GamblingNCT00618462
Cognitive Behavioral Treatments for Pathological Gambling
A study testing Cognitive behavioral therapy (CBT), Contingency management (CM) and Psychoeducation therapy in people with Gambling, run by UConn Health at 1 site in United States.
Trial summary
This study will determine the effectiveness of three different treatment strategies in reducing gambling behaviors in pathological gamblers. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Gambling
- What is being tested?
- Cognitive behavioral therapy (CBT), Contingency management (CM) and Psychoeducation therapy
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 210 participants
- Where
- 1 siteUnited States
- Study dates
- Aug 2004to Feb 2010
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Meets DSM-IV criteria for pathological gambling
- At least two gambling episodes in the 60 days prior to study entry
Who cannot join
- Inability to read English at the 5th grade level (as assessed by the Slosson Oral Reading Test)
- Uncontrolled psychiatric conditions (e.g., active suicidal intention, psychosis, bipolar disorder, or current alcohol or drug dependence other than nicotine)
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Connecticut Health Center
Farmington, Connecticut, 06030
About this study
This study will determine the effectiveness of three different treatment strategies in reducing gambling behaviors in pathological gamblers.
Read the detailed description
Pathological gambling is a chronic disorder in which a person is unable to control the urge to gamble. People who are pathological gamblers constantly think about gambling, and they may feel restless when not able to gamble. A pathological gambler's addiction to the thrill of gambling may lead to serious relationship, career, and debt problems. The number of pathological gamblers in the United States is steadily growing, leading to significant financial, psychological, and public health consequences. However, studies examining the effectiveness of treatments for pathological gamblers are limited. Forms of psychotherapy, such as cognitive behavioral therapy (CBT), and addiction support groups comprise some of the commonly used treatments for pathological gamblers. This study will compare the effectiveness of three different treatment strategies, including psychoeducation therapy plus case management, CBT, and CBT plus contingency management (CM), in reducing gambling behaviors and other problems related to pathological gambling.
Participation in this study will last 2 years. All potential participants will undergo an initial screening that will include questions about gambling behaviors and related problems and psychiatric, medical, social, legal, and substance abuse history. Eligible participants will be referred to Gambler's Anonymous (GA) and will be randomly assigned to one of three treatment groups. All participants will attend a 50-minute session of their assigned treatment each week for 8 weeks. They will also be encouraged to attend GA meetings during treatment.
- Group 1 participants will receive psychoeducation therapy plus case management. Therapy sessions will include education about gambling and related problems. The case management component of treatment will offer help with obtaining additional services from the community as needed.
- Group 2 participants will attend CBT sessions, which will include learning about the triggers that lead to gambling, developing alternatives to gambling, and avoiding relapse after stopping gambling.
- Group 3 participants will receive CM in addition to CBT, as described above. The CM component of treatment will encourage participants to partake in activities unrelated to gambling by awarding vouchers, such as a gift certificate to a store or restaurant, to participants for completing the alternative activities.
Gambling, substance use, and psychosocial problems will be assessed at pretreatment and Months 2, 6, 9, 12, 18, and 24 follow-up evaluations. Participants will also be asked to identify at least one person who is aware of their gambling problem and whom they regularly contact. Researchers will interview the contact person by phone at pretreatment and Months 2, 6, 12, and 24. The interview will include questions about the participant's gambling behaviors, personal relationships, legal status, use of health care and mental health services, and any possible change of contact information.
For information on related studies, please follow these links:
http://clinicaltrials.gov/show/NCT00158314
http://clinicaltrials.gov/show/NCT00118391
- Conditions
- Gambling
- Being tested
- Cognitive behavioral therapy (CBT), Contingency management (CM), Psychoeducation therapy, Case management, Gamblers Anonymous (GA)
- Keywords
- Cognitive Behavioral Therapy, Pathological Gambling
- Medical subject headings
- Gambling
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cognitive behavioral therapy (CBT)Behavioural
CBT will include weekly 50-minute sessions for 8 weeks. The sessions will focus on learning skills to cope with urges to gamble and developing alternatives to gambling.
