Internet-Based Delivery of Cognitive Behaviour Therapy Compared to Monitoring, Feedback and Support for Problem Gambling: A Randomised Controlled Trial

Casey, Leanne M.; Oei, Tian P. S.; Raylu, Namrata; Horrigan, Katherine; Day, Jamin; Ireland, Michael; Clough, Bonnie A.

doi:10.1007/s10899-016-9666-y

Cited by 72 publications

(104 citation statements)

References 27 publications

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“…Nonetheless, the moderator analyses revealed more effective SH options providing support for high-intensity, structured Internet-based programs with MI and CBT elements (Carlbring & Smit, 2008; Casey et al., 2017). The effect size is equivalent to that obtained from FTFTs.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of face-to-face versus self-guided treatments for disordered gambling: A meta-analysis

Goslar

Leibetseder

Muench

et al. 2017

Journal of Behavioral Addictions

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Background and aimsIn the light of growing traditional and novel forms of gambling, the treatment of disordered gambling is gaining increasing importance and practical relevance. Most studies have examined face-to-face treatments. Although trials implementing self-guided treatments have recently been conducted, these options have not yet been systematically examined. The primary objective of this meta-analysis, therefore, was to analyze the efficacy of all types of psychological face-to-face and self-guided treatments.MethodsA multilevel literature search yielded 27 randomized controlled studies totaling 3,879 participants to provide a comprehensive comparative evaluation of the short- and long-term efficacies of face-to-face and self-guided treatments for disordered gambling.ResultsAs expected, the results revealed significantly higher effect sizes for face-to-face treatments (16 studies with Hedges’s g ranging from 0.67 to 1.15) as compared with self-guided treatments (11 studies with Hedges’s g ranging from 0.12 to 0.30) regarding the reduction of problematic gambling behavior. The intensity of treatment moderated the therapy effect, particularly for self-guided treatments.Discussion and ConclusionsThe results of this meta-analysis favor face-to-face treatments over self-guided treatments for the reduction of disordered gambling. Although the findings broaden the scope of knowledge about psychological treatment modalities for disordered gambling, further research is needed to identify the reasons for these differences with the goal to optimize the treatment for this disabling condition.

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Section: Discussionmentioning

confidence: 99%

Efficacy of face-to-face versus self-guided treatments for disordered gambling: A meta-analysis

Goslar

Leibetseder

Muench

et al. 2017

Journal of Behavioral Addictions

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“…The results suggested that Internet-based CBT delivered comparable reductions in gambling amount, gambling frequency and, improved gambling refusal efficacy. However, lower dropout rates (18.6% vs. 47.7% and lower faulty gambling cognitions were observed in the face-to-face program [10].…”

Section: Principle Findingsmentioning

confidence: 76%

“…The convenience of Internet-based interventions may also contribute to the lack of program completion and online counselling or self-help programs may only be engaged in for as long as the consumer feels they are necessary [9]. One study compared the results of an Internet-based CBT program and found a substantially higher dropout rate (47.7%) compared to a similarly structured face-to-face program [10] Another potential limitation of Internet based interventions is that it is difficult to establish rapport in the same way as face-to-face interactions between consumers and providers. Rapport is an important component of effective treatment from both the perspective of the health professional and the client.…”

Section: Principle Findingsmentioning

confidence: 99%

Internet-Based Interventions for Problem Gambling: Scoping Review (Preprint)

Maas¹,

Marshall²,

Hodgins³

et al. 2017

Preprint

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BackgroundThe rate of treatment seeking has been demonstrated to be low across several research environments. This is in part due to the systemic barriers that would be treatment seekers face to accessing traditional face-to-face treatment. Making problem gambling treatment resources available through the Internet is one way to reduce the impact of those systemic barriers. The use of Internet based resources to address problem gambling has been growing and a field of research evaluating it has developed as well. However, there has been little done to examine this growing field of research as a whole. ObjectiveTo collect and evaluate research on the use of Internet based intervention for problem gambling in order to provide an understanding of the current state of the field. A secondary objective of this study is to outline the advantages and challenges that are associated with addressing problem gambling using Internet based resources. MethodsA scoping review was performed of five peer-reviewed research data bases (PsychINFO, CINAHL, Medline, Social Science Abstracts and Scopus) and three grey literature databases (MedEdPortal, Proquest: dissertations and Opengrey). Article inclusion required to have been published in the last ten years (2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017), include an intervention for problem gambling, and involve the use of the Internet to deliver that intervention. ResultsA total of 21 articles were found that met the review requirements. Studies were found from several different areas with particularly strong representation for Australia and New Zealand, and Scandinavia. Cognitive behavioural therapy was the most common form of internet based intervention. Internet based interventions we generally shown to be effective by the collected research in reducing problem gambling scores and gambling behaviours. Stated advantages include lower feelings of stigma, greater flexibility in time of treatment, and ease of access to relevant information. Stated disadvantages include ethical concerns related to clients in crisis and confidentiality, a lack of rapport in the client-provider relationship, and high rates of attrition. ConclusionInternet based interventions are a promising direction for treatment and prevention of problem gambling, particularly in reducing barrier to accessing professional help. The state of the current literature is sparse and more research is needed in directly comparing internet based interventions and their traditional counterparts.

