A randomized controlled trial of a personalized feedback intervention for problem gamblers.

A randomized controlled trial of a personalized feedback intervention for problem gamblers.
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DOI:
10.1371/journal.pone.0031586
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发表时间:
2012
期刊:
影响因子:
3.7
通讯作者:
Murphy M
Murphy M
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Cunningham JA;Hodgins DC;Toneatto T;Murphy M

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个性化反馈对于问题赌徒来说是一种很有前途的自助方法。此类干预措施对其他成瘾行为始终显示出积极的结果,我们自己对赌徒的个性化规范反馈材料进行的试点测试也取得了积极的结果。目前的随机对照试验评估了针对问题赌徒的个性化反馈干预材料的有效性和持续功效。安大略省成年人的一般人口电话筛查招募的受访者包括有中度和严重赌博问题的赌徒。同意参与的人被随机分配接受:1)完全个性化的规范反馈干预; 2) 部分反馈,包含向条件 1 中的人提供的所有反馈信息,但没有规范性反馈内容(即,不提供与一般人群赌博规范的比较);或 3) 等待名单控制条件。主要假设是,在六个月的随访中,接受个性化规范反馈干预的问题赌徒会比没有接受任何干预(等待名单控制条件)的问题赌徒减少更多的赌博。该研究没有发现任何证据表明规范的个性化反馈的影响。然而,与未接受干预的参与者相比,接受部分反馈(无规范)的参与者减少了赌博天数。我们的结论是,个性化反馈干预措施很受欢迎,这些材料可能有助于减少赌博。实际上,可以预期,个性化反馈干预可能对参与者问题赌博的严重性产生有限的短期影响,因为干预只是一个简短的筛选。然而,基于互联网的个性化反馈干预工具版本可以提供一个易于访问且无威胁的门户,可用于激励参与者在线或亲自寻求进一步的帮助。 ClinicalTrials.gov NCT00578357
Personalized feedback is a promising self-help for problem gamblers. Such interventions have shown consistently positive results with other addictive behaviours, and our own pilot test of personalized normative feedback materials for gamblers yielded positive findings. The current randomized controlled trial evaluated the effectiveness, and the sustained efficacy, of the personalized feedback intervention materials for problem gamblers. Respondents recruited by a general population telephone screener of Ontario adults included gamblers with moderate and severe gambling problems. Those who agreed to participate were randomly assigned to receive: 1) the full personalized normative feedback intervention; 2) a partial feedback that contained all the feedback information provided to those in condition 1 but without the normative feedback content (i.e., no comparisons provided to general population gambling norms); or 3) a waiting list control condition. The primary hypothesis was that problem gamblers who received the personalized normative feedback intervention would reduce their gambling more than problem gamblers who did not receive any intervention (waiting list control condition) by the six-month follow-up. The study found no evidence for the impact of normative personalized feedback. However, participants who received, the partial feedback (without norms) reduced the number of days they gambled compared to participants who did not receive the intervention. We concluded that personalized feedback interventions were well received and the materials may be helpful at reducing gambling. Realistically, it can be expected that the personalized feedback intervention may have a limited, short term impact on the severity of participants' problem gambling because the intervention is just a brief screener. An Internet-based version of the personalized feedback intervention tool, however, may offer an easy to access and non-threatening portal that can be used to motivate participants to seek further help online or in person. ClinicalTrials.gov NCT00578357
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