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Psychological treatments for problem gambling (PROGRESS) study: a pragmatic randomised controlled trial and qualitative study – 12 month outcomes and final report

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posted on 2024-06-13, 06:34 authored by Shane Thomas, Alun Jackson, Colette Browning, Susan Feldman, Harriet Radermacher, Joanne Enticott, Stephanie MerkourisStephanie Merkouris
Psychological treatments for problem gambling (PROGRESS) study: a pragmatic randomised controlled trial and qualitative study – 12 month outcomes and final report

History

Language

eng

Publication classification

A6 Research report/technical paper

Pagination

1-96

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 This report presents the final results from this RCT including the 12-month follow-up results. 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 up to 12-months after receiving psychological treatment. The findings from this RCT can be used to inform clinical, research, and policy-decision making in relation to gambling treatments.

Publisher

Victorian Responsible Gambling Foundation

Place of publication

Melbourne, Vic.

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