Evidence map›Paper›PMID 36805024›Full record

ArticlePilot and feasibility studies2023

The evaluation of a brief ICBT program with therapist support for individuals with gambling problems in the context of a gambling helpline: a randomized pilot trial.

Håkan Wall, Kristoffer Magnusson, Clara Hellner, Gerhard Andersson, Nitya Jayaram-Lindström, Ingvar Rosendahl

Registry-linked trialAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04609007 (The Effect of a Brief Intervention for Problem Gamblers - a Randomized Controlled), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT04609007 nacompletednot on this map

The Effect of a Brief Intervention for Problem Gamblers - a Randomized Controlled

TypeinterventionalSponsorKarolinska InstitutetRan2015 to 2015Enrolled36ConditionsGambling ProblemArmsCognitive behavioral therapy (CBT), Regular help-line telephone counselling
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Håkan WallDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Solna, Sweden. hakan.wall@ki.se.ORCID http://orcid.org/0000-0002-7028-3355
Kristoffer MagnussonDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Solna, Sweden.
Clara HellnerDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Solna, Sweden.
Gerhard AnderssonDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Solna, Sweden.
Nitya Jayaram-LindströmDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Solna, Sweden.
Ingvar RosendahlDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Solna, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsGambling helplines are a natural way of first contact for individuals with gambling problems. However, few studies have evaluated the feasibility and effectiveness of brief interventions in a gambling helpline. To reduce this knowledge gap, this study evaluated the feasibility of an online cognitive behavioral therapy (ICBT) program in the context of a gambling helpline as a first step towards a full-scale RCT.

designThis is a two-group parallel randomized controlled pilot trial where the participants were randomized to either a brief four-module ICBT program (n = 22) or a control group (n = 21). Participants were followed up weekly during the intervention, post intervention, and 6 weeks upon completion of intervention.

participantsA total of 43 self-identified individuals with gambling problems (scoring 3 or more on the Problem Gambling Severity Index) were recruited via the Swedish national gambling helpline, 59% females, mean age 43.7 years. MEASUREMENTS: Feasibility of the procedure and intervention (i.e., recruitment pace, attrition, program engagement, and satisfaction) were the primary outcomes; treatment effect (net gambling losses) was the secondary outcome.

resultsApproximately 2 participants per week were randomized, and retention was low, with 47% lost to follow-up at the 6-week follow-up time-point. Most participants engaged in the online modules (86%) and rated their overall satisfaction with the program as high (7.5 out of 10). Both groups decreased their weekly gambling losses at both follow-up time-points, but the between-group comparisons were inconclusive.

conclusionIt is not advisable to conduct a full-scale RCT based on the results from this pilot study. Future studies in a gambling helpline should consider interventions that are more suited to be incorporated in a gambling helpline and identify ways to increase participant engagement.

trial registrationThe study was retrospectively registered on ClinicalTrials.gov (ID: NCT04609007 , 29/10/2020).

Indexed as

Gambling helplineInterventionPilot trial

Identifiers

PMID36805024
PMCPMC9936663

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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.