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Journal of Gambling Studies

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Open Access 27.09.2019 | Original Paper

Web-Based Intervention and Email-Counseling for Problem Gamblers: Results of a Randomized Controlled Trial

verfasst von: Benjamin Jonas, Fabian Leuschner, Anna Eiling, Christine Schoelen, Renate Soellner, Peter Tossmann

Erschienen in: Journal of Gambling Studies | Ausgabe 4/2020

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Abstract

Web-based interventions have the potential to reduce the treatment gap for problem gambling. In the past years, several web-based help options were made available to the public. However, only few studies were conducted to test their effects. This study investigated the efficacy of two interventions for problem gamblers provided online by the German Federal Center for Health Education (BZgA). The first intervention is the guided program “Check Out” (CO), the second is email counselling (EC). A web-based randomized controlled trial with follow-up surveys after 3, 6 and 12 months was conducted. Participants were allocated to CO, to EC or to a waitlist (WL). Outcomes were the degree of problem gambling according to the Problem Gambling Severity Index, the number of days gambled in past 30 days, the highest stake during the past 30 days and the subjective well-being (WHO-5). 167 individuals were included in the trial. In comparison to the WL at the 3 months follow-up, participants of CO showed significant improvements with moderate to strong effect sizes in all outcomes. Strongest effects were found in the problem gambling severity (d = 0.91; p = 0.023), followed by the well-being (d = 0.70; p = 0.011), the gambling days (d = 0.59; p = 0.001) and the highest stake (d = 0.55; p = 0.012). Improvements were sustained until last follow-up. Compared to the WL, users of EC had beneficiary results in the problem gambling severity (d = 0.74; p = 0.022). No significant effect differences were found between CO and EC. However, according to process evaluation, users of CO reported a significantly stronger working alliance than users of EC (d = 0.70; p = 0.019) and used the intervention considerably longer (d = 0.84; p = 0.004). CO helps treatment-seeking individuals to sustainably reduce their gambling behavior and to increase their general well-being. Compared to EC, CO seems a better support option, since its effects include a wider range of outcomes. Possible reasons are the more engaging program structure and elements of CO, as well as the closer interaction between client and counselor.

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Current psychotic or bipolar disorder was measured by the following self-developed item: “Were you recently diagnosed with any of the following disorders? (1) Schizophrenia/psychotic disorder/(2) Bipolar disorder/(3) I was not diagnosed with any of these disorders” Answering “yes” to either (1) or (2) or both lead to exclusion from the study.

Suicidal tendencies were measured by the following self-developed items: “(1) Did you undertake any suicide attempt in recent years?/(2) Do you currently wish to attempt suicide?” Answering “yes” to either or both (1) or (2) lead to exclusion from the study.

Andersson, G., Titov, N., Dear, B. F., Rozental, A., & Carlbring, P. (2019). Internet-delivered psychological treatments: From innovation to implementation. World Psychiatry: Official Journal Of The World Psychiatric Association (WPA), 18(1), 20–28. https://doi.org/10.1002/wps.20610.CrossRef

Bischof, A., Meyer, C., Bischof, G., Kastirke, N., John, U., & Rumpf, H.-J. (2012). Inanspruchnahme von Hilfen bei Pathologischem Glücksspielen. Befunde der PAGE-Studie. Sucht, 58(6), 369–377. https://doi.org/10.1024/0939-5911.a000214.CrossRef

Blankers, M., Koeter, M. W. J., & Schippers, G. M. (2011). Internet therapy versus internet self-help versus no treatment for problematic alcohol use: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 79(3), 330–341. https://doi.org/10.1037/a0023498.CrossRefPubMed

Brähler, E., Mühlan, H., Albani, C., & Schmidt, S. (2007). Teststatistische Prüfung und Normierung der deutschen Versionen des EUROHIS-QOL Lebensqualität-Index und des WHO-5 Wohlbefindens-Index. Diagnostica, 53(2), 83–96. https://doi.org/10.1026/0012-1924.53.2.83.CrossRef

