Protocol for a pilot cluster randomised controlled trial of PRoGRAM-A (preventing gambling-related harm in adolescents): a secondary school-based social network intervention.

Adolescent Cluster randomised trial Gambling-related harms Message diffusion Peer-supporters Process evaluation School intervention Social network analysis

Journal

Pilot and feasibility studies
ISSN: 2055-5784
Titre abrégé: Pilot Feasibility Stud
Pays: England
ID NLM: 101676536

Informations de publication

Date de publication:
13 Aug 2024
Historique:
received: 28 09 2023
accepted: 05 08 2024
medline: 14 8 2024
pubmed: 14 8 2024
entrez: 13 8 2024
Statut: epublish

Résumé

In the UK, recent evidence of young people and gambling indicates a higher prevalence of gambling in comparison to other addictive behaviours. Engaging in gambling-related behaviour at a young age is associated with short and long-term consequences, including financial, emotional, academic, interpersonal, and physical and mental health detriments; otherwise known as gambling-related harms (GRH). Given the unique vulnerability of this younger group, early interventions aimed at delaying or preventing gambling are critical. PRoGRAM-A (Preventing Gambling-Related Harm in Adolescents) is a school-based, social network intervention to protect young people from future GRH, by delaying or preventing gambling experimentation. Pilot cluster RCT with an embedded process evaluation and health economic scoping study. PRoGRAM-A will be delivered in four schools, with two control schools acting as a comparator. All are secondary schools in Scotland. Baseline surveys were conducted with students in S3 (ages 13-14). Follow-up surveys were conducted with the same cohort, six months post-baseline. PRoGRAM-A trainers will deliver a 2-day, out-of-school training workshop to Peer supporters. Peer supporters will be nominated by peers among their school year group (S3, age 13-14). Workshops will provide peer supporters with information on four gambling-related topics: (1) what is gambling? (2) gambling and gaming, (3) gambling marketing, (4) identifying harm and reducing risk. Peer supporters will disseminate the information (message diffusion) they have learned among their friends and family over a 10-week period. After the 2-day workshop, PRoGRAM-A trainers will conduct × 3 in-school follow-up sessions with peer supporters to offer support, encouragement, and advice to Peer Supporters as well as monitor and explore the extent of their message diffusion. The primary outcome of the pilot cluster RCT (cRCT) will be whether progression to a phase III RCT is justified. This will be the first pilot cluster RCT (cRCT) of an intervention to prevent gambling-related harms among young people within the UK. If findings indicate feasibility and acceptability, funding will be sought for a phase III RCT of effectiveness. Researchregistry8699. Registered 21

Sections du résumé

BACKGROUND BACKGROUND
In the UK, recent evidence of young people and gambling indicates a higher prevalence of gambling in comparison to other addictive behaviours. Engaging in gambling-related behaviour at a young age is associated with short and long-term consequences, including financial, emotional, academic, interpersonal, and physical and mental health detriments; otherwise known as gambling-related harms (GRH). Given the unique vulnerability of this younger group, early interventions aimed at delaying or preventing gambling are critical. PRoGRAM-A (Preventing Gambling-Related Harm in Adolescents) is a school-based, social network intervention to protect young people from future GRH, by delaying or preventing gambling experimentation.
METHODS METHODS
Pilot cluster RCT with an embedded process evaluation and health economic scoping study.
PARTICIPANTS METHODS
PRoGRAM-A will be delivered in four schools, with two control schools acting as a comparator. All are secondary schools in Scotland. Baseline surveys were conducted with students in S3 (ages 13-14). Follow-up surveys were conducted with the same cohort, six months post-baseline.
INTERVENTION METHODS
PRoGRAM-A trainers will deliver a 2-day, out-of-school training workshop to Peer supporters. Peer supporters will be nominated by peers among their school year group (S3, age 13-14). Workshops will provide peer supporters with information on four gambling-related topics: (1) what is gambling? (2) gambling and gaming, (3) gambling marketing, (4) identifying harm and reducing risk. Peer supporters will disseminate the information (message diffusion) they have learned among their friends and family over a 10-week period. After the 2-day workshop, PRoGRAM-A trainers will conduct × 3 in-school follow-up sessions with peer supporters to offer support, encouragement, and advice to Peer Supporters as well as monitor and explore the extent of their message diffusion.
PRIMARY OUTCOME METHODS
The primary outcome of the pilot cluster RCT (cRCT) will be whether progression to a phase III RCT is justified.
DISCUSSION CONCLUSIONS
This will be the first pilot cluster RCT (cRCT) of an intervention to prevent gambling-related harms among young people within the UK. If findings indicate feasibility and acceptability, funding will be sought for a phase III RCT of effectiveness.
TRIAL REGISTRATION BACKGROUND
Researchregistry8699. Registered 21

Identifiants

pubmed: 39138530
doi: 10.1186/s40814-024-01537-w
pii: 10.1186/s40814-024-01537-w
doi:

Types de publication

Journal Article

Langues

eng

Pagination

109

Subventions

Organisme : Public Health Research Programme
ID : NIHR150838

Informations de copyright

© 2024. The Author(s).

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Auteurs

Fiona Dobbie (F)

Usher Institute, University of Edinburgh, Edinburgh, UK. fiona.dobbie@ed.ac.uk.

Martine Miller (M)

Usher Institute, University of Edinburgh, Edinburgh, UK.

Heather Wardle (H)

School of Social and Political Sciences, University of Glasgow, Glasgow, UK.

Lucia Dahlby (L)

Usher Institute, University of Edinburgh, Edinburgh, UK.

Christopher Weir (C)

Edinburgh Clinical Trials Unit, University of Edinburgh, Edinburgh, UK.

Angela Niven (A)

Usher Institute, University of Edinburgh, Edinburgh, UK.

Andrew Stoddart (A)

Edinburgh Clinical Trials Unit, University of Edinburgh, Edinburgh, UK.

David Griffiths (D)

Faculty of Social Sciences, University of Stirling, Stirling, UK.

Ashley Lee (A)

Evidence to Impact, 21B Somerset Square, Nailsea, Bristol, UK.

Sally Good (S)

Evidence to Impact, 21B Somerset Square, Nailsea, Bristol, UK.

Leon Noble (L)

Usher Institute, University of Edinburgh, Edinburgh, UK.

James White (J)

Centre for Trials Research, School of Medicine, Cardiff University, Cardiff, UK.

Classifications MeSH