posted on 2024-09-20, 04:39authored byShane Thomas, Alun Jackson, Colette Browning, Susan Feldman, Harriet Radermacher, Joanne Enticott, Christopher Anderson, Kali Godbee, Voula Adamopoulos, Stephanie MerkourisStephanie Merkouris
Psychological treatments for problem gambling (PROGRESS) study: A pragmatic randomised controlled trial and qualitative study - 6 month outcomes
History
Open access
Yes
Language
eng
Publication classification
A4.1 Major research monograph
Pagination
1-129
Research statement
Background
Problem gambling affects many people in Australia and globally. Psychological treatments are commonly used to treat problem gambling but there are knowledge
gaps concerning the relative effectiveness of the different types of treatment, the durability of the
treatment effects and the experiences of people undergoing and following their treatment.
Contribution
To address these gaps, a parallel four group, pragmatic randomised controlled trial was conducted. The 297 participants were randomly allocated to the four treatment groups: cognitive-behavioural therapy, behavioural therapy, motivational interviewing and client-centred therapy. In all treatment groups, participants received up to six individual, face-to-face sessions with a psychologist. The sessions were conducted on a weekly basis, ranging from 45 to 60 minutes a session. Primary outcomes (gambling frequency, duration, expenditure and symptom severity) were assessed at baseline, post-treatment and at 6- and 12-months follow-up.
Significance
The findings from this RCT demonstrated that manualised psychological treatments delivered by well-trained psychologists resulted in durable and significant reductions in gambling behaviour (frequency, time spent and losses) and gambling symptoms. The findings from this RCT can be used to inform clinical, research, and policy-decision making in relation to gambling treatments.