Recruiting

Integrative Couple Treatment

Sponsor:

Université du Québec à Trois-Rivières

Code:

NCT05833503

Conditions

Gambling Disorder

Substance Use Disorders

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Integrative Couple Treatment for Addiction (ICT-A)

Treatment individual as usually offered

Study Details

Brief summary:

The aim of the study is to compare couple-based treatment to individual treatment (treatment as usual) for addiction (gambling or substance use disorder).

Conditions

Gambling Disorder

Substance Use Disorders

Study ID

NCT05833503

Start date

May 1, 2023

Status verified date

Apr, 2024

Completion date

Feb, 2026

Anticipated

Primary completion date

Aug, 2025

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • The Gambler may have a gambling or substance use problem at the beginning of treatment AND is accepted for treatment by addiction rehabilitation centers (CRDs).
  • The Gambler has engaged in gambling or substance use behaviors in the past three months (Time Line Follow-Back).
  • The Partner may or may not engage in gambling, consume alcohol or other substances of abuse.
  • Living in couple for at least six months OR report being in a significant relationship for at least two years.
  • Neither member of the couple presents a mental health problem that could hinder their ability to participate in the therapeutic process.

Exclusion Criteria:

  • The Gambler has been completely abstinent from any gambling or substance use problem for the past three months.
  • The Gambler received treatment for gambling disorder or substance abuse disorder during the last six months (excluding Gamblers Anonymous, Alcoholics Anonymous or Narcotics Anonymous).
  • Low level of marital commitment between the couple in the past 2 weeks indicating a high risk of short-term separation (Marital Status Inventory, score ≥9)
  • Presence of serious acts of violence committed within the past year endangering the safety or life of one of the spouses (Modified Conflict Tactics Scales: Answer YES to any question from Q27-33) OR use of services for victims of domestic violence in the past year.
  • Presence of an active mental health disorder in either partner hindering therapeutic participation, such as a psychotic disorder OR a suicide attempt in the last 30 days (Psychological Scale of the Addiction Severity Index) OR severe borderline personality disorder (BSL-23 ≥2.8) OR excessively extreme antisocial behaviors (Conduct Disorder Scale from the GAIN ≥ 9).

Study Design

Enrollment

100 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Integrative Couple Treatment for Addiction (ICT-A)

Inspired by the "Alcohol Behavior Couple Therapy" from Epstein \& McCrady, the ICT-A will be offered over 12 to 16 sessions of 90 minutes. Typically, approximately the first half of each session is dedicated to GD/SUD problems,in a predominantly cognitive behavioral model. In the second part of each session, the clinician will help the couple to improve their communication,to reduce the reinforcements (non-voluntary) of the behaviors of GD/SUD and to increase marital pleasure situations incompatible with the use of GD/SUD.Particular attention will also be paid to feelings of betrayal and interpersonal attacks to restore trust. Plus,they will received a sefl-care guide.

active comparator: Individual treatment as usually offered

The usual treatment control group will receive individual treatment as already offered by the specialized centres in addiction.

For the person with GD/SUD, this treatment consists of 12 to 16 individual cognitive-behavioral sessions of 60 minutes. In general, the intervention aims to secure financial assets, awareness of erroneous thoughts and improvement of alternative skills to gambling in order to meet the normal demands of psychic and relational life. People undergoing this intervention will receive a self-care guide.

As for the partners randomized in this intervention, they will receive the services that are usually offered to members of the entourage of a person with GD/SUD. In groups or individually, these services are generally aimed at improving the partner's well-being and relationship with their spouse, which includes information about GD/SUD and the recovery process.

Interventions

Integrative Couple Treatment for Addiction (ICT-A)

Couple-based intervention called Integrative Couple Treatment for Addiction (ICT-A).

Treatment individual as usually offered

Individual-based treatment as usually offer by the specialized centres in addiction.

