| Title: |
Computerized cognitive training for problem gambling: A randomized controlled trial (TRAIN-online) |
| Authors: |
Luquiens, Amandine; Benyamina, Amine; Perney, Pascal; Carré, Arnaud |
| Contributors: |
Hôpital Paul Brousse; AP-HP. Université Paris Saclay; Service Addictologie CHU Nîmes (Pôle ICAGNE); Hôpital Universitaire de Réadaptation, de Rééducation et d'Addictologie du CHU de Nîmes Grau-du-Roi (CHU Nîmes); Centre Hospitalier Universitaire de Nîmes (CHU Nîmes)-Centre Hospitalier Universitaire de Nîmes (CHU Nîmes); Université de Montpellier (UM); Centre de recherche en épidémiologie et santé des populations (CESP); Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse; AP-HP. Université Paris Saclay-AP-HP. Université Paris Saclay-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay; UFR Sciences de la santé Simone Veil (UVSQ Santé); Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Saclay; Psychiatrie-Comorbidités-Addictions (PSYCOMadd); Université Paris-Saclay-AP-HP. Université Paris Saclay; Laboratoire Inter-universitaire de Psychologie : Personnalité, Cognition, Changement Social (LIP-PC2S); Université Savoie Mont Blanc (USMB Université de Savoie Université de Chambéry )-Université Grenoble Alpes (UGA) |
| Source: |
ISSN: 2062-5871. |
| Publisher Information: |
CCSD; Akademiai Kiado |
| Publication Year: |
2025 |
| Collection: |
Université de Versailles Saint-Quentin-en-Yvelines: HAL-UVSQ |
| Subject Terms: |
Cognitive Training; [SHS.PSY]Humanities and Social Sciences/Psychology |
| Description: |
International audience ; Background Non-face-to-face interventions offer promise, with cognitive training showing potential but inconsistent efficacy in problem gambling. Methods We conducted a non-face-to-face, parallel, randomized, controlled, single-blinded trial to evaluate training programs in adults with problem gambling (CPGI ≥5). Participants were randomized 1:1 to a web-based cognitive training program targeting inhibition unrelated to addiction cues or a control program on visuo-spatial functioning. Both programs benefited from weekly phone calls to support engagement and transferability to daily life. A mixed community and out-patient sample was recruited at the national-level. The primary outcome was change in CPGI at week 6. Secondary outcomes were change in impulsivity, gambling behavior and quality of life at 6 and 14 weeks. Results 187 participants were screened, with 185 randomized: 93 to intervention and 92 to control. No significant differences were found between groups for any outcome. Mean PGSI change at 6 weeks was −2.75, 95% CI [−12.95; 7.44] in the experimental arm versus −2.44, 95% CI [−13.52; 8.64] in controls, p = 0.76. 34% of participants were classed as no longer problem gamblers at week 14. Intervention acceptability was moderate, with 21 participants (22.58%) in the experimental group, and 32 (34.78%) controls never accessing the platform ( p = 0.07). Conclusions Further research is needed to optimize cognitive interventions in problem gambling, to improve engagement and to demonstrate their added value beyond minimal intervention. For a number of problem gamblers, minimal telephone interventions appeared to be sufficient to reduce gambling. Objective account-based gambling data will provide valuable insights into long-term and objective effects. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/39819891; PUBMED: 39819891 |
| DOI: |
10.1556/2006.2024.00080 |
| Availability: |
https://hal.science/hal-04954160; https://hal.science/hal-04954160v1/document; https://hal.science/hal-04954160v1/file/2006-article-p445.pdf; https://doi.org/10.1556/2006.2024.00080 |
| Rights: |
https://creativecommons.org/licenses/by-nc/4.0/ ; info:eu-repo/semantics/OpenAccess |
| Accession Number: |
edsbas.FD35605E |
| Database: |
BASE |