Bücker, L., Bierbrodt, J., Hand, I., Wittekind, C., & Moritz, S. (2018). Effects of a depression-focused internet intervention in slot machine gamblers: A randomized controlled trial. PLoS ONE, 13(6), 1–22. https://doi.org/10.1371/journal.pone.0198859.CrossRef

Calado, F., & Griffiths, M. D. (2016). Problem gambling worldwide: An update and systematic review of empirical research (2000–2015). Journal of Behavioral Addictions, 5(4), 592–613. https://doi.org/10.1556/2006.5.2016.073.CrossRefPubMedPubMedCentral

Carlbring, P., Degerman, N., Jonsson, J., & Andersson, G. (2012). Internet-based treatment of pathological gambling with a three-year follow-up. Cognitive Behaviour Therapy, 41(4), 321–334. https://doi.org/10.1080/16506073.2012.689323.CrossRefPubMedPubMedCentral

Carlbring, P., & Smit, F. (2008). Randomized trial of internet-delivered self-help with telephone support for pathological gamblers. Journal of Consulting and Clinical Psychology, 76(6), 1090–1094. https://doi.org/10.1037/a0013603.CrossRefPubMed

Casey, L. M., Oei, T. P. S., Raylu, N., Horrigan, K., Day, J., Ireland, M., et al. (2017). Internet-based delivery of cognitive behaviour therapy compared to monitoring, feedback and support for problem gambling: A randomised controlled trial. Journal of Gambling Studies, 33(3), 993–1010. https://doi.org/10.1007/s10899-016-9666-y.CrossRefPubMed

Castrén, S., Pankakoski, M., Tamminen, M., Lipsanen, J., Ladouceur, R., & Lahti, T. (2013). Internet-based CBT intervention for gamblers in Finland: Experiences from the field. Scandinavian Journal of Psychology, 54(3), 230–235. https://doi.org/10.1111/sjop.12034.CrossRefPubMed

Danielsson, A.-K., Eriksson, A.-K., & Allebeck, P. (2014). Technology-based support via telephone or web: A systematic review of the effects on smoking, alcohol use and gambling. Addictive Behaviors, 39(12), 1846–1868. https://doi.org/10.1016/j.addbeh.2014.06.007.CrossRefPubMed

de Shazer, S., Dolan, Y., Korman, H., McCollum, E., Trepper, T., & Berg, I. K. (2007). More than miracles: The state of the art of solution-focused brief therapy. New York: Haworth Press. ISBN 978-0-7890-3398-7.

Ewing, J. A. (1984). Detecting alcoholism: The CAGE questionnaire. JAMA: Journal of the American Medical Association, 252(14), 1905–1907. https://doi.org/10.1001/jama.1984.03350140051025.CrossRefPubMed

Federal Statistical Office of Germany (2019). Absolventen/Abgänger: Bundesländer, Schuljahr, Geschlecht, Schulabschlüsse, Schulart. https://www-genesis.destatis.de/genesis/online/data;sid=07CEBA3365C47537CDB3755A1A5DBE32.GO_2_2?operation=ergebnistabelleUmfang&levelindex=3&levelid=1550058320053&downloadname=21111-0015. Accessed 13 Feb 2019.

Ferris, J., & Wynne, H. (2001). The Canadian problem gambling index: Final report. Ottawa: Canadian Centre on Substance Abuse.

Furukawa, T. A., Noma, H., Caldwell, D. M., Honyashiki, M., Shinohara, K., Imai, H., et al. (2014). Waiting list may be a nocebo condition in psychotherapy trials: A contribution from network meta-analysis. Acta Psychiatrica Scandinavica, 130(3), 181–192. https://doi.org/10.1111/acps.12275.CrossRefPubMed

Giroux, I., Goulet, A., Mercier, J., Jacques, C., & Bouchard, S. (2017). Online and mobile interventions for problem gambling, alcohol, and drugs: A systematic review. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2017.00954.CrossRefPubMedPubMedCentral

Haß, W., & Lang, P. (2016). Glücksspielverhalten und Glücksspielsucht in Deutschland. Ergebnisse des Surveys 2015 und Trends. Forschungsbericht der BZgA. Köln: Bundeszentrale für gesundheitliche Aufklärung.

Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the working alliance inventory. Journal of Counseling Psychology, 36(2), 223–233. https://doi.org/10.1037/0022-0167.36.2.223.CrossRef

Institut für Therapieforschung (2019). Deutsche Suchthilfestatistik 2017. Tabellenband für Ambulante Beratungs- und/oder Behandlungsstellen. 1 Zugänge Beender ohne Einmalkontakte. Tables 4.02 & 7.18. https://suchthilfestatistik-datendownload.de/Daten/Downloads/2017/ZB2017_T1_33P.zip. Accessed 13 Feb 2019.

Jonas, B., Tensil, M. D., Tossmann, P., & Strüber, E. (2018). Effects of treatment length and chat-based counseling in a web-based intervention for Cannabis users: Randomized factorial trial. Journal of Medical Internet Research, 20(5), e166. https://doi.org/10.2196/jmir.9579.CrossRefPubMedPubMedCentral

Kanfer, F. H. (1986). Implications of a self-regulation model of therapy for treatment of addictive behaviors. In W. R. Miller & N. Heather (Eds.), Treating addictive behaviors: Processes of change (pp. 29–47). New York: Plenum Press.

Langham, E., Thorne, H., Browne, M., Donaldson, P., Rose, J., & Rockloff, M. (2016). Understanding gambling related harm: A proposed definition, conceptual framework, and taxonomy of harms. BMC Public Health, 16(1), 1.

Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2(3), 197–207. https://doi.org/10.1016/0149-7189(79)90094-6.CrossRefPubMed

Lesieur, H. R., & Blume, S. B. (1987). The South Oaks gambling screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184–1188.CrossRef

Meyer, G., & Bachmann, M. (2017). Spielsucht—Ursachen und Therapie. Berlin: Springer.CrossRef

Meyer, G., Häfeli, J., Mörsen, C., & Fiebig, M. (2010). Die Einschätzung des Gefährdungspotentials von Glücksspielen. Ergebnisse einer Delphi-Studie und empirischen Validierung der Beurteilungsmerkmale. Sucht, 56(6), 405–414. https://doi.org/10.1024/0939-5911/a000057.CrossRef

Morris, S. B. (2008). Estimating effect sizes from pretest-posttest-control group designs. Organizational Research Methods, 11(2), 364–386. https://doi.org/10.1177/1094428106291059.CrossRef

Orford, J., Wardle, H., Griffiths, M., Sproston, K., & Erens, B. (2010). PGSI and DSM-IV in the 2007 British gambling prevalence survey: Reliability, item response, factor structure and inter-scale agreement. International Gambling Studies, 10(1), 31–44. https://doi.org/10.1080/14459790903567132.CrossRef

Quaglio, G., Schellekens, A., Blankers, M., Hoch, E., Karapiperis, T., Esposito, G., et al. (2017). A brief outline of the use of new technologies for treating substance use disorders in the European union. European Addiction Research, 23(4), 177–181. https://doi.org/10.1159/000478904.CrossRefPubMed

R Core Team. (2018). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. https://www.R-project.org/. Accessed 13 Feb 2019.

Rockloff, M. J., & Schofield, G. (2004). Factor analysis of barriers to treatment for problem gambling. Journal of Gambling Studies, 20(2), 121–126. https://doi.org/10.1023/B:JOGS.0000022305.01606.da.CrossRefPubMed

Rodda, S., Lubman, D. I., Dowling, N. A., Bough, A., & Jackson, A. C. (2013). Web-based counseling for problem gambling: Exploring motivations and recommendations. Journal of Medical Internet Research, 15(5), 162–171. https://doi.org/10.2196/jmir.2474.CrossRef

Rogers, M. A., Lemmen, K., Kramer, R., Mann, J., & Chopra, V. (2017). Internet-delivered health interventions that work: Systematic review of meta-analyses and evaluation of website availability. Journal of Medical Internet Research, 19(3), e90. https://doi.org/10.2196/jmir.7111.CrossRefPubMedPubMedCentral

Rollnick, S., & Miller, W. R. (1991). Motivational interviewing: Preparing people to change addictive behavior. ISBN: 0898625661.

