Internet-based Cognitive Behavioral Therapy for Individuals With Gambling Disorder in Indonesia (ICBT)

Internet-based Cognitive Behavioral Therapy for Individuals With Gambling Disorder in Indonesia: a Pilot and Feasibility Study

Gambling disorder (GD) has become a wide concern in Indonesia, as many negative consequences aroused from this psychiatric condition. Prompt treatment with appropriate method of delivery is required to achieve optimal outcome in GD patients. This study aims to determine the effectiveness and feasibility of internet-based cognitive behavioral therapy (iCBT) in treating GD.

This non-randomised pilot and feasibility study will recruit 20 people with GD. All participants will receive the iCBT intervention through self-learning videos and guided weekly group sessions. The effectiveness of the intervention will be assessed at baseline (week 0), post-treatment completion (week 10), and 6 weeks post-treatment (week 16).

Expanded access of the iCBT module will not be available until after the study completion.

Study Overview

• Status: Not yet recruiting
• Conditions: Gambling
• Intervention / Treatment: Behavioral: iCBT

• Study Type: Interventional
• Enrollment (Estimated): 20
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• be aged 18-59 years old;
• be screened as probable pathological gambler based on South Oaks Gambling Screen (SOGS);
• have access to electronic devices (ie, smartphone, mobile tablet, personal computer) with internet connection;
• be proficient in Indonesian language;
• have agreed to take part in the study by filling out the informed consent form.

Exclusion Criteria:

• have severe mental disorders or intellectual disabilities;
• have extreme agitation that hinder instrument fill out and adequate cognitive behavior therapy participation.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Internet-based Cognitive Behavioral Therapy; 10 guided therapy sessions (once-weekly) with each session lasting 20 minutes.	Behavioral: iCBT; All participants will undergo 10 guided therapy sessions (once-weekly) with each session lasting 20 minutes. The therapy module will be given as an online self-learning source via videos in a website specifically developed for this training. The videos will divide the module content into several parts with each video lasting about 10 minutes.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Gambling symptom severity	a decrease in Gambling Symptom Assessment Scale (G-SAS) score	G-SAS will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16)
Problem gambling severity	a decrease in Problem Gambling Severity Index score	PGSI will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16)
Gambling urges	a decrease in Gambling Urge Scale (GUS) score	GUS will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16)
Gambling-related cognitive distortions	a decrease in Gambling Related Cognitions Scale (GRCS) score	GRCS will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nonspecific psychological distress	a decrease in Self Rating Questionnaire-20 (SRQ-20) score	SRQ-20 will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16)
Subjective quality of life	an increase in World Health Organization Quality-of-Life Scale (WHOQOL-BREF) score	WHOQOL-BREF will be assessed at baseline (week 0), post-treatment (week 6), and follow-up (week 16)

Collaborators and Investigators

• Sponsor: Indonesia University
• Collaborators: Flinders University

Study record dates

Study Major Dates

• Study Start (Estimated): August 1, 2024
• Primary Completion (Estimated): November 1, 2024
• Study Completion (Estimated): January 1, 2025

Study Registration Dates

• First Submitted: December 6, 2023
• First Submitted That Met QC Criteria: December 6, 2023
• First Posted (Actual): December 14, 2023

Study Record Updates

• Last Update Posted (Actual): July 11, 2024
• Last Update Submitted That Met QC Criteria: July 10, 2024
• Last Verified: July 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Disruptive, Impulse Control, and Conduct Disorders; Gambling
• Other Study ID Numbers: KET-992-2023

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No