Dobbie Fiona, Miller Martine, Wardle Heather, Dahlby Lucia, Weir Christopher, Niven Angela, Stoddart Andrew, Griffiths David, Lee Ashley, Good Sally, Noble Leon, White James
Usher Institute, University of Edinburgh, Edinburgh, UK.
School of Social and Political Sciences, University of Glasgow, Glasgow, UK.
Pilot Feasibility Stud. 2024 Aug 13;10(1):109. doi: 10.1186/s40814-024-01537-w.
In the UK, recent evidence of young people and gambling indicates a higher prevalence of gambling in comparison to other addictive behaviours. Engaging in gambling-related behaviour at a young age is associated with short and long-term consequences, including financial, emotional, academic, interpersonal, and physical and mental health detriments; otherwise known as gambling-related harms (GRH). Given the unique vulnerability of this younger group, early interventions aimed at delaying or preventing gambling are critical. PRoGRAM-A (Preventing Gambling-Related Harm in Adolescents) is a school-based, social network intervention to protect young people from future GRH, by delaying or preventing gambling experimentation.
Pilot cluster RCT with an embedded process evaluation and health economic scoping study.
PRoGRAM-A will be delivered in four schools, with two control schools acting as a comparator. All are secondary schools in Scotland. Baseline surveys were conducted with students in S3 (ages 13-14). Follow-up surveys were conducted with the same cohort, six months post-baseline.
PRoGRAM-A trainers will deliver a 2-day, out-of-school training workshop to Peer supporters. Peer supporters will be nominated by peers among their school year group (S3, age 13-14). Workshops will provide peer supporters with information on four gambling-related topics: (1) what is gambling? (2) gambling and gaming, (3) gambling marketing, (4) identifying harm and reducing risk. Peer supporters will disseminate the information (message diffusion) they have learned among their friends and family over a 10-week period. After the 2-day workshop, PRoGRAM-A trainers will conduct × 3 in-school follow-up sessions with peer supporters to offer support, encouragement, and advice to Peer Supporters as well as monitor and explore the extent of their message diffusion.
The primary outcome of the pilot cluster RCT (cRCT) will be whether progression to a phase III RCT is justified.
This will be the first pilot cluster RCT (cRCT) of an intervention to prevent gambling-related harms among young people within the UK. If findings indicate feasibility and acceptability, funding will be sought for a phase III RCT of effectiveness.
Researchregistry8699. Registered 21 February 2023.
在英国，近期有关年轻人与赌博的证据表明，与其他成瘾行为相比，赌博的患病率更高。年轻时参与与赌博相关的行为会带来短期和长期后果，包括经济、情感、学业、人际关系以及身心健康损害；也就是所谓的赌博相关危害（GRH）。鉴于这一年轻群体的独特易损性，旨在延迟或预防赌博的早期干预至关重要。PRoGRAM - A（预防青少年赌博相关危害）是一项基于学校的社交网络干预措施，旨在通过延迟或预防赌博尝试，保护年轻人免受未来的GRH。
开展带有嵌入式过程评估和健康经济范围界定研究的试点整群随机对照试验。
PRoGRAM - A将在四所学校实施，两所对照学校作为比较对象。所有学校均为苏格兰的中学。对S3（13 - 14岁）的学生进行了基线调查。在基线后六个月，对同一队列进行了随访调查。
PRoGRAM - A培训师将为同伴支持者举办为期两天的校外培训工作坊。同伴支持者将由同年级组（S3，13 - 14岁）的同伴提名。工作坊将为同伴支持者提供关于四个与赌博相关主题的信息：（1）什么是赌博？（2）赌博与游戏，（3）赌博营销，（4）识别危害与降低风险。同伴支持者将在为期10周的时间里，在其朋友和家人中传播他们所学的信息（信息传播）。在为期两天的工作坊结束后，PRoGRAM - A培训师将与同伴支持者进行3次校内随访，为同伴支持者提供支持、鼓励和建议，并监测和探究他们信息传播的程度。
试点整群随机对照试验（cRCT）的主要结果将是是否有理由推进到III期RCT。
这将是英国境内首次针对预防年轻人赌博相关危害的干预措施进行的试点整群随机对照试验（cRCT）。如果研究结果表明具有可行性和可接受性，将寻求为有效性的III期RCT提供资金。
Researchregistry8699。于2023年2月21日注册。
