Division on Addiction, Suite 2100, 101 Station Landing, Medford, MA 02155, USA.
Am J Orthopsychiatry. 2012 Apr;82(2):278-89. doi: 10.1111/j.1939-0025.2012.01157.x.
Two studies conducted in Massachusetts and Nevada evaluated the efficacy of a self-help toolkit for problem gambling. Individuals concerned about gambling-related problems, in response to public notices and newspaper advertisements, volunteered for a randomized trial of the self-help toolkit, Your First Step to Change: Gambling. Participants were randomly assigned to 1 of 3 conditions: (a) a printed toolkit, (b) the toolkit and a brief guide to the toolkit's content, or (c) assignment to a wait-list condition. Participants, 145 in Massachusetts and 170 in Nevada, reported their gambling behavior, beliefs and attitudes about chance, and recent and planned help seeking at baseline, 88% at 1 month later, and 79% at 3 months later. Findings for the complete and intent-to-treat analyses at both sites indicated that participants significantly improved. At the end of the study period, significantly more toolkit recipients than control group participants reported recently abstaining from gambling. Minimally invasive, self-directed resources like this self-help toolkit can assist remediating gambling-related problems among gamblers who do not engage in formal treatment.
两项在马萨诸塞州和内华达州进行的研究评估了自助工具包治疗赌博问题的疗效。有赌博相关问题的个人，根据公共通知和报纸广告，自愿参加自助工具包“改变的第一步：赌博”的随机试验。参与者被随机分配到以下 3 种条件之一：（a）印刷工具包，（b）工具包和工具包内容的简要指南，或（c）等待名单条件。在基线时，来自马萨诸塞州的 145 名参与者和内华达州的 170 名参与者报告了他们的赌博行为、对机会的信念和态度，以及最近和计划中的寻求帮助情况，1 个月后 88%的人报告了，3 个月后 79%的人报告了。在两个地点的完整和意向治疗分析中，发现参与者显著改善。在研究期间结束时，与对照组参与者相比，工具包的接受者报告最近戒赌的人数明显更多。像这种自助工具包这样的微创、自我导向的资源可以帮助那些不接受正式治疗的赌徒解决赌博相关问题。
