Applying the Just-In-Time Adaptive Intervention Framework to the Development of Gambling Interventions
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Journal Article
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Springer
Abstract
Just-In-Time Adaptive Interventions (JITAIs) are emerging "push" mHealth interventions that provide the right type, timing, and amount of support to address the dynamically-changing needs for each individual. Although JITAIs are well-suited to the delivery of interventions for the addictions, few are available to support gambling behaviour change. We therefore developed GamblingLess: In-The-Moment and Gambling Habit Hacker, two smartphone-delivered JITAIs that differ with respect to their target populations, theoretical underpinnings, and decision rules. We aim to describe the decisions, methods, and tools we used to design these two treatments, with a view to providing guidance to addiction researchers who wish to develop JITAIs in the future. Specifically, we describe how we applied a comprehensive, organising scientific framework to define the problem, define just-in-time in the context of the identified problem, and formulate the adaptation strategies. While JITAIs appear to be a promising design in addiction intervention science, we describe several key challenges that arose during development, particularly in relation to applying micro-randomised trials to their evaluation, and offer recommendations for future research. Issues including evaluation considerations, integrating on-demand intervention content, intervention optimisation, combining active and passive assessments, incorporating human facilitation, adding cost-effectiveness evaluations, and redevelopment as transdiagnostic interventions are discussed.Description
Keywords
Ecological momentary intervention, Gambling, Just-in-time adaptive intervention, Microrandomised trial, Mobile health, Treatment, Ecological momentary intervention, Gambling, Just-in-time adaptive intervention, Microrandomised trial, Mobile health, Treatment, 5203 Clinical and Health Psychology, 5205 Social and Personality Psychology, 52 Psychology, Brain Disorders, Behavioral and Social Science, Clinical Research, Telehealth, Generic health relevance, 3 Good Health and Well Being, 1506 Tourism, 1608 Sociology, 1701 Psychology, Substance Abuse, 5203 Clinical and health psychology, 5205 Social and personality psychology
Source
Journal of Gambling Studies, ISSN: 1050-5350 (Print); 1050-5350 (Online), Springer, 40(2), 717-747. doi: 10.1007/s10899-023-10250-x
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