centre for gambling education & research internet-based treatment options for problem gambling:...
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![Page 1: Centre for gambling education & research Internet-based treatment options for problem gambling: A review of existing evidence and models Sally Gainsbury](https://reader033.vdocuments.mx/reader033/viewer/2022051401/56649e495503460f94b3ccc0/html5/thumbnails/1.jpg)
centre for gambling education & research
Internet-based treatment options for problem gambling: A review of
existing evidence and models
Sally Gainsbury(nee Monaghan)
April 9th, 2010
Alberta Gaming Research Institute’s 9th Annual
Conference
Banff, Alberta
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Centre for Gambling Education & Research
Outline
Why consider Internet-based treatments
Internet therapy
Online interventions
Implementation issues
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Centre for Gambling Education & Research
Why consider a new form of treatment?
The majority of problem gamblers (90-97%) do not engage in treatment
Annual cost of each pathological gambler = CAD$20,000-$56,000
Many individuals with gambling problems may benefit from largely self-guided less-intensive treatment interventions
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Centre for Gambling Education & Research
Advantages of online treatment
User demand Increases treatment accessibility, availability and
convenience Offers privacy and anonymity Relevant for at-risk population Adapted from existing treatment models Fits with stepped-care treatment model Cost-effective Empirical evaluations
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Centre for Gambling Education & Research
Internet Therapy
Online self-guided exercises
Therapist support
Empirically supported
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Centre for Gambling Education & Research
Norway - www.spillbehandling.no
3-month program conducted online with telephone support
Weekly assignments (CBT-based)
Online discussion forum
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Centre for Gambling Education & Research
Norway - www.spillbehandling.no
2007-2009: 90 clients (86% male, M age=36, M SOGS=11.6), 38 completions, 18 no starts, 11 drop-outs
Positive changes for gambling thoughts and behaviour, depression, anxiety and concentration
Positive client feedback
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Centre for Gambling Education & Research
Finland: Addiction Link
Self-help resources & assessments Professional support & counselling Peer-support & discussion Approximately170 visitors per day,
40,000/month 12% of counselling for problem gambling
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Centre for Gambling Education & Research
Germany – Check Your Gambling
www.spielen-mit-verantwortung.de Personalised counselling - 4 week program Automated self-test & relevant information Local help options
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Centre for Gambling Education & Research
Germany – Check Your Gambling
2007-2009: 197 participants registered (12-15/month) 87% male, mean age=34, 64% first help seeking, 95% pathological gamblers
66% completed program Feedback: gambling diary, counsellor
feedback and online chats sig. helpful
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United Kingdom - GamAid
Chat with online advisors (during service hours)
Email advice Support, not treatment Online forums/discussion boards
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Centre for Gambling Education & Research
Australia – Gambling Help Online
Live counselling 24/7 Email-based counselling
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Centre for Gambling Education & Research
Australia – Gambling Help Online
Since soft launch 31.8.09 4,209 hits (3,083 unique hits) 197 live counselling requests 28 unique email requests 64% anonymous access 58% contacts outside traditional business hours 47% males 84% gamblers 78% metropolitan
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Centre for Gambling Education & Research
Online interventions
Internet-based self-help treatment options
No “gold standard”: structure, components, time-frame
Evolve based on research & feedback
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Centre for Gambling Education & Research
Components of online interventions
Registration Allows progress to be tracked Users can be contacted May be anonymous Facilitates research
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Centre for Gambling Education & Research
Components of online interventions
Tailored normative feedback Stand-alone intervention or first step Increases relevance of information May motivate behavioural change
Cunningham, J.A. et al. (2009)
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Centre for Gambling Education & Research
Components of online interventions
Tailored content Personalised treatment Tailoring based on age, gender, culture, form of
gambling, stage of motivation & change, reasons for gambling
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Centre for Gambling Education & Research
Components of online interventions
Behavioural tools Monitoring diaries Analysis of behavioural patterns Goal setting Progress tracking
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Centre for Gambling Education & Research
Components of online interventions
Interactive educational exercises Educational information Cognitive strategies Quizzes Automated feedback Multi-media
www.gambleaware.co.uk
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Centre for Gambling Education & Research
Components of online interventions
Motivational phases Work with clients at various levels of readiness
for change
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Centre for Gambling Education & Research
Components of online interventions
Online support groups and forums Adjunct to treatment or maintenance Monitored High traffic flow and activity
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Centre for Gambling Education & Research
Know the Score
Launched by Responsible Gambling Council 109 University & college campuses Interactive PG awareness program
On-campus staff Website Quiz Facebook Bluetooth texting Blog
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Centre for Gambling Education & Research
Check Your Gambling.Net
Brief automated personalised feedback intervention
Summary report
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Centre for Gambling Education & Research
Implementation issues
Internet access
Client suitability
Promotion & advertising
Attrition
Research
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Centre for Gambling Education & Research
Conclusions
Growing support for Internet-based treatment
Successful, accessible, cost-effective Providing brief treatment & support for those
who would not seek traditional services Empirically verifiable
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Centre for Gambling Education & Research
Acknowledgments
The presenter would like to thank
the Centre for Addiction and Mental Health (CAMH) and
the Ontario Problem Gambling Research Centre (OPGRC) for their support of this research
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Centre for Gambling Education & Research
Thank you
Questions, comments?
Sally Gainsbury
(nee Monaghan)Post-doctoral Research Fellow
Centre for Gambling Education & Research
Southern Cross University
Lismore, Australia
Email: [email protected]