Recruiting

Integrated TreatmentEffectiveness of an Online Integrated Treatment for Problem Gambling and Tobacco Smoking

Sponsor:

University of Manitoba

Code:

NCT03614884

Conditions

Gambling Disorder

Eligibility Criteria

Sex: All

Age: 19+

Healthy Volunteers: Not accepted

Interventions

Gambling and Smoking Treatment

Gambling only treatment

Study Details

Brief summary:

Research has shown that problem gambling and tobacco smoking are highly comorbid. Problem gamblers who smoke tend to: have more severe gambling problems, experience stronger gambling urges, have other mental disorders, bet larger sums of money, spend more time in gambling activities, and have greater financial problems. Accordingly, it might be helpful to reduce your smoking as well, while you are trying to get a grip on your gambling.

Previous studies have treated gambling on its own or tobacco smoking on its own. To date, there has not been a treatment that has targeted treating both at the same time. Considering how often these conditions occur together, it is important to see if combining their treatment results in beneficial outcomes. In the current research, the researchers aim to design and test an online, self-help intervention for co-occurring problem gambling and tobacco smoking. It will draw on strategies from Cognitive Behavioural Therapy (CBT) and Motivational Interviewing (MI) - both which have been shown to be successful in treating problem gambling and tobacco smoking. These outcomes will be compared to a group that receives treatment for problem gambling only. This research will provide insight into a potential new intervention for treating two highly co-occurring conditions.

Conditions

Gambling Disorder

Study ID

NCT03614884

Start date

Sep 3, 2018

Status verified date

May, 2021

Completion date

Dec, 2021

Anticipated

Primary completion date

Aug, 2021

Anticipated

Eligibility Criteria

Sex: All

Age: 19+

Healthy Volunteers: Not accepted

Inclusion Criteria:

ages 19+
problem gambling status based on reporting a score of > 3 on the Problem Gambling Severity Index
reporting current daily smoking
fluency in English
have weekly Internet access
report at least moderate motivation to change gambling and/or smoking behaviours

Exclusion Criteria:

Those that are identified as "Higher" risk on the suicide screener
self-reported engagement in other psychosocial treatments for problem gambling and/or smoking
past-90 day psychosis or mania
presence of a severe substance use disorder (SUD) (For alcohol, individuals with a score of > 20 on the Alcohol Use Disorder Identification Test (AUDIT) will be excluded from the study. For substance use, individuals with a score of > 5 on the Drug Abuse Screening Test-10 (DAST-10) will be excluded).

Study Design

Enrollment

300 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Gambling and Smoking Treatment

Participants in this arm will be given access to the online integrated treatment for gambling and smoking.

active comparator: Gambling Only Treatment

Participants in this arm will be given access to the online gambling only treatment.

Interventions

Gambling and Smoking Treatment

The treatment condition will have access to 7 treatment modules on content surrounding both gambling and smoking behaviours. Participants will have 8-weeks to complete them. The content of all modules is derived from Cognitive Behavioural Therapy and Motivational Interviewing. Through module engagement, participants will identify goals related to gambling and smoking behaviours, learn strategies to cope with cravings and triggers, and learn how to prevent relapse. Participants will have immediate access to all modules, and it will be recommended that they work through the modules sequentially. Participants in this condition will also be provided with nicotine replacement therapy (NRT) in the form of nicotine patches to use for the duration of the study.

Gambling only treatment

The control condition will have access to 7 treatment modules on content surrounding gambling only. Participants will have 8-weeks to complete them. The content of all modules is derived from Cognitive Behavioural Therapy and Motivational Interviewing. Through module engagement, participants will identify goals related to gambling behaviours, learn strategies to cope with cravings and triggers, and learn how to prevent relapse. Participants will have immediate access to all modules, and it will be recommended that they work through the modules sequentially.

Primary outcome measure

Change in number of days gambled [ Time Frame: Participants will be assessed using the TLFB at three time points: at baseline (i.e., prior to treatment; T0), immediately following the 8-week treatment (T1), and at follow-up (i.e., 24 weeks from baseline, 16 weeks from end of treatment, T2). ]
Change in money spent gambling [ Time Frame: Participants will be assessed using the TLFB at three time points: at baseline (i.e., prior to treatment; T0), immediately following the 8-week treatment (T1), and at follow-up (i.e., 24 weeks from baseline, 16 weeks from end of treatment, T2). ]
Change in time spent gambling [ Time Frame: Participants will be assessed using the TLFB at three time points: at baseline (i.e., prior to treatment; T0), immediately following the 8-week treatment (T1), and at follow-up (i.e., 24 weeks from baseline, 16 weeks from end of treatment, T2). ]

Central Contacts and Locations

Central contacts

Matthew T Keough, PhD

204-474-7400 matthew.keough@umanitoba.ca

Locations

University of Manitoba

Recruiting

Winnipeg, Manitoba, Canada, R3T 2M8

More Information

Sponsor

University of Manitoba

Last update posted

May 12, 2021

Last verified

May, 2021

Keywords

gambling
smoking
online intervention
Cognitive Behavioural Therapy
Motivational Interviewing
Randomized Controlled Trial

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by University of Manitoba on 2021-05-12.