Testing Resources: Manual and Webinar Guided Treatment vs. Manual Guided Treatment

Most gambling specific research involves men yet findings are typically generalized to women, a shortcoming addressed in the literature. Women are underrepresented in treatment. A previous study (Boughton and Brewster, 2002) with 365 Ontario women not in treatment, explored barriers and treatment needs. Many respondents indicated that women-only groups and self-help materials would be of value. Using web-based resources to increase treatment options has merit in a growing technological age. This study will introduce two unique forms of treatment, a women friendly tutorial workbook developed specifically to address issues commonly underlying women's gambling and a webinar based group facilitated by a gambling clinician. Group support has been demonstrated to be highly beneficial for women in reducing isolation and shame. The research will assist in developing Best Practices in the problem gambling field, especially for women, a neglected and vulnerable group.

There are two questions:

• First, to what extent is the Tutorial Workbook effective by itself as a treatment option in helping women make changes to their gambling.
• What extent is the addition of the webinar discussion group option an incremental benefit to the participant in helping women make changes to their gambling.

Web based therapy has proven effective in the treatment of addiction and mental health issues but more research is needed to assess its efficacy for problem gambling. Self-help tools have been demonstrated as effective in reducing gambling but no women specific tools are available. Evidence of the effectiveness of the TW and TWW treatment options will reduce barriers for hard to serve populations of women and expand options for clinical programs to meet the needs of women unable to attend face to face programs. The TW attends to the unique issues and treatment/support needs of women with gambling concerns.

Ultimately the TW materials, once fully developed, can be made available to the general public as an online tool, used to assist n providing telephone counselling, individually or in a group (Webinar) format or be made available as a self-help paper based utorial workbook.

Inclusion criteria

• pathological gamblers
• not currently in formal gambling specific treatment
• English proficiency (reading, writing and speech)
• access to private computer and phone
• sufficient computer skills to engage in webinar
• able to fully commit to time demands of weekly participation

Exclusion criteria

• active psychosis
• unstable mood disorders
• emotion dysregulation
• extreme social anxiety
• cognitive challenges in reading
• not proficient in in English (reading, writing and speech)
• suicidal behaviours
• current problems with drugs/ alcohol abuse