Merkouris S S, Rodda S N, Austin D, Lubman D I, Harvey P, Battersby M, Cunningham J, Lavis T, Smith D, Dowling N A
School of Psychology, Deakin University, Geelong, Victoria, Australia.
Turning Point, Eastern Health, Fitzroy, Australia.
BMJ Open. 2017 Feb 23;7(2):e014226. doi: 10.1136/bmjopen-2016-014226.
INTRODUCTION: The prevalence of disordered gambling worldwide has been estimated at 2.3%. Only a small minority of disordered gamblers seek specialist face-to-face treatment, and so a need for alternative treatment delivery models that capitalise on advances in communication technology, and use self-directed activity that can complement existing services has been identified. As such, the primary aim of this study is to evaluate an online self-directed cognitive-behavioural programme for disordered gambling (GamblingLess: For Life). METHODS AND ANALYSIS: The study will be a 2-arm, parallel group, pragmatic randomised trial. Participants will be randomly allocated to a pure self-directed (PSD) or guided self-directed (GSD) intervention. Participants in both groups will be asked to work through the 4 modules of the GamblingLess programme over 8 weeks. Participants in the GSD intervention will also receive weekly emails of guidance and support from a gambling counsellor. A total of 200 participants will be recruited. Participants will be eligible if they reside in Australia, are aged 18 years and over, have access to the internet, have adequate knowledge of the English language, are seeking help for their own gambling problems and are willing to take part in the intervention and associated assessments. Assessments will be conducted at preintervention, and at 2, 3 and 12 months from preintervention. The primary outcome is gambling severity, assessed using the Gambling Symptom Assessment Scale. Secondary outcomes include gambling frequency, gambling expenditure, psychological distress, quality of life and additional help-seeking. Qualitative interviews will also be conducted with a subsample of participants and the Guides (counsellors). ETHICS AND DISSEMINATION: The study has been approved by the Deakin University Human Research and Eastern Health Human Research Ethics Committees. Findings will be disseminated via report, peer-reviewed publications and conference presentations. TRIAL REGISTRATION NUMBER: ACTRN12615000864527; results.
引言：据估计，全球赌博障碍的患病率为2.3%。只有一小部分赌博障碍患者寻求专业的面对面治疗，因此，人们已经认识到需要利用通信技术的进步，采用能够补充现有服务的自我导向活动的替代治疗模式。因此，本研究的主要目的是评估一项针对赌博障碍的在线自我导向认知行为计划（“少赌博：为了生活”）。 方法与分析：本研究将是一项双臂、平行组、实用随机试验。参与者将被随机分配到纯自我导向（PSD）或引导式自我导向（GSD）干预组。两组参与者都将被要求在8周内完成“少赌博”计划的4个模块。GSD干预组的参与者还将每周收到赌博顾问的指导和支持邮件。总共将招募200名参与者。如果参与者居住在澳大利亚，年龄在18岁及以上，能够访问互联网，具备足够的英语知识，正在为自己的赌博问题寻求帮助，并且愿意参与干预和相关评估，那么他们将符合条件。评估将在干预前以及干预前2个月、3个月和12个月进行。主要结局是赌博严重程度，使用《赌博症状评估量表》进行评估。次要结局包括赌博频率、赌博支出、心理困扰、生活质量和额外的求助行为。还将对部分参与者和指导者（顾问）进行定性访谈。 伦理与传播：本研究已获得迪肯大学人类研究伦理委员会和东部健康人类研究伦理委员会的批准。研究结果将通过报告、同行评审出版物和会议报告进行传播。 试验注册号：ACTRN12615000864527；结果。
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