A Randomized Clinical Trial of Contingency Management for Gambling Disorder: Enhancing Treatment Retention and Outcomes
East Tennessee State University
Summary
The aim of this study is to conduct a trial to investigate the effectiveness of adding contingency management treatment (CM) to standard care cognitive behavioral therapy (CBT) for the treatment of gambling disorder to increase attendance to treatment. CM will be used to incentivize therapy session attendance with a therapist and engagement in recovery-related engagement with a peer recovery specialist. The proposed research will evaluate whether CM can enhance the overall effectiveness of CBT, the most widely tested treatment for individuals with gambling disorder.
Description
Cognitive behavioral therapy (CBT) has been established as the most efficacious treatment for gambling disorder. Unfortunately, 39% of those who seek treatment dropout before completing the prescribed treatment dose, a rate that is markedly higher than found with substance use treatment (30%) and mental health treatment (20%). Increasing attendance means more time to learn the skills needed to create and sustain change and, therefore, enhance treatment outcomes. To date, there has been a dearth of research on how to keep people in CBT for gambling disorder. A logical and promising option is us…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. Adults age 18 or older 2. Seeking treatment for gambling-related concerns at The Gambling Clinic 3. Available to meet weekly for eight treatment sessions without a known structural barrier to continuation that could interfere with study conclusions (e.g., planned relocation out of state). 4. Proficient in English (assumed by request of gambling treatment in English). 5. Must be physically present in the US. Exclusion Criteria: 1. Minors under the age of 18. 2. Recent history of psychotic symptoms or suicidal intent 3. Not proficient in English. 4. Seeking gambling tre…
Interventions
- BehavioralContingency management
See arm description
- BehavioralCognitive behavioral therapy/ treatment as usual
See arm description
Location
- East Tennessee State UniversityJohnson City, Tennessee