School of Medicine, University of Maryland Baltimore, Baltimore, USA.
College of Medicine, University of Kentucky, Lexington, USA.
J Gambl Stud. 2022 Jun;38(2):545-558. doi: 10.1007/s10899-021-10031-4. Epub 2021 May 12.
Although there are few interventions available to provide screening and brief intervention targeted toward problematic gambling, Screening, Brief Intervention and Referral to Treatment (SBIRT) is an evidence-based intervention that has demonstrated effectiveness in reducing gambling behaviors.
The goal of this pilot study was to evaluate the feasibility, acceptability and preliminary outcomes of a gambling specific SBIRT intervention in a medical setting. Fifteen participants were recruited from an urban HIV/Primary Care clinic to receive the gambling specific SBIRT intervention delivered by 3 clinicians. Process and gambling specific outcome measures were evaluated at baseline, immediately after the intervention and at 1-month follow-up.
On average, patient participants were 49 years and self-described themselves as male (60%) and Black or African American (86.7%). Three (20%) participants met 4 or more criteria of the DSM-5 gambling disorder. Compared to baseline, those who participated in the intervention decreased both the median number of days gambled (1 days vs. 0 days), as well as the median money gambled at 1-month follow-up ($7 vs. $1). Participants with 4 or more criteria of DSM-5 gambling had the greatest reduction (days gambled: (26 days vs. 21 days); money spent: (($400 vs. $65)). Participants reported that the intervention was acceptable. Clinician participants found the intervention to be easy to deliver.
A gambling specific SBIRT intervention was feasible to deliver and acceptable to participants. Gambling specific outcome measures were reduced at 1-month follow-up. A randomized control trial to evaluate the efficacy of the intervention is a recommended next step.
尽管提供了一些干预措施来针对有问题的赌博进行筛查和简短干预，但“筛查、简短干预和转介治疗”（SBIRT）是一种基于证据的干预措施，已证明可有效减少赌博行为。
本试点研究的目的是评估在医疗环境中进行特定于赌博的 SBIRT 干预的可行性、可接受性和初步结果。从一家城市艾滋病毒/初级保健诊所招募了 15 名参与者，由 3 名临床医生为他们提供特定于赌博的 SBIRT 干预。在基线、干预后立即和 1 个月随访时评估过程和特定于赌博的结果测量。
平均而言，患者参与者年龄为 49 岁，自称为男性（60%）和黑种人或非裔美国人（86.7%）。有 3 名（20%）参与者符合 DSM-5 赌博障碍的 4 项或更多标准。与基线相比，参加干预的参与者减少了赌博天数的中位数（1 天对 0 天），以及 1 个月随访时赌博的中位数（7 美元对 1 美元）。符合 DSM-5 赌博障碍 4 项或更多标准的参与者减少最多（赌博天数：（26 天对 21 天）；花费的钱：（400 美元对 65 美元））。参与者报告干预措施是可接受的。临床医生参与者发现干预措施易于实施。
特定于赌博的 SBIRT 干预措施是可行的，参与者也能够接受。在 1 个月随访时，特定于赌博的结果测量减少。建议下一步进行随机对照试验来评估干预措施的疗效。
