Trial reportJournal of gambling studies2020
Unguided Chatbot-Delivered Cognitive Behavioural Intervention for Problem Gamblers Through Messaging App: A Randomised Controlled Trial.
Trial report in Journal of gambling studies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 6 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Chatbot interventions for improving mental health among people in Asia: a systematic review and meta-analysis of randomised controlled trials.BMJ health & care informatics · 2026Pooled it
- Patient Engagement with Conversational Agents in Health Applications 2016-2022: A Systematic Review and Meta-Analysis.Journal of medical systems · 2024Pooled it
- Attrition in Conversational Agent-Delivered Mental Health Interventions: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2024Pooled it
- Effect of cognitive-behavioral techniques for problem gambling and gambling disorder: A systematic review and meta-analysis.Addiction (Abingdon, England) · 2023Pooled it
- Internet-based interventions for behavioral addictions: A systematic review.Journal of behavioral addictions · 2022Pooled it
- Internet-based treatment of gambling problems: A systematic review and meta-analysis of randomized controlled trials.Journal of behavioral addictions · 2021Pooled it
- Trial
- GamblingLess: In-The-Moment: a mixed-methods acceptability and engagement evaluation of a gambling just-in-time adaptive intervention.Addiction science & clinical practice · 2025Trial
- Recruitment in a research study via chatbot versus telephone outreach: a randomized trial at a minority-serving institution.Journal of the American Medical Informatics Association : JAMIA · 2021Trial
- Help on Demand, a Self-Directed Mobile App Intervention for Gambling Problems: Development and Usability Study.JMIR formative research · 2026Article
- Can Large Language Models Address Problem Gambling? Expert Insights from Gambling Treatment Professionals.Journal of gambling studies · 2025Article
- The General Acceptability and Use of Smartphone App-Delivered Interventions for Gambling in Australia.Journal of gambling studies · 2025Article
- Promoting safer gambling through social norms and goal setting: A qualitative process analysis of participants' experiences in the EROGamb 2.0 feasibility trial.Internet interventions · 2024Article
- Article
- Roles, Users, Benefits, and Limitations of Chatbots in Health Care: Rapid Review.Journal of medical Internet research · 2024Review
- Evaluation framework for conversational agents with artificial intelligence in health interventions: a systematic scoping review.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Validation of a Spanish Adaptation of the Gambling Symptom Assessment Scale (G-SAS) in Persons with Recent History of Gambling.Journal of gambling studies · 2023Article
- Smartphone Apps for Problem Gambling: A Review of Content and Quality.Current addiction reports · 2023Article
- Evaluating Conversational Agents for Mental Health: Scoping Review of Outcomes and Outcome Measurement Instruments.Journal of medical Internet research · 2023Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Internet-delivered intervention may be an acceptable alternative for the more than 90% of problem gamblers who are reluctant to seek face-to-face support. Thus, we aimed to (1) develop a low-dropout unguided intervention named GAMBOT integrated with a messaging app; and (2) investigate its effect. The present study was a randomised, quadruple-blind, controlled trial. We set pre-to-post change in the Problem Gambling Severity Index (PGSI) as the primary outcome and pre-to-post change in the Gambling Symptom Assessment Scale (G-SAS) as a secondary outcome. Daily monitoring, personalised feedback, and private messages based on cognitive behavioural theory were offered to participants in the intervention group through a messaging app for 28 days (GAMBOT). Participants in the control group received biweekly messages only for assessments for 28 days (assessments only). A total of 197 problem gamblers were included in the primary analysis. We failed to demonstrate a significant between-group difference in the primary outcome (PGSI - 1.14, 95% CI - 2.75 to 0.47, p = 0.162) but in the secondary outcome (G-SAS - 3.14, 95% CI - 0.24 to - 6.04, p = 0.03). Only 6.7% of the participants dropped out during follow-up and 77% of the GAMBOT group participants (74/96) continued to participate in the intervention throughout the 28-day period. Integrating intervention into a chatbot feature on a frequently used messaging app shows promise in helping to overcome the high dropout rate of unguided internet-delivered interventions. More effective and sophisticated contents delivered by a chatbot should be sought to engage over 90% of problem gamblers who are reluctant to seek face-to-face support.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.