Ruwaard, J., Lange, A., Bouwman, M., Broeksteeg, J., & Schrieken, B. (2007). E-mailed standardized cognitive behavioural treatment of work-related stress: A randomized controlled trial. Cognitive Behaviour Therapy, 36(3), 179–192. https://doi.org/10.1080/16506070701381863.CrossRefPubMed

Sassen, M., Kraus, L., Bühringer, G., Pabst, A., Piontek, D., & Taqi, Z. (2011). Gambling among adults in Germany: Prevalence, disorder and risk factors. Sucht: Zeitschrift Für Wissenschaft Und Praxis, 57(4), 249–257. https://doi.org/10.1024/0939-5911.a000115.CrossRef

Schmidt, J., Nübling, R., Lamprecht, F., & Wittmann, W. W. (1994). Patientenzufriedenheit am Ende psychosomatischer Reha-Behandlungen. Zusammenhänge mit Behandlungs- und Ergebnisvariablen und prognostische Bedeutung. In F. Lamprecht & R. Johnen (Eds.), Salutogenese. Ein neues Konzept in der Psychosomatik? Kongreßband der 40. Jahrestagung des Deutschen Kollegiums für Psychosomatische Medizin (pp. 271–283). Frankfurt: VAS Verlag für Akademische Schriften. ISBN 978-3-88864-064-3.

Stinchfield, R., Govoni, R., & Frisch, G. (2007). A review of screening instruments for problem and pathological gambling. In G. Smith, D. Hodgins, & R. Williams (Eds.), Research and measurement issues in gambling research (pp. 179–213). Burlington: Elsevier Press.

Suler, J. (2004). The online disinhibition effect. Cyberpsychology & Behavior, 7, 321–326.CrossRef

Suurvali, H., Cordingley, J., Hodgins, D. C., & Cunningham, J. (2009). Barriers to seeking help for gambling problems: A review of the empirical literature. Journal of Gambling Studies, 25(3), 407–424. https://doi.org/10.1007/s10899-009-9129-9.CrossRefPubMed

Tait, R. J., Spijkerman, R., & Riper, H. (2013). Internet and computer based interventions for cannabis use: A meta-analysis. Drug and Alcohol Dependence, 133(2), 295–304. https://doi.org/10.1016/j.drugalcdep.2013.05.012.CrossRefPubMed

Vernmark, K., Lenndin, J., Bjärehed, J., Carlsson, M., Karlsson, J., Öberg, J., et al. (2010). Internet administered guided self-help versus individualized e-mail therapy: A randomized trial of two versions of CBT for major depression. Behaviour Research and Therapy, 48(5), 368–376. https://doi.org/10.1016/j.brat.2010.01.005.CrossRefPubMed

Wilmers, F., Munder, T., Leonhart, R., Herzog, T., Plassmann, R., Barth, J., et al. (2008). Die deutschsprachige version des working alliance inventory—short revised (WAI-SR)—Ein schulenübergreifendes, ökonomisches und empirisch validiertes Instrument zur Erfassung der therapeutischen Allianz. Klinische Diagnostik Und Evaluation, 1(3), 343–358. https://doi.org/10.1002/cpp.658.CrossRef

Titel: Web-Based Intervention and Email-Counseling for Problem Gamblers: Results of a Randomized Controlled Trial
verfasst von: Benjamin Jonas
Fabian Leuschner
Anna Eiling
Christine Schoelen
Renate Soellner
Peter Tossmann
Publikationsdatum: 27.09.2019
Verlag: Springer US
Erschienen in: Journal of Gambling Studies / Ausgabe 4/2020
Elektronische ISSN: 1573-3602
DOI: https://doi.org/10.1007/s10899-019-09883-8

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