How We Lost 90% of Participants on a Bad Bet: Results from a Pilot Randomized Controlled Trial on Cognitive Bias Modification in Problem Gamblers.

IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Journal of Gambling Studies Pub Date : 2024-06-01 Epub Date: 2023-11-25 DOI:10.1007/s10899-023-10263-6
Leroy Snippe, Marilisa Boffo, Harriet Galvin, Ronny Willemen, Thomas Pronk, Geert Dom, Reinout W Wiers
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Abstract

Whilst opportunities to participate in gambling have increased, access to support for problem gamblers is lacking behind. This lack of balance calls for improved and accessible intervention methods. The present double-blind randomized controlled trial (RCT) explored the effectiveness of two interventions targeting automatic cognitive processes, known as Attentional Bias Modification (AtBM) and Approach Bias Modification (ApBM). It was hypothesized these interventions would reduce gambling behavior and reduce or reverse targeted biases. Participants (N = 331) were community-recruited Flemish (35%) and Dutch (65%) adult problem gamblers motivated to reduce or stop their gambling who received either six sessions of active training (AtBM or ApBM) or of the corresponding sham-training (sham-AtBM or sham-ApBM). Due to high attrition rates (90.1% up to the intervention phase) the study was terminated before completion, since it would greatly limit the validity of any results. A post hoc qualitative study was performed on a subset of participants to gain insight into contributing factors for the high attrition rate. Issues negatively impacting participants' motivation to complete the program were identified, as well as elements of the program that received approval. The results from this study provide a first insight into the potential of the use of online cognitive bias modification (CBM) interventions in problem gambling (PG). Suggestions and directions for future studies are discussed.

Abstract Image

我们如何在一个错误的赌注中失去了90%的参与者:一项关于问题赌徒认知偏见修正的随机对照试验的结果。
虽然参与赌博的机会有所增加,但缺乏对问题赌徒的支持。这种平衡的缺乏要求改进和可获得的干预方法。本双盲随机对照试验(RCT)探讨了两种针对自动认知过程的干预措施的有效性,即注意偏差修正(AtBM)和方法偏差修正(ApBM)。据推测,这些干预措施将减少赌博行为,减少或扭转针对性偏见。参与者(N = 331)是社区招募的佛兰德人(35%)和荷兰人(65%)成年问题赌徒,他们被激励减少或停止赌博,他们接受了六次积极训练(AtBM或ApBM)或相应的假训练(假AtBM或假ApBM)。由于高损耗率(到干预阶段为90.1%),研究在完成前终止,因为这将极大地限制任何结果的有效性。对一部分参与者进行了一项事后定性研究,以深入了解造成高流失率的因素。确定了对参与者完成项目动机产生负面影响的问题,以及获得批准的项目要素。本研究的结果首次揭示了在问题赌博(PG)中使用在线认知偏差修正(CBM)干预的潜力。讨论了今后研究的建议和方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.00
自引率
16.70%
发文量
72
期刊介绍: Journal of Gambling Studies is an interdisciplinary forum for the dissemination on the many aspects of gambling behavior, both controlled and pathological, as well as variety of problems attendant to, or resultant from, gambling behavior including alcoholism, suicide, crime, and a number of other mental health problems. Articles published in this journal are representative of a cross-section of disciplines including psychiatry, psychology, sociology, political science, criminology, and social work.
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