Change Strategies and Associated Implementation Challenges: An Analysis of Online Counselling Sessions

  • Simone N. Rodda
  • Nerilee Hing
  • David C. Hodgins
  • Alison Cheetham
  • Marissa Dickins
  • Dan I. Lubman
Original Paper

DOI: 10.1007/s10899-016-9661-3

Cite this article as:
Rodda, S.N., Hing, N., Hodgins, D.C. et al. J Gambl Stud (2016). doi:10.1007/s10899-016-9661-3
  • 66 Downloads

Abstract

Self-change is the most frequent way people limit or reduce gambling involvement and often the first choice of people experiencing gambling-related problems. Less well known is the range of change strategies gamblers use and how these are selected, initiated or maintained. This study examined change strategies discussed in counselling transcripts from 149 clients who accessed a national online gambling help service in Australia. Using thematic analysis, we identified the presence of six change strategies; cash control and financial management, social support, avoiding or limiting gambling, alternative activities, changing thoughts and beliefs, and self-assessment and monitoring. Four implementation issues were also identified; a mismatch between need and strategy selection or maintenance; importance and readiness versus the cost of implementation; poor or unplanned transitions between strategies; and failure to review the helpfulness of strategies resulting in premature abandonment or unhelpful prolonged application. This study is the first to identify change strategies discussed in online counselling sessions. This study suggests change strategies are frequently discussed in online counselling sessions and we identified multiple new actions associated with change strategies that had not previously been identified. However, multiple implementation issues were identified and further work is required to determine the helpfulness of change strategies in terms of their selection, initiation and maintenance.

Keywords

Gambling Self-help Internet Counselling Treatment Change strategies Minimal treatment 

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Simone N. Rodda
    • 1
    • 2
  • Nerilee Hing
    • 4
  • David C. Hodgins
    • 5
  • Alison Cheetham
    • 1
    • 3
  • Marissa Dickins
    • 1
    • 3
  • Dan I. Lubman
    • 1
    • 3
  1. 1.Turning Point, Eastern HealthFitzroyAustralia
  2. 2.School of Public Health and Psychosocial StudiesAuckland University of TechnologyNorthcote, AucklandNew Zealand
  3. 3.Eastern Health Clinical School, Faculty of Medicine, Nursing and Health SciencesMonash UniversityBox HillAustralia
  4. 4.Health, Medical and Applied SciencesCentral Queensland UniversityBundabergAustralia
  5. 5.Department of PsychologyUniversity of CalgaryCalgaryCanada

Personalised recommendations