Cunningham John A, Godinho Alexandra, Hodgins David C
Centre for Addiction and Mental Health, Toronto, Canada.
University of Toronto, Toronto, Canada.
Addict Behav Rep. 2019 Mar 6;9:100175. doi: 10.1016/j.abrep.2019.100175. eCollection 2019 Jun.
INTRODUCTION: This pilot randomized controlled trial sought to evaluate whether an online intervention for problem gambling could lead to improved gambling outcomes compared to a no intervention control. Participants were recruited through a crowdsourcing platform. METHODS: Participants were recruited to complete an online survey about their gambling through the Mechanical Turk platform. Those who scored 5 or more on the Problem Gambling Severity Index and were thinking about quitting or reducing their gambling were invited to complete 6-week and 6-month follow-ups. Each potential participant who agreed was sent a unique password. Participants who used their password to log onto the study portal were randomized to either access an online intervention for gambling or to a no intervention control. RESULTS: A total of 321 participants were recruited, of which 87% and 88% were followed-up at 6 weeks and 6 months, respectively. Outcome analyses revealed that, while there were reductions in gambling from baseline to follow-ups, there was no significant observable impact of the online gambling intervention, as compared to a no intervention control condition. CONCLUSIONS: While the current trial observed no impact of the intervention, replication is merited with a larger sample size, and with participants who are not recruited through a crowdsourcing platform.Trial registration: ClinicalTrials.govNCT03124589.
引言:这项初步随机对照试验旨在评估与无干预对照组相比,针对问题赌博的在线干预是否能改善赌博结果。参与者通过众包平台招募。 方法:通过亚马逊土耳其机器人平台招募参与者,让他们完成一项关于其赌博情况的在线调查。那些在问题赌博严重程度指数上得分5分及以上且正在考虑戒赌或减少赌博的人被邀请完成6周和6个月的随访。每个同意参与的潜在参与者都会收到一个唯一的密码。使用密码登录研究门户的参与者被随机分配到接受赌博在线干预组或无干预对照组。 结果:共招募了321名参与者,其中分别有87%和88%的人在6周和6个月时接受了随访。结果分析显示,虽然从基线到随访时赌博有所减少,但与无干预对照组相比,在线赌博干预没有显著的可观察到的影响。 结论:虽然当前试验未观察到干预的影响,但值得以更大的样本量以及通过非众包平台招募的参与者进行重复试验。试验注册:ClinicalTrials.govNCT03124589。
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