awareness of personal consequences of gambling. Group 4 will receive the same MET session as Group 3, as well as three 1-hour sessions of CBT focused on identifying specific social and mood cues associated with gambling. Treatment will end at Week 4. Participants will have two follow-up sessions held over the phone at Week 6 and again 9 months after enrollment. Gambling behavior, employment status, alcohol and drug use, psychiatric problems, and family problems will be assessed.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Meets criteria for problem gambling
Two or more gambling episodes per month for 2 months prior to enrollment
Has spent at least $50 per month on gambling for 2 months prior to enrollment

Exclusion Criteria:

Any uncontrolled psychiatric conditions
Severe cognitive impairment
Currently receiving treatment for gambling

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00183599

Locations

United States, Connecticut
University of Connecticut Health Center
Farmington, Connecticut, United States, 06030
LMG
Stamford, Connecticut, United States
LMG
Bridgeport, Connecticut, United States, 06604
University of Connecticut
Storrs-Mansfield, Connecticut, United States, 06269
Southern CT State University
New Haven, Connecticut, United States, 06515
CSAC
Hartford, Connecticut, United States

Sponsors and Collaborators

University of Connecticut

Donaghue Medical Research Foundation

Investigators

Principal Investigator:

Nancy M Petry, PhD

University of Connecticut Health Center

More Information

click here for more information about the University of Connecticut Health Center Gambling Treatment and Research Center This link exits the ClinicalTrials.gov site

This link exits the ClinicalTrials.gov site

Responsible Party:	UConn Health Center ( Nancy Petry, Ph.D. )
Study ID Numbers:	99-205, DF#00-121
Study First Received:	September 13, 2005
Last Updated:	August 18, 2008
ClinicalTrials.gov Identifier:	NCT00183599
Health Authority:	United States: Federal Government

Keywords provided by University of Connecticut:

Brief interventions
Motivational Enhancement Therapy
Cognitive Behavioral Therapy

Study placed in the following topic categories:

Impulse Control Disorders
Gambling
Mental Disorders

ClinicalTrials.gov processed this record on January 15, 2009