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Published VersionCC BY V4.0, Open Access
Journal article
Manaaki - a cognitive behavioral therapy mobile health app to support people experiencing gambling problems: a randomized control trial protocol
BMC Public Health, Vol.20, pp.1-11
2020
PMID: 32028926
Abstract
Background
The low utilisation of current treatment services by people with gambling problems highlights the need to explore new modalities of delivering treatment interventions. This protocol presents the design of a pragmatic randomized control trial aimed at assessing the effectiveness and acceptability of cognitive behavioral therapy (CBT) delivered via a mobile app for people with self-reported gambling problems.
Methods
An innovative CBT mobile app, based on Deakin University’s GAMBLINGLESS online program, has been adapted with end-users (Manaaki). Six intervention modules have been created. These are interwoven with visual themes to represent a journey of recovery and include attributes such as avatars, videos, and animations to support end-user engagement. An audio facility is used throughout the app to cater for different learning styles. Personalizing the app has been accomplished by using greetings in the participant’s language and their name (e.g. Kia ora Tāne) and by creating personalized feedback.
A pragmatic, randomized control two-arm single-blind trial, will be conducted in New Zealand. We aim to recruit 284 individuals. Eligible participants are ≥18 years old, seeking help for their gambling, have access to a smartphone capable of downloading an app, able to understand the English language and are willing to provide follow-up information at scheduled time points. Allocation is 1:1, stratified by ethnicity, gender, and gambling symptom severity based on the Gambling Symptom Assessment Scale (G-SAS). The intervention group will receive the full mobile cognitive behavioural programme and the waitlist group will receive a simple app that counts down the time left before they have access to the full app and the links to the data collection tools. Data collection for both groups are: baseline, 4-, 8-, and 12-weeks post-randomisation. The primary outcome is a change in G-SAS scores. Secondary measures include changes in gambling urges, frequency, expenditure, and readiness to change. Indices of app engagement, utilisation and acceptability will be collected throughout the delivery of the intervention.
Discussion
If effective, this study will contribute to the improvement of health outcomes for people experiencing gambling problems and have great potential to reach population groups who do not readily engage with current treatment services.
Ethics approval
NZ Health and Disability Ethics Committee (Ref: 19/STH/204)
Trial registration
Australian New Zealand Clinical Trial Registry (ANZCTRN 12619001605189) Registered 1 November 2019.
Details
- Title
- Manaaki - a cognitive behavioral therapy mobile health app to support people experiencing gambling problems: a randomized control trial protocol
- Authors
- Gayl Humphrey (Corresponding Author) - University of AucklandJoanna Chu - University of AucklandNicki Dowling - Deakin UniversitySimone Rodda - University of AucklandStephanie Merkouris - Deakin UniversityVarsha Parag - University of AucklandDavid Newcombe - University of AucklandElsie Ho - University of AucklandVili Nosa - University of AucklandRebecca Ruwhui-Collins - Hāpai Te Hauora | Māori Public Health (New Zealand)Robyn Whittaker - University of AucklandChris Bullen - University of Auckland
- Publication details
- BMC Public Health, Vol.20, pp.1-11
- Publisher
- BioMed Central Ltd.
- Date published
- 2020
- DOI
- 10.1186/s12889-020-8304-x
- ISSN
- 1471-2458
- PMID
- 32028926
- Copyright note
- This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Data Availability
- All requests for de-identified individual participant data or study documents will be considered, after the publication of the results, where the proposed use aligns with public good purposes, does not conflict with other requests, or planned use by the Study Steering Committee, and the requestor is willing to sign a data access agreement and has sort relevant ethical approvals. Contact will be via the corresponding author.
- Grant note
- This study is funded by the Health Research Council of New Zealand (18/237).
- Organisation Unit
- School of Health - Psychology
- Language
- English
- Record Identifier
- 991199349602621
- Output Type
- Journal article
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