![]() Gambling disorder (formerly pathological gambling) has been reclassified in the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) as an addiction and related disorder alongside alcohol and substance use disorders. In all, 200 participants will be recruited from Australia and New Zealand. ![]() The microrandomized trial will be supplemented by a 6-month within-group follow-up evaluation to explore long-term effects on primary (gambling symptom severity) and secondary (gambling behavior, craving severity, self-efficacy, and expectancies) outcomes and an acceptability evaluation via postintervention surveys, app use and engagement indices, and semistructured interviews. ![]() Using a microrandomized trial, a form of sequential factorial design, each eligible participant will be randomized to a tailored intervention condition or no intervention control condition at each ecological momentary assessment across a 28-day period. The JITAI will tailor the type, timing, and amount of support for individual needs. GamblingLess: In-The-Moment interventions are delivered to gamblers who are in a state of receptivity (available for treatment) and report a state of cognitive vulnerability via ecological momentary assessments 3 times a day.
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