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针对有和没有同时存在不健康饮酒问题的问题赌徒的在线干预措施:随机对照试验。

Online interventions for problem gamblers with and without co-occurring unhealthy alcohol use: Randomized controlled trial.

作者信息

Cunningham John A, Hodgins David C, Keough Matthew, Hendershot Christian S, Schell Christina, Godinho Alexandra

机构信息

Centre for Addiction and Mental Health, Toronto, Canada.

University of Toronto, Toronto, Canada.

出版信息

Internet Interv. 2020 Jan 18;19:100307. doi: 10.1016/j.invent.2020.100307. eCollection 2020 Mar.


DOI:10.1016/j.invent.2020.100307
PMID:32042600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7000801/
Abstract

BACKGROUND AND AIMS: Problem gambling and unhealthy alcohol use often co-occur. The current trial sought to establish whether adding a brief online intervention for unhealthy alcohol use to an online problem gambling intervention would lead to improvements in gambling and drinking among those with both of these concerns. METHODS: Participants were recruited from across Canada using an advertisement targeting those concerned about their gambling who were interested in online help. No mention of unhealthy alcohol use was made in the advertisement. Participants meeting criteria for problem gambling were randomized to either receive just an online intervention for gambling (G-only) or to receive an online gambling intervention plus a brief personalized feedback intervention for unhealthy alcohol use (G + A). Participants were followed up at 3 and 6 months. RESULTS: A total of 282 participants were recruited for the trial. Follow-up rates were good (80% and 84% at 3 and 6 months). There were significant reductions in gambling (p < .001) across time but no significant differences (p > .05) between those who received either the G-only or G + A interventions. Further, for those with unhealthy alcohol use (41% of the sample), there were no significant reductions in alcohol consumption (p > .05) across time or differences between condition. DISCUSSION AND CONCLUSION: The addition of a brief intervention for unhealthy alcohol use to an online intervention for gambling did not appear to improve either gambling or drinking outcomes among people concerned about their gambling. Further research is merited to examine whether a combined intervention (with gambling and drinking components integrated) might result in improved outcomes and whether such an intervention might benefit the subgroup of participants who would specifically seek help for both gambling and alcohol concerns.ClinicalTrials.govNCT03323606; Registration date: October 24, 2017.

摘要

背景与目的:问题赌博与不健康饮酒常常同时出现。当前试验旨在确定,在针对问题赌博的在线干预中加入针对不健康饮酒的简短在线干预,是否会改善同时存在这两种问题的人群的赌博和饮酒状况。 方法:通过一则针对关注赌博问题且对在线帮助感兴趣的人群的广告,从加拿大各地招募参与者。广告中未提及不健康饮酒问题。符合问题赌博标准的参与者被随机分为两组,一组仅接受针对赌博的在线干预(仅赌博组),另一组接受针对赌博的在线干预加上针对不健康饮酒的简短个性化反馈干预(赌博 + 饮酒组)。在3个月和6个月时对参与者进行随访。 结果:共招募了282名参与者进行试验。随访率良好(3个月和6个月时分别为80%和84%)。随着时间推移,赌博行为显著减少(p <.001),但仅接受赌博干预组和接受赌博 + 饮酒干预组之间没有显著差异(p >.05)。此外,对于存在不健康饮酒问题的参与者(占样本的41%),随着时间推移酒精消费量没有显著减少(p >.05),不同干预组之间也没有差异。 讨论与结论:在针对赌博的在线干预中加入针对不健康饮酒的简短干预,似乎并未改善关注自身赌博问题人群的赌博或饮酒结果。值得进一步研究,以探讨联合干预(将赌博和饮酒部分整合)是否可能带来更好的结果,以及这样的干预是否可能使专门寻求赌博和酒精问题帮助的参与者亚组受益。ClinicalTrials.govNCT03323606;注册日期:2017年10月24日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1d1/7000801/acdca0e6a5ed/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1d1/7000801/feb4a6f4f7e6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1d1/7000801/299048f258ca/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1d1/7000801/acdca0e6a5ed/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1d1/7000801/feb4a6f4f7e6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1d1/7000801/299048f258ca/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1d1/7000801/acdca0e6a5ed/gr3.jpg

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本文引用的文献

[1]
Pilot randomized controlled trial of an online intervention for problem gamblers.

Addict Behav Rep. 2019-3-6

[2]
Randomized controlled trial of an Internet intervention for problem gambling provided with or without access to an Internet intervention for co-occurring mental health distress.

Internet Interv. 2019-3-6

[3]
Online Self-Directed Interventions for Gambling Disorder: Randomized Controlled Trial.

J Gambl Stud. 2019-6

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JMIR Ment Health. 2019-1-7

[5]
Can Amazon's Mechanical Turk be used to recruit participants for internet intervention trials? A pilot study involving a randomized controlled trial of a brief online intervention for hazardous alcohol use.

Internet Interv. 2017-9-9

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Online interventions for problem gamblers with and without co-occurring problem drinking: study protocol of a randomized controlled trial.

Trials. 2018-5-25

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Addiction. 2018-2-14

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Online interventions for problem gamblers with and without co-occurring mental health symptoms: Protocol for a randomized controlled trial.

BMC Public Health. 2016-7-22

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Interventions for comorbid problem gambling and psychiatric disorders: Advancing a developing field of research.

Addict Behav. 2016-7

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