Strategic contingency management to enhance treatment outcomes for problem gamblers

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dc.contributor.authorWest, Beverly L.
dc.contributor.authorUniversity of Lethbridge. School of Health Sciences
dc.contributor.supervisorWilliams, Robert J.
dc.date.accessioned2009-07-08T17:43:42Z
dc.date.available2009-07-08T17:43:42Z
dc.date.issued2008
dc.degree.levelMasters
dc.descriptionxi, 186 leaves ; 29 cm. --en
dc.description.abstractProblem gambling is best understood from a biopsychosocial perspective, whereby multifaceted biological, psychological, and socio-environmental factors interact in ways that may lead to individual risk. Reinforcement contingencies and operant conditioning appear to play particularly important etiological roles. Theoretically, operant conditioning approaches should therefore comprise particularly effective treatment strategies. While operant conditioning in the form of contingency management is known to be an effective treatment for alcohol and substance abuse, it has never been applied by clinical practitioners in community-based treatment for problem gambling. The present pilot study explored the utility of adding concrete reward contingencies to community outpatient treatment, from the perspectives of clinical effectiveness and client/counsellor experiences. At 3-month follow-up, clinical outcomes compared well to typical treatment outcomes, and treatment retention appeared to be superior. Participating clients perceived concrete rewards to be moderately effective in the change process, while active therapist acceptance of this technique appeared to be limited.en
dc.identifier.urihttps://hdl.handle.net/10133/735
dc.language.isoen_USen
dc.publisherLethbridge, Alta. : University of Lethbridge, School of Health Sciences, 2008en
dc.publisher.facultyHealth Sciencesen
dc.relation.ispartofseriesThesis (University of Lethbridge. School of Health Sciences)en
dc.subjectDissertations, Academicen
dc.subjectCompulsive gambling -- Treatmenten
dc.subjectImpulse control disorders -- Treatmenten
dc.subjectCompulsive gamblers -- Counseling ofen
dc.subjectBehavior modificationen
dc.titleStrategic contingency management to enhance treatment outcomes for problem gamblersen
dc.typeThesisen
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