Efficacy of a web-based self-help tool to reduce problem gambling in Switzerland: study protocol of a two-armed randomised controlled trial
Autor: | Sophia Achab, Matthew T. Keough, David C. Hodgins, Susanne Schaaf, Severin Haug, Yasser Khazaal, Christian Baumgartner, Andreas Wenger, Elena Bilevicius, Michael Schaub |
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Přispěvatelé: | University of Zurich, Baumgartner, Christian |
Rok vydání: | 2019 |
Předmět: |
Psychopathological comorbidity
Psychological intervention Motivational interviewing 030508 substance abuse Cognitive behavioural therapy 2700 General Medicine Anxiety Severity of Illness Index Self-help law.invention ddc:616.89 0302 clinical medicine Randomized controlled trial law Protocol Medicine 030212 general & internal medicine self-help Randomized Controlled Trials as Topic Depression cognitive behavioural therapy General Medicine Anxiety Disorders Telemedicine medicine.symptom 0305 other medical science Internet-Based Intervention Switzerland medicine.medical_specialty Alcohol Drinking Behavioural addiction Addiction web-based behavioural addiction 610 Medicine & health Motivational Interviewing 03 medical and health sciences Intervention (counseling) eHealth Humans psychopathological comorbidity 10075 Swiss Research Institute for Public Health and Addiction Psychiatry Depressive Disorder Cognitive Behavioral Therapy business.industry medicine.disease Comorbidity gambling Behavior Addictive Gambling Web-based business Declaration of Helsinki |
Zdroj: | BMJ Open, Vol. 9, No 12 (2019) P. e032110 BMJ Open |
ISSN: | 2044-6055 |
Popis: | IntroductionThe past-year prevalence of problem gambling worldwide averages 2.3%. Switzerland exhibits a slightly lower past-year prevalence rate, of 1.1%, among adults. Only a minority of these adults attend outpatient treatment. Surveyed problem gamblers have explained that they wanted to handle the problem on their own. The option of a web-based self-help programme could potentially reach those users who hesitate to approach treatment centres and help them to reduce or stop their problem gambling. The effectiveness of such web-based interventions has been shown in other countries.Methods and analysisThis two-armed randomised controlled trial (RCT) will examine the efficacy of a web-based self-help intervention, relative to an active control condition with a self-help manual, at reducing problem gambling. The active intervention programme, spanning 8 weeks, consists of nine modules developed to reduce gambling and attenuate psychopathological comorbidity, including depression, anxiety and stress-related disorder symptoms, relying on motivational interviewing and cognitive behavioural therapy. With a target sample size of 352, questionnaire data will be collected at baseline, and at 8 and 24 weeks after baseline. Primary outcomes will be the number of days one has gambled in the last 30 days. Secondary outcomes will include money and time spent on gambling activities, changes in gambling-related problems (Problem Gambling Severity Index, Gambling Symptom Assessment Scale), use of alcohol and cigarettes, and psychopathological comorbidity. All data analysis will comply with the intention-to-treat principle.Ethics and disseminationThe RCT will be conducted in accordance with the Declaration of Helsinki; the consort eHealth Guidelines for studies on medical devices; the European Directive on medical devices 93/42/EEC, Swiss Law and Swiss Regulatory Authority requirements. The study was approved by the ethics committee of the Canton of Zurich. Results will be published in a scientific peer-reviewed journal. Participants will be informed via e-mail about study results via a lay-person-friendly summary of trial findings.Trial registration numberCurrent Controlled Trials registry (ISRCTN16339434). |
Databáze: | OpenAIRE |
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