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“…Una possibile spiegazione può essere legata alla relativa facilità di accesso al servizio: spesso la registrazione è mossa più da impulsività e curiosità che da una reale motivazione al cambiamento. Considerato l'alto rischio di interruzione dai trattamenti online evidenziato in letteratura (Melville et al 2010), ulteriori ricerche dovrebbe aiutare a comprendere e prevenire i dropout in questa tipologia terapeutica (Casey et al, 2017).…”

Section: Discussioneunclassified

Evidenze preliminari dalla piattaforma terapeutica online Giocaresponsabile. Condizioni socio-economiche e comportamenti di gioco

Lucchini¹,

Fea

Nava³

2017

Mission

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In letteratura (Gainsbury et al., 2014;Pulford et al., 2009) è ampiamente riconosciuto che i giocatori problematici non sempre riconoscono la situazione critica in cui versano, ma sono spesso le persone loro vicine (famigliari, colleghi/datori di lavoro, amici, ecc.) che li inducono a cercare aiuto per risolvere i problemi psicologici e/o legali connessi all'eccesso di gioco. Inoltre, vergogna e timore dello stigma si rivelano spesso ostacoli insormontabili (Suurvali et al., 2009;Hodgins et al., 2012) che impediscono di intraprendere un trattamento formale. Ciò spiega la nascita di nuove tipologie di aiuto professionale (Carlbring et al., 2008) attraverso l'utilizzo del telefono e delle tecnologie informatiche (es. helpline professionali, counselling online, siti web dedicati). Diverse evidenze (Cunningham et al., 2008) mostrano come molti giocatori problematici preferiscano questo tipo di approccio al momento di chiedere aiuto o intraprendere una terapia (Wood & Griffiths, 2007). Tali interventi, meno costosi rispetto alle modalità tradizionali, consentono maggiore copertura geografica e accessibilità a coloro che ricercano privacy, anonimato e flessibilità nella gestione del proprio tempo (Griffiths & Cooper, 2003;Monaghan & Blaszczynski, 2009;Rodda et al., 2013;Titov et al., 2015, Wood & Griffiths, 2007. Tutte queste considerazioni hanno spinto all'introduzione, anche in Italia, di servizi di consulenza e supporto ai giocatori, sia via telefono che online. Nell'ottobre 2009 è nata Giocaresponsabile (d'ora in avanti, GR), la prima helpline nazionale dedicata al gioco problematico e patologico. Ideato dalla Federazione Italiana degli Operatori dei Dipartimenti e dei Servizi delle Dipendenze (FeDerSerD) con il sostegno di alcuni dei concessionari del settore giochi in Italia (Gtech Group/Lottomatica, Sisal, e, successivamente, Codere, Admiral Gaming Network e Cirsa), il servizio è attivo 13 ore al giorno dal lunedì al sabato (9-22) per quanto concerne i contatti telefonici e via chat in tempo reale -le email inviate al sito giocaresponsabile.it vengono evase nell'arco di 24 ore. Il servizio è gestito da psicoterapeuti, che offrono assistenza sia ai giocatori in difficoltà che ai famigliari e altri significativi indirettamente coinvolti. Oltre alla promozione sul web, i materiali relativi al servizio sono stati distribuiti anche negli studi dei medici di famiglia, SAGGI, STUDI E RICERCHE Evidenze preliminari dalla piattaforma terapeutica online Giocaresponsabile. Condizioni socio-economiche e comportamenti di giocoFabio Lucchini*, Maurizio Fea § , Felice Nava°S ummary It is well known that problem gamblers do not always recognize the critical situation they face. Moreover, shame and fear of stigma often represent insurmountable barriers which prevent many problem gamblers from seeking help. In the attempt to lower these barriers, new types of professional help have emerged which are based on the use of telephone and information technology (eg. professional helplines, online counseling, websites). This study aimed...

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Internet-Based Delivery of Cognitive Behaviour Therapy Compared to Monitoring, Feedback and Support for Problem Gambling: A Randomised Controlled Trial

Cited by 72 publications

References 27 publications

Efficacy of face-to-face versus self-guided treatments for disordered gambling: A meta-analysis

Efficacy of face-to-face versus self-guided treatments for disordered gambling: A meta-analysis

Internet-Based Interventions for Problem Gambling: Scoping Review (Preprint)

Evidenze preliminari dalla piattaforma terapeutica online Giocaresponsabile. Condizioni socio-economiche e comportamenti di gioco

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