Initial usability and feasibility of a web-based behavioural activation program for young adults with comorbid depression and problem gambling: A case study and case series

Sara J. Bartel, Anna Huguet, Sanjay Rao, Lori Wozney, Vanessa Varalli, Sharlene Rozari, Patrick J. McGrath, Olga Kits, Sherry H. Stewart

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

1 Cita (Scopus)

Resumen

Approximately 20%–32% of youth and adults with problem gambling also experience comorbid depression, yet treatment for this comorbidity is not readily accessible. We sought to extend and customize DoNamic, our existing web-based app for treating depression, to also treat young adults who experience comorbid problem gambling. We conducted a laboratory-based usability case study (Study 1) and a usability and feasibility clinical case series (Study 2). Study 1 involved an individual with problem gambling who tested the DoNamic version tailored to problem gambling (DoNamic-PG) in the laboratory. Changes based on participant feedback were implemented. Study 2 involved two cycles of testing in which five participants used the revised version of DoNamic-PG and provided feedback. Indicators of feasibility and usability of DoNamic-PG were predominately met; however, even with the increased accessibility and ease of use of DoNamic-PG, recruitment issues suggest it may not fully overcome the problem of attracting gamblers into treatment. This study highlights an existing concern in the field of problem gambling: Even when interventions are accessible for problem gambling populations, they are not necessarily used. Ultimately, the results of our case studies highlight how existing apps can be adjusted for specific subgroups. DoNamic-PG has the potential to be a feasible and usable app that could increase the accessibility, efficiency, and quality of care for younger adults with depression and problem gambling, if recruitment problems can be overcome. The next steps for developing DoNamic-PG include further feasibility testing, followed by trials to determine its efficacy and effectiveness.

Idioma originalEnglish
Páginas (desde-hasta)146-165
Número de páginas20
PublicaciónJournal of Gambling Issues
Volumen45
DOI
EstadoPublished - 2020

Nota bibliográfica

Funding Information:
This research was supported by a grant awarded to AH and SS by Gambling Awareness Nova Scotia. SB was supported by a Killam Doctoral Scholarship, a SSHRC Doctoral Scholarship, and an NSGS Doctoral Scholarship. AH, LW, SR, and VV were employed at the IWK Health Centre, Halifax, Nova Scotia. PM and SS were employed at Dalhousie University. OK and SR were employed at the Nova Scotia Health Authority. SS is also supported through a Tier 1 Canada Research Chair in Addictions and Mental Health from the Canadian Institutes of Health Research.

Funding Information:
Acknowledgements: This research was supported by a grant awarded to AH and SS by Gambling Awareness Nova Scotia. SB was supported by a Killam Doctoral Scholarship, a SSHRC Doctoral Scholarship, and an NSGS Doctoral Scholarship. AH, LW, SR, and VV were employed at the IWK Health Centre, Halifax, Nova Scotia. PM and SS were employed at Dalhousie University. OK and SR were employed at the Nova Scotia Health Authority. SS is also supported through a Tier 1 Canada Research Chair in Addictions and Mental Health from the Canadian Institutes of Health Research.

Publisher Copyright:
© 2020, Centre for Addiction and Mental Health. All rights reserved.

ASJC Scopus Subject Areas

  • Clinical Psychology
  • Psychiatry and Mental health

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