Abstract
Gambling revenue in the United States is at all-time highs while recent and forthcoming legislation relaxes constraints on casino gaming, sports betting, and fantasy sports betting. Increased gambling will result in increased problematic gambling, highlighting the need to study the impact of our problematic gambling prevention interventions. To address this, we conducted a content analysis of problematic gambling prevention messages in the U.S. Results reveal that although there is overlap between theoretically-based messaging appeals recommended by research and those used in actual prevention interventions, health behavior theory is inconsistently applied and there are numerous examples of potential backfire effects. Results are discussed in terms of their impact on theory development and their noteworthy practical application.
Similar content being viewed by others
Data Availability
The data that support the findings of this study are available from the corresponding author upon request.
Notes
Some question whether DFS betting qualifies as a gambling activity or a skills-based competition. One recent investigation found that DFS players were more likely to endorse DSM-5 gambling disorder criteria than those who did not play fantasy sports (Edson & LaPlante, 2020).
References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T.
American Gaming Association (2019). American attitudes on casino gaming 2019. https://www.americangaming.org/resources/american-attitudes-on-casino-gaming-2019/.
American Gambling Association (2021). State of the states 2021: The American gambling association survey of the commercial casino industry. https://www.americangaming.org/wp-content/uploads/2021/05/AGA-2021-State-of-the-States_FINALweb-150ppi.pdf.
Bjørseth, B., Simensen, J. O., Bjørnethun, A., Griffiths, M. D., Erevik, E. K., Leino, T., & Pallesen, S. (2020). The effects of responsible gambling pop-up messages on gambling behaviors and cognitions: A systematic review and meta-analysis. Frontiers in Psychiatry, 11, 601800.
Broussard, J., & Wulfert, E. (2017). Can an accelerated gambling simulation reduce persistence on a gambling task? International Journal of Mental Health and Addiction, 15(1), 143–153.
Canale, N., Vieno, A., Griffiths, M. D., Marino, C., Chieco, F., Disperati, F., Andriolo, S., & Santinello, M. (2016). The efficacy of a web-based gambling intervention program for high school students: A preliminary randomized study. Computers in Human Behavior, 55, 946–954.
Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Sage.
Cowlishaw, S., Merkouris, S., Dowling, N., Anderson, C., Jackson, A., & Thomas, S. (2012). Psychological therapies for pathological and problem gambling. Cochrane Database of Systematic Reviews, 11, CD008937.
Dotson, K. B., Dunn, M. E., & Bowers, C. A. (2015). Stand-alone personalized normative feedback for college student drinkers: A meta-analytic review, 2004 to 2014. PloS One, 10(10), https://doi.org/10.1371/journal.pone.0139518.
Drape, J. (2021, February 2). As sports gambling grows, so do appetite-whetting sure bets. The New York Times. https://www.nytimes.com/2021/02/02/sports/football/sports-betting-super-bowl.html.
Edson, T. C., & LaPlante, D. A. (2020). Longitudinal playing trends among daily fantasy sports players. Computers in Human Behavior, 104, 106165.
Fong, T. W. (2005). The biopsychosocial consequences of pathological gambling. Psychiatry, 2(3), 22–30.
Forsström, D., Spångberg, J., Petterson, A., Brolund, A., & Odeberg, J. (2021). A systematic review of educational programs and consumer protection measures for gambling: An extension of previous reviews. Addiction Research & Theory, 29(5), 398–412.
Glaser, B. G., & Strauss, A. L. (2010). Grounded theory: Strategien qualitativer forschung. Huber.
Gooding, P., & Tarrier, N. (2009). A systematic review and meta-analysis of cognitive-behavioural interventions to reduce problem gambling: Hedging our bets? Behaviour Research and Therapy, 47(7), 592–607.
Grande-Gosende, A., López-Núñez, C., García-Fernández, G., Derevensky, J., & Fernández-Hermida, J. R. (2020). Systematic review of preventive programs for reducing problem gambling behaviors among young adults. Journal of Gambling Studies, 36(1), 1–22.
Greene, K., & Brinn, L. S. (2003). Messages influencing college women’s tanning bed use: Statistical versus narrative evidence format and a self-assessment to increase perceived susceptibility. Journal of Health Communication, 8(5), 443–461.
Hing, N., Nuske, E., Gainsbury, S. M., & Russell, A. M. (2016). Perceived stigma and self-stigma of problem gambling: Perspectives of people with gambling problems. International Gambling Studies, 16(1), 31–48.
Iowa Department of Public Health (2021). Prevention and health promotion. https://idph.iowa.gov/igtp/prevention.
Keen, B., Blaszczynski, A., & Anjoul, F. (2017). Systematic review of empirically evaluated school-based gambling education programs. Journal of Gambling Studies, 33(1), 301–325.
Larimer, M. E., Neighbors, C., Lostutter, T. W., Whiteside, U., Cronce, J. M., Kaysen, D., & Walker, D. D. (2012). Brief motivational feedback and cognitive behavioral interventions for prevention of disordered gambling: A randomized clinical trial. Addiction, 107(6), 1148–1158.
Maine Council on Problem Gambling. (n.d). Youth gambling. https://maineproