Digital cognitive behavioral therapy for gambling disorder and family support

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This two-arm pilot randomized feasibility trial compares 12 weeks of smartphone-based digital CBT to 12 sessions of individualized face-to-face CBT for adults with gambling disorder in Jakarta. The study includes a digital or printed family intervention for participating family members, and supervision visits with an addiction psychiatrist every two weeks. Primary aims are feasibility and acceptability of digital delivery, plus preliminary effects on gambling symptoms, urges, cognitions, mood, sleep, coping, and family outcomes. Twenty patient-family dyads will be recruited from the Integrated Outpatient Addiction Clinic at Dr. Cipto Mangunkusumo National General Hospital. Data will inform whether digital CBT can be scaled in this setting and guide future efficacy trials.

Why it matters

Who can join: the full rules

Inclusion Criteria for Patients With Gambling Disorder:

* Aged 18 to 59 years.
* Positive screening for gambling problems using the validated Indonesian version of the South Oaks Gambling Screen (SOGS), with a score of 5 or higher.
* Diagnosis of gambling disorder according to ICD-11 criteria confirmed through a psychiatric interview conducted by an addiction psychiatrist.
* Willing and able to provide written informed consent.
* Has one eligible affected family member who is willing to participate and provide written informed consent.
* Has access to the internet and a smartphone capable of accessing the digital intervention.

Exclusion Criteria for Patients With Gambling Disorder:

* No history of gambling during the previous 6 months.
* History of a neuropsychiatric disorder that would interfere with study participation.
* Severe mental disorder or intellectual disability preventing adequate completion of study assessments or participation in CBT.
* Severe agitation preventing adequate participation in CBT.
* Previous pharmacological or non-pharmacological treatment specifically for gambling disorder (treatment-naive).

Inclusion Criteria for Participating Family Members:

* 18 years or older.
* Willing and able to provide written informed consent.
* Is the parent, spouse, or sibling of the participating patient with gambling disorder.
* Accompanies the patient during treatment and is affected by the patient's gambling behavior.
* Has access to the internet and a smartphone capable of accessing the digital intervention.

Exclusion Criteria for Participating Family Members:

• The associated patient withdraws from the study or otherwise becomes ineligible for continued study participation.

Where it's running

• dr. Cipto Mangunkusumo General Hospital
  Jakarta Pusat, Jakarta Special Capital Region, Indonesia Recruiting

Study contacts

• Study coordinator: Kristiana Siste, MD, PhD
• Email: ksiste@yahoo.com
• Phone: +62 87782516771

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.