Gambling
Conditions
Brief summary
Gambling disorder (GD) has become a wide concern in Indonesia, as many negative consequences aroused from this psychiatric condition. Prompt treatment with appropriate method of delivery is required to achieve optimal outcome in GD patients. This study aims to determine the effectiveness and feasibility of internet-based cognitive behavioral therapy (iCBT) in treating GD. This non-randomised pilot and feasibility study will recruit 20 people with GD. All participants will receive the iCBT intervention through self-learning videos and guided weekly group sessions. The effectiveness of the intervention will be assessed at baseline (week 0), post-treatment completion (week 10), and 6 weeks post-treatment (week 16). Expanded access of the iCBT module will not be available until after the study completion.
Interventions
All participants will undergo 10 guided therapy sessions (once-weekly) with each session lasting 20 minutes. The therapy module will be given as an online self-learning source via videos in a website specifically developed for this training. The videos will divide the module content into several parts with each video lasting about 10 minutes.
Sponsors
Study design
Eligibility
Inclusion criteria
* be aged 18-59 years old; * be screened as probable pathological gambler based on South Oaks Gambling Screen (SOGS); * have access to electronic devices (ie, smartphone, mobile tablet, personal computer) with internet connection; * be proficient in Indonesian language; * have agreed to take part in the study by filling out the informed consent form.
Exclusion criteria
* have severe mental disorders or intellectual disabilities; * have extreme agitation that hinder instrument fill out and adequate cognitive behavior therapy participation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gambling symptom severity | G-SAS will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16) | a decrease in Gambling Symptom Assessment Scale (G-SAS) score |
| Problem gambling severity | PGSI will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16) | a decrease in Problem Gambling Severity Index score |
| Gambling urges | GUS will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16) | a decrease in Gambling Urge Scale (GUS) score |
| Gambling-related cognitive distortions | GRCS will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16) | a decrease in Gambling Related Cognitions Scale (GRCS) score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nonspecific psychological distress | SRQ-20 will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16) | a decrease in Self Rating Questionnaire-20 (SRQ-20) score |
| Subjective quality of life | WHOQOL-BREF will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16) | an increase in World Health Organization Quality-of-Life Scale (WHOQOL-BREF) score |