Primary outcome measure

  • Change in Self-reports of alcohol, substance use and gambling with the Time-Line Follow-Back (TLFB) in the last 90 days-Gamblers [ Time Frame: in the last 90 days of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]
  • Change in Canadian Problem Gambling Severity Index (PGSI)-Gambler [ Time Frame: in the last 90 days of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]
  • Change in Alcohol, Smoking and Substance involvement and Screening Test (ASSIST) of the World Health Organization (WHO)-Gambler [ Time Frame: in the last 90 days of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]
  • Change in Negative Gambling/Using Consequences-Gambler [ Time Frame: in the last 90 days of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]
  • Change in Negative Gambling/Using Consequences-Partner [ Time Frame: in the last 90 days of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]
  • Change in Severity of dependance scale (SDS)-Gamblers [ Time Frame: in the last 90 days of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]
  • Change in Craving Experience Questionnaire (CEQ)-Gamblers [ Time Frame: in the last seven days of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]
  • Change in Readiness to Change Questionnaire (RCQ)-Gamblers [ Time Frame: in the last 90 days of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]
  • Change in Readiness Ruler tool-Gambler [ Time Frame: in the last seven days of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]
  • Change in Global Improvement Rate-Gambler [ Time Frame: in the last six months of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]
  • Change in Global Improvement Rate-Partner [ Time Frame: in the last six months of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]
  • Change in Inventory of Erroneous Beliefs Related to Gambling ("Inventaire Des Croyances liées Aux Jeux" - ICROLJ)-Gambler [ Time Frame: in the last 90 days of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]
  • Change in Inventory of Erroneous Beliefs Related to Gambling ("Inventaire Des Croyances liées Aux Jeux" - ICROLJ)-Partner [ Time Frame: in the last 90 days of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]
  • Change in integrative evaluation specialized in addiction (évaluation intégrative spécialisée en dépendance)-Gambler [ Time Frame: in the last 90 days of admission, 6,12 and 18 months post-admission (The first admission is anticipated for april 2023 and the last in march 2024) ]

Central Contacts and Locations

Central contacts

Joël Tremblay, PhD

418-659-2170Joel.Tremblay@uqtr.ca

Myriam Beaulieu, M.Sc.

418-659-2170myriam.beaulieu@uqtr.ca

Locations

Centre Intégré de Santé et de Services Sociaux de Lanaudière

Recruiting

Joliette, Quebec, Canada, J6E 5X7

Contacts

Joël Tremblay

4186592170joel.tremblay@uqtr.ca

Centre intégré de Santé et de Services Sociaux de Chaudière-Appalaches (CISSS-CA)

Recruiting

Lévis, Quebec, Canada, G6V 0M4

Contacts

Joël Tremblay, Ph.D.

418-659-2170Joel.Tremblay@uqtr.ca

Centre Universitaire Intégré de Santé et de Services Sociaux du Centre Sud de l'Ile de Montréal

Recruiting

Montréal, Quebec, Canada, H2L 4M1

Contacts

Joël Tremblay

4186592170joel.tremblay@uqtr.ca

Centre Intégré de Santé et de Services Sociaux des Laurentides

Recruiting

Saint-Jérôme, Quebec, Canada, J7Z 5T3

Contacts

Joël Tremblay

4186592170Joel.tremblay@uqtr.ca

Centre Universitaire Intégré de Santé et de Services Sociaux de l'Estrie

Recruiting

Sherbrooke, Quebec, Canada, J1G 1B1

Contacts

Joël Tremblay

4186592170joel.tremblay@uqtr.ca

Centre Intégré de Santé et de Services Sociaux de la Montérégie-Ouest

Recruiting

St-Hubert, Quebec, Canada, J3Y 6W9

Contacts

Joël Tremblay

4186592170joel.tremblay@uqtr.ca

Centre Universitaire Intégré de Santé et de Services Sociaux de la Capitale Nationale

Recruiting

Québec, Canada, G1J 0A4

Contacts

Joël Tremblay

418-659-2170joel.tremblay@uqtr.ca

More Information

Sponsor

Université du Québec à Trois-Rivières

Last update posted

Apr 11, 2024

Last verified

Apr, 2024

Keywords

  • Gambling Disorder
  • Substance use Disorder
  • Couple-based intervention
  • Marital relationship

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Université du Québec à Trois-Rivières on 2024-04-11.