Evidence map›Paper›PMID 41388604›Full record

Trial reportAddiction (Abingdon, England)2026

Preventing gambling-related harm in adolescents (PRoGRAM-A), a secondary school-based social network intervention: Results from a pilot cluster randomised controlled trial.

Fiona Dobbie, Martine Miller, Angela Niven, Heather Wardle, Christopher Weir, Hannah Ensor, Andrew Stoddart, Dave Griffiths, Leon Noble, Richard Purves and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
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

11 authors.

Fiona DobbieUsher Institute, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-8294-8203
Martine MillerUsher Institute, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-9165-790X
Angela NivenUsher Institute, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0001-5886-0220
Heather WardleSchool of Social and Political Sciences, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0003-1361-3706
Christopher WeirEdinburgh Clinical Trials Unit, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-6494-4903
Hannah EnsorEdinburgh Clinical Trials Unit, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0003-3052-7287
Andrew StoddartEdinburgh Clinical Trials Unit, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-1958-3897
Dave GriffithsFaculty of Social Sciences, University of Stirling, Stirling, UK.ORCID https://orcid.org/0000-0003-3978-3754
Leon NobleSchool of Earth and Environment, University of Leeds, Leeds, UK.ORCID https://orcid.org/0009-0002-2998-9249
Richard PurvesInstitute for Social Marketing, University of Stirling, Stirling, UK.ORCID https://orcid.org/0000-0002-6527-0218
James WhiteCentre for Trials Research, School of Medicine, Cardiff University, Cardiff, UK.ORCID https://orcid.org/0000-0001-8371-8453

Funding

NIHR Public Health Research programme NIHR150838
6 · The paper itself

Abstract

aimTo conduct a pilot cluster randomised controlled trial (cRCT) of a gambling prevention intervention (PRoGRAM-A) among young people aged 13-15 to determine the utility of conducting a Phase III RCT assessing effectiveness and cost-effectiveness.

designTwo-arm, pilot cluster randomised controlled trial with an embedded process evaluation, health economic scoping study and social network analysis. Six schools were identified based on Scottish Index of Multiple Deprivation and school roll size. Schools were randomised to either intervention (n = 4) or control (n = 2). The trial was delivered between October 2023 and November 2024.

settingSix state funded secondary schools in Scotland (four intervention, two control).

participantsStudents (intervention n = 762, and control n = 352) in secondary school year 3 (aged 13-15 years old). INTERVENTION AND COMPARATOR: PRoGRAM-A (Preventing Gambling Related Harm in Adolescents), a peer-led social network intervention to protect young people, their friends and family members from gambling related harm (GRH). Control schools delivered their standard Personal, Social, Health and Education (PSHE) curriculum, which did not include any form of gambling education. MEASUREMENTS: The primary outcome of this study was whether progression to a full-scale Phase III cRCT was warranted, using pre-set progression criteria. These criteria sought to address uncertainties in the intervention and cRCT design with thresholds set according to a traffic light system.

findingsAll five progression criteria were met. All schools were recruited and retained in the study with minimal missing outcome data. The process evaluation indicated that PRoGRAM-A was acceptable to multiple stakeholders and delivered with fidelity to the delivery manual. The proposed primary outcome for a future Phase III cRCT was self-reported gambling participation (measured by asking about types of gambling participation 'in the last 4 weeks' and 'in the last 12 months'). This pilot study found no statictically significant differences between the control and intervention groups at follow-up.

conclusionsThe school-based gambling prevention intervention PRoGRAM-A appears to be an acceptable intervention which can be delivered with high fidelity. The trial methods were acceptable with all settings recruited and retained. Progression to a larger randomised controlled trial to test effectiveness and costs effectiveness is warranted.

Indexed as

GamblingSchool Health ServicesSocial NetworkingAdolescentCost-Benefit AnalysisFemaleHumansMalePeer GroupPilot ProjectsProgram EvaluationSchoolsScotlandgamblinggambling related harmpeer educationpublic healthschool‐based interventionyoung people

Identifiers

PMID41388604
PMCPMC12980299

What OpenQuestion holds

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Registered trials

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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.