Gambling Disorder, Gambling Problem, Mental Health Issue
Conditions
Keywords
Beliefs, Bias, Incentive
Brief summary
Many people with mental health conditions do not seek treatment, and it is unclear what exactly prevents people from taking up treatment. The goal of this interventional study is to learn about how people think about cognitive behavioral therapy (CBT) for gambling disorders. The main questions it aims to answer are: * Do people have incorrect beliefs about the net benefits of CBT? If yes, which beliefs are those, and how much do people underestimate or overestimate the benefits? * Is a small monetary incentive (that participants receive conditional on trying out CBT) helpful in increasing take-up of CBT? Apart from these questions, the researchers will also study how well CBT works to treat gambling disorders. Participants will be asked to complete two surveys over four months and might be offered a modest monetary incentive for doing (free) CBT if they are in the treatment group. Researchers will compare that treatment group to a control group. Participants in the control group will have access to free CBT and do the same two surveys as those in the treatment group, but will not receive the monetary incentive.
Interventions
Both treatment arms will be offered a monetary incentive (in form of a retail gift card) for undergoing a certain number of CBT sessions.
Sponsors
Study design
Masking description
Participants will know whether they are offered the incentive or not. Care providers (i.e., counselors at Kindbridge Behavioral Health) will not know (and participants can access care regardless of whether they are in the treatment group or not).
Intervention model description
Participants in the control group will take two (paid) surveys and have access to free cognitive behavioral therapy (CBT). Participants in the treatment group will be offered an additional payment (in the form of gift cards) to undergo a certain number of CBT sessions with Kindbridge Behavioral Health.
Eligibility
Inclusion criteria
* must reside in Colorado * must be English-speaking
Exclusion criteria
* does not reside in Colorado * is not English-speaking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Willingness to Pay for CBT | Baseline and 4 months | Change in participants' willingness to pay (in USD; elicited through multiple price lists) for CBT from baseline to follow-up survey. |
| Change in Beliefs about CBT | Baseline and 4 months | Change in participants' beliefs about therapy (such as effectiveness, unpleasantness, stigma, etc.) will between baseline and follow-up survey (4 months after baseline). |
| Attendance of CBT sessions | 4 months | Dates and number of CBT sessions participants attend (as long as they are with Kindbridge Behavioral Health) between baseline survey and follow-up survey (afer 4 months). |
| Change in Gambling Consumption | Baseline and 4 months | Amount wagered (in USD) in online and offline gambling by participants over the last month. Difference between stated amount at baseline and stated amount in follow-up survey. |
| Change in Subjective Well-Being | Baseline and 4 months | Change in measure of participants' wellbeing from baseline to follow-up (at four months), computed using Likert scale style questions about feeling happy/depressed/satisfied/anxious/etc. Answers are on a seven-point scale from strongly disagree through neutral to strongly agree. Points for each question are coded such that more positive answers get more points (so from most negative to most positive, the points -1, -2/3, -1/3, 0, 1/3, 2/3, 1 are awarded) and subjective well-being is the sum of all points. |