Contingency management (CM)Behavioural
CM will provide incentive, such as a gift certificate to a store or restaurant, for completing activities not related to gambling. Participants and their therapists will decide upon two potential alternative activities to gambling during each therapy session.
Psychoeducation therapyBehavioural
Psychoeducation therapy will include weekly 50-minute therapy sessions for 8 weeks. The sessions will focus on education about gambling and related problems.
Case managementBehavioural
Case management will assist participants in obtaining additional services from the community as needed.
Gamblers Anonymous (GA)Behavioural
All participants will be referred to GA, a support group of people who are recovering from gambling addiction, and will be encouraged to attend meetings.
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Participants will receive psychoeducation therapy plus case management and a referral to Gamblers Anonymous. Receives: Behavioral: Psychoeducation therapy; Behavioral: Case management; Behavioral: Gamblers Anonymous (GA) |
| 2 | Experimental | Participants will receive cognitive behavioral therapy plus contingency management and a referral to Gamblers Anonymous. Receives: Behavioral: Cognitive behavioral therapy (CBT); Behavioral: Contingency management (CM); Behavioral: Gamblers Anonymous (GA) |
| 3 | Experimental | Participants will receive cognitive behavioral therapy and a referral to Gamblers Anonymous. Receives: Behavioral: Cognitive behavioral therapy (CBT); Behavioral: Gamblers Anonymous (GA) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Addiction Severity Index (ASI) gambling severity scores
Measured: Measured at pretreatment and Months 2, 6, 9, 12, 18 and 24 follow-ups
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Feb 2008 (estimated)
- Study startAug 2004
- Primary completionFeb 2010
- Study completionFeb 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for GamblingStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- None (open label)
- Enrolment
- 210 participants (actual)
Sponsor and investigators
- Lead sponsor
- UConn Health
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute of Mental Health (NIMH)
- Responsible party
- Sponsor
- Investigators
- Nancy M. Petry, PhD, Principal investigator, UConn Health
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00618462
- Sponsor's protocol ID
- R01MH060417-09
- Other IDs
- R01MH060417-09, 04-428, DATR A2-AIR
- Status last verified
- Apr 2019
- First submitted
- 15 Feb 2008
- Last updated
- 9 Apr 2019
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 9 Apr 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Cognitive Behavioral Treatments for Pathological Gambling
- ClinicalTrials.gov ID
- NCT00618462
- Acronym / sponsor ID
- R01MH060417-09
- Conditions
- Gambling
- Keywords
- Cognitive Behavioral Therapy, Pathological Gambling
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 210 participants (actual)
- Lead sponsor
- UConn HealthUniversity, hospital or other
- Collaborators
- National Institute of Mental Health (NIMH)
- Study start
- Aug 2004
- Primary completion
- Feb 2010 (actual)
- Study completion
- Feb 2010 (actual)
- First posted
- 20 Feb 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will determine the effectiveness of three different treatment strategies in reducing gambling behaviors in pathological gamblers.
Detailed description
Pathological gambling is a chronic disorder in which a person is unable to control the urge to gamble. People who are pathological gamblers constantly think about gambling, and they may feel restless when not able to gamble. A pathological gambler's addiction to the thrill of gambling may lead to serious relationship, career, and debt problems. The number of pathological gamblers in the United States is steadily growing, leading to significant financial, psychological, and public health consequences. However, studies examining the effectiveness of treatments for pathological gamblers are limited. Forms of psychotherapy, such as cognitive behavioral therapy (CBT), and addiction support groups comprise some of the commonly used treatments for pathological gamblers. This study will compare the effectiveness of three different treatment strategies, including psychoeducation therapy plus case management, CBT, and CBT plus contingency management (CM), in reducing gambling behaviors and other problems related to pathological gambling.
Participation in this study will last 2 years. All potential participants will undergo an initial screening that will include questions about gambling behaviors and related problems and psychiatric, medical, social, legal, and substance abuse history. Eligible participants will be referred to Gambler's Anonymous (GA) and will be randomly assigned to one of three treatment groups. All participants will attend a 50-minute session of their assigned treatment each week for 8 weeks. They will also be encouraged to attend GA meetings during treatment.
- Group 1 participants will receive psychoeducation therapy plus case management. Therapy sessions will include education about gambling and related problems. The case management component of treatment will offer help with obtaining additional services from the community as needed.
- Group 2 participants will attend CBT sessions, which will include learning about the triggers that lead to gambling, developing alternatives to gambling, and avoiding relapse after stopping gambling.
- Group 3 participants will receive CM in addition to CBT, as described above. The CM component of treatment will encourage participants to partake in activities unrelated to gambling by awarding vouchers, such as a gift certificate to a store or restaurant, to participants for completing the alternative activities.
Gambling, substance use, and psychosocial problems will be assessed at pretreatment and Months 2, 6, 9, 12, 18, and 24 follow-up evaluations. Participants will also be asked to identify at least one person who is aware of their gambling problem and whom they regularly contact. Researchers will interview the contact person by phone at pretreatment and Months 2, 6, 12, and 24. The interview will include questions about the participant's gambling behaviors, personal relationships, legal status, use of health care and mental health services, and any possible change of contact information.
For information on related studies, please follow these links:
http://clinicaltrials.gov/show/NCT00158314
http://clinicaltrials.gov/show/NCT00118391
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Behavioral: Psychoeducation therapy, Behavioral: Case management, Behavioral: Gamblers Anonymous (GA)Participants will receive psychoeducation therapy plus case management and a referral to Gamblers Anonymous. |
| 2 | Experimental | Behavioral: Cognitive behavioral therapy (CBT), Behavioral: Contingency management (CM), Behavioral: Gamblers Anonymous (GA)Participants will receive cognitive behavioral therapy plus contingency management and a referral to Gamblers Anonymous. |
| 3 | Experimental | Behavioral: Cognitive behavioral therapy (CBT), Behavioral: Gamblers Anonymous (GA)Participants will receive cognitive behavioral therapy and a referral to Gamblers Anonymous. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Meets DSM-IV criteria for pathological gambling
- At least two gambling episodes in the 60 days prior to study entry
Key exclusion criteria (2 listed)
- Inability to read English at the 5th grade level (as assessed by the Slosson Oral Reading Test)
- Uncontrolled psychiatric conditions (e.g., active suicidal intention, psychosis, bipolar disorder, or current alcohol or drug dependence other than nicotine)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Cognitive behavioral therapy (CBT)CBT will include weekly 50-minute sessions for 8 weeks. The sessions will focus on learning skills to cope with urges to gamble and developing alternatives to gambling. | Behavioural | 2, 3 |
| Contingency management (CM)CM will provide incentive, such as a gift certificate to a store or restaurant, for completing activities not related to gambling. Participants and their therapists will decide upon two potential alternative activities to gambling during each therapy session. | Behavioural | 2 |
| Psychoeducation therapyPsychoeducation therapy will include weekly 50-minute therapy sessions for 8 weeks. The sessions will focus on education about gambling and related problems. | Behavioural | 1 |
| Case managementCase management will assist participants in obtaining additional services from the community as needed. | Behavioural | 1 |
| Gamblers Anonymous (GA)All participants will be referred to GA, a support group of people who are recovering from gambling addiction, and will be encouraged to attend meetings. | Behavioural | 1, 2, 3 |
Primary outcome
Addiction Severity Index (ASI) gambling severity scores
Time frame: Measured at pretreatment and Months 2, 6, 9, 12, 18 and 24 follow-ups
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Apr 2019.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Nancy M. Petry, PhD principal investigator
UConn Health
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Cognitive behavioral therapy (CBT), Contingency management (CM) and Psychoeducation therapy in people with Gambling, run by UConn Health at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Apr 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Addiction Severity Index (ASI) gambling severity scores (time frame: Measured at pretreatment and Months 2, 6, 9, 12, 18 and 24 follow-ups). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Apr 2019.