Table 3.
Meta-regression based moderator analyses
Outcome variable | Moderator variable | Ka | Slope | 95% CI | p value |
All interventions | |||||
Gambling severity | Modality – CBT vs. MI/CBT | 18/7 | 0.27 | [−0.48; 1.01] | 0.4830 |
CBT vs. Other | 5 | −0.14 | [−1.02; 0.74] | 0.7565 | |
CBT vs. MI | 3 | 0.85 | [−0.18; 1.88] | 0.1048 | |
Mode of delivery – face-to-face vs. remote | 16/13 | 0.64 | [0.06; 1.23] | 0.0306 | |
Type of control group – passive vs. active | 19/13 | 0.73 | [0.21; 1.25] | 0.0063 | |
GD as eligibility criterion – yes vs. no | 14/14 | 1.05 | [0.56; 1.55] | <0.0001 | |
Comorbidity excluded – no vs. yes | 11/17 | <0.01 | [−0.67; 0.68] | 0.9939 | |
Therapist fidelity assessment – no vs. yes | 9/14 | 0.15 | [−0.62; 0.91] | 0.7110 | |
Proportionb with GD | 26 | −0.16 | [−0.28; −0.04] | 0.0116 | |
Proportionb female | 28 | 0.00 | [−0.17; 0.16] | 0.9562 | |
Proportionb married | 13 | −0.13 | [−0.28; 0.01] | 0.0669 | |
Sample mean age | 27 | −0.04 | [−0.08; 0.00] | 0.0610 | |
No. of contact sessionsc | 25 | −0.05 | [−0.09; −0.01] | 0.0156 | |
Length of treatment periodd | 27 | −0.09 | [−0.15; −0.03] | 0.0053 | |
Date of publication (years until 2021) | 28 | 0.09 | [0.05; 0.12] | <0.0001 | |
Remission | Mode of delivery – face-to-face vs. remote | 7/6 | 1.07 | [0.03; 2.10] | 0.0446 |
Type of control group – passive vs. active | 7/6 | 0.70 | [−0.53; 1.92] | 0.2655 | |
GD as eligibility criterion – yes vs. no | 5/7 | 1.56 | [0.50; 2.61] | 0.0039 | |
Comorbidity excluded – no vs. yes | 5/7 | 0.38 | [−0.99; 1.74] | 0.5902 | |
Therapist fidelity assessment – no vs. yes | 3/7 | 0.72 | [−1.31; 2.75] | 0.4859 | |
Proportionb with GD | 12 | −0.14 | [−0.40; 0.13] | 0.3246 | |
Proportionb female | 12 | −0.06 | [−0.49: 0.37] | 0.7848 | |
Sample mean age | 11 | −0.07 | [−0.15; 0.00] | 0.0634 | |
No. of contact sessionsc | 11 | −0.02 | [−0.11; 0.08] | 0.7470 | |
Length of treatment periodd | 12 | −0.08 | [−0.23; 0.07] | 0.3075 | |
Date of publication (years until 2021) | 12 | 0.12 | [0.03; 0.20] | 0.0065 | |
Face-to-face intervention | |||||
Gambling severity | Format – individual vs. group | 10/6 | −0.45 | [−1.55; 0.66] | 0.4272 |
Type of control group – passive vs. active | 11/7 | 1.03 | [0.23; 1.84] | 0.0116 | |
GD as eligibility criterion – yes vs. no | 11/5 | 1.42 | [0.63; 2.21] | <0.0001 | |
Comorbidity excluded – no vs. yes | 5/11 | 1.13 | [0.05; 2.22] | 0.0408 | |
Therapist fidelity assessment – no vs. yes | 4/12 | 0.76 | [−0.42; 1.95] | 0.2078 | |
Proportionb with GD | 15 | −0.39 | [−0.77; −0.02] | 0.0386 | |
Proportionb female | 16 | −0.08 | [−0.32; 0.17] | 0.5489 | |
Sample mean age | 15 | −0.04 | [−0.11; 0.03] | 0.2659 | |
No. of contact sessionsb | 15 | −0.10 | [−0.16; −0.05] | 0.0004 | |
Length of treatment periodc | 15 | −0.09 | [−0.17; −0.01] | 0.0234 | |
Date of publication (years before 2021) | 16 | 0.12 | [0.05; 0.19] | 0.0004 | |
Remote intervention | |||||
Gambling severity | Therapist guidance – guided vs. unguided | 6/8 | 0.22 | [−0.38; 0.82] | 0.4703 |
Type of control group – passive vs. active | 9/6 | 0.36 | [−0.16; 0.88] | 0.1765 | |
GD as eligibility criterion – yes vs. no | 4/9 | 0.27 | [−0.39; 0.92] | 0.4254 | |
Comorbidity excluded – no vs. yes | 6/7 | −0.48 | [−1.03; 0.06] | 0.0801 | |
Proportionb with GD | 12 | −0.07 | [−0.16; 0.03] | 0.1628 | |
Proportionb female | 13 | 0.04 | [−0.15; 0.23] | 0.6930 | |
Sample mean age | 13 | −0.01 | [−0.05; 0.02] | 0.4667 | |
Length of treatment periodc | 13 | −0.03 | [−0.13; 0.08] | 0.6275 | |
Date of publication (years until 2021) | 13 | 0.03 | [−0.04; 0.10] | 0.3758 |
Bold p-values indicate statistical significance (<0.05); β, slope of the regression; CBT, cognitive behavioral therapy; CI, confidence interval; GD, gambling disorder; K, number of parameters in the analysis; MI, motivational intervention; SE, standard error, a) for dichotomous variables: contrast/comparator, b) the correlation coefficient corresponds to a 10% change in this variable, c) if a study had multiple intervention groups with different number of contact sessions, the minimum value was used in the regression, d) if a study had multiple intervention groups with different length of treatment, the minimum value was used in the regression.