Is an e-mental health programme a viable way to reach affected others of disordered gamblers? A feasibility study focusing on access and retention

Buchner, Ursula Gisela; Koytek, Annalena; Wodarz, Norbert; Wolstein, Jörg

doi:10.1080/14459795.2018.1515974

Cited by 8 publications

(19 citation statements)

References 47 publications

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“…In this study, we evaluated the feasibility of a brief (four-module) online self-help program for gamblers accessing the Swedish national gambling helpline website. The conversion rate was 14% in the current study, which can be considered as high compared to a feasibility study on a program for persons affected by someone else’s gambling where the conversion rate was 3.5% (Buchner, Koytek, Wodarz, & Wolstein 2019 ). Program engagement was high, with 92% engaged in at least one module and 23.5% of the users having been engaged in all four modules.…”

Section: Discussionmentioning

confidence: 54%

Evaluation of a Brief Online Self-help Program for Concerned Gamblers

et al. 2021

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The purpose of this study was to evaluate the feasibility and module content of a brief online self-help program for concerned gamblers, i.e., gamblers who perceived a need to change their gambling habits, in the context of a gambling helpline. The program consisted of four modules based on Motivational Interviewing (MI) and Cognitive Behavioral Therapy (CBT), covering motivation to change, logging gambling behaviors, planning and implementing gambling-free activities, and managing risk situations. Gambling expenditures were also logged in the program, and their development over time were analyzed as longitudinal data using marginalized two-part models. Out of 4655 gamblers recruited via the helpline’s webpage, 92% completed content in at least one module, and 23% were active in all four modules. Attrition was in general high, with only 10% retention in the gambling log for longer than 14 days. Gambling expenditures decreased for those who logged them for a shorter time period, whereas it increased for those who logged expenditures for a longer time period. This study shows that it is relatively easy to recruit participants to an online program for concerned gamblers in the context of a gambling helpline. However, since few users logged in to the program more than once, we suggest future online programs to have open modules with all content accessible at once.

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Section: Discussionmentioning

confidence: 54%

Evaluation of a Brief Online Self-help Program for Concerned Gamblers

et al. 2021

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“…Similar gender differences have been seen among both the general population [ 14 , 19 , 21 , 32 ] and in treatment settings. In the latter context, women AOs—especially affected female partners and mothers—have been extensively represented [ 33 , 34 , 35 , 36 , 37 , 38 , 39 ]. ANFs were typically men, thus rarely observed as seeking help for themselves as AOs.…”

Section: Discussionmentioning

confidence: 99%

“…Not all AOs report GRHs, and in turn, we do not know well enough who are the AOs that require support and what type of support; thus, this is an area worth investigating in the future. It could well be that the psychoeducational components of problem gambling (understanding a gambler), securing one’s own finances, and building clear boundaries to secure one’s own well-being delivered online as self-help [ 34 , 39 , 44 ] may be a suitable support for this subgroup. Overall, AOs may use self-help strategies that focus on changing their own behavior, particularly taking responsibility for the family’s finances [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Gambling-Related Harms for Affected Others: A Finnish Population-Based Survey

Castrén

Hagfors

Salonen

2021

IJERPH

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Aims This study explores the prevalence of being a past-year affected other (AO) of a problem gambler by gender. The aims were to study the amount and type of gambling-related harms (GRHs) for subgroups of AOs and to distinguish GRH profiles for AO subgroups. Methods A total of 7186 adults aged 18 years and over participated in the Gambling Harms Survey evaluating year 2016. The data were analyzed using descriptive statistics and binary logistic regression. Results Of all respondents, 12.9% were defined as past-year AOs (women 13.7%; men 12.1%). The proportion of affected non-family members (ANFs) was 8.4%, and 5.6% were affected family members (AFMs). AFMs were usually women, and ANFs were usually men. Emotional, relationship, and financial harms were the most common types of harm. The odds of experiencing financial harm were highest for the 18- to 34-year-olds (OR 1.82) and for those whose partner/ex-partner had a gambling problem (OR 3.91). Having a parent/step-parent (OR 1.93) and child/stepchild (OR 3.64) increased the odds of experiencing emotional harm, whereas male gender (OR 0.50) and being an ANF (OR 0.58) decreased emotional harm. Relationship harm was evident for partners/ex-partners (OR 1.97–5.07). Conclusions GRH profiles for AO subgroups varied, which emphasizes the need for effective harm minimization strategies for those in need.

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“…Hence, CST aims to help affected others cope with this distress [ 20 , 23 ]. Other family-focused treatments also include training on how to respond to relapse, communication skills, financial management, and problem solving [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

“…A recent systematic review identified seven treatment studies for affected others [ 34 ]. Three of these studies were family focused [ 19 , 20 , 24 ] and four offered a blended approach that included both family- and gambler-focused strategies [ 27 , 29 , 30 , 33 ]. The meta-analysis conducted by Merkouris, Dowling and Rodda [ 34 ] indicated that face-to-face therapist-delivered psychosocial treatment was associated with improved depressive symptomatology, affected other coping, treatment entry for the person with addiction and marital/relationship discord compared to control groups.…”

Section: Introductionmentioning

confidence: 99%

Affected Others Responsivity to Gambling Harm: An International Taxonomy of Consumer-Derived Behaviour Change Techniques

Dowling

Landon

Lubman

et al. 2021

JCM

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Affected others impacted by someone else’s gambling utilise numerous behaviour change strategies to minimise gambling-related harm but knowledge on what these strategies are and how they are implemented is limited. This study aimed to develop a comprehensive data-driven taxonomy of the types of self-help strategies used by affected others, and to categorize these into high-level behaviour change techniques (BCTs). Two taxonomies were developed using an inductive and deductive approach which was applied to a dataset of online sources and organised into the Rubicon model of action phases. These taxonomies were family-focused (how to reduce the impact of gambling harm on families) and gambler-focused (how to support the gambler in behaviour change). In total, 329 online sources containing 3536 different strategies were identified. The family-focused classification contained 16 BCTs, and the most frequent were professional support, financial management and planned consequences. The gambler-focused classification contained 11 BCTs, and the most frequent were feedback on behaviours, professional support and financial management. The majority of family- and gambler-focused BCTs fell under the actional phase of the Rubicon model. Grounded in lived experience, the findings highlight the need for intervention and resource development that includes a wide range of specific techniques that affected others can utilise.

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Is an e-mental health programme a viable way to reach affected others of disordered gamblers? A feasibility study focusing on access and retention

Cited by 8 publications

References 47 publications

Evaluation of a Brief Online Self-help Program for Concerned Gamblers

Evaluation of a Brief Online Self-help Program for Concerned Gamblers

Gambling-Related Harms for Affected Others: A Finnish Population-Based Survey

Affected Others Responsivity to Gambling Harm: An International Taxonomy of Consumer-Derived Behaviour Change Techniques

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