Outcome of treatment seeking rural gamblers attending a nurse-led cognitive-behaviour therapy service: A pilot study

Journal article


Tolchard, B (2016). Outcome of treatment seeking rural gamblers attending a nurse-led cognitive-behaviour therapy service: A pilot study. International Journal of Nursing Sciences. 3 (1), pp. 89-95.
AuthorsTolchard, B
Abstract

Copyright © 2016, Chinese Nursing Association. Production and hosting by Elsevier B.V.Objectives Little is known about the differences between urban and rural gamblers in Australia, in terms of comorbidity and treatment outcome. Health disparities exist between urban and rural areas in terms of accessibility, availability, and acceptability of treatment programs for problem gamblers. However, evidence supporting cognitive-behaviour therapy as the main treatment for problem gamblers is strong. This pilot study aimed to assess the outcome of a Cognitive-Behavioural Therapy (CBT) treatment program offered to urban and rural treatment-seeking gamblers. Methods People who presented for treatment at a nurse-led Cognitive-Behavioural Therapy (CBT) gambling treatment service were invited to take part in this study. A standardised clinical assessment and treatment service was provided to all participants. A series of validated questionnaires were given to all participants at (a) assessment, (b) discharge, (c) at a one-month, and (d) at a 3-month follow-up visit. Results Differences emerged between urban and rural treatment-seeking gamblers. While overall treatment outcomes were much the same at three months after treatment, rural gamblers appeared to respond more rapidly and to have sustained improvements over time. Conclusion This study suggests that rural problem gamblers experience different levels of co-morbid anxiety and depression from their urban counterparts, but once in treatment appear to respond quicker. ACBT approach was found to be effective in treating rural gamblers and outcomes were maintained. Ensuring better availability and access to such treatment in rural areas is important. Nurses are in a position as the majority health professional in rural areas to provide such help.

Year2016
JournalInternational Journal of Nursing Sciences
Journal citation3 (1), pp. 89-95
PublisherElsevier
ISSN2352-0132
Digital Object Identifier (DOI)doi:10.1016/j.ijnss.2016.01.004
Publication dates
Print11 Feb 2016
Publication process dates
Deposited06 Feb 2018
Accepted26 Jan 2016
Publisher's version
License
CC BY-NC-ND 4.0
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https://openresearch.lsbu.ac.uk/item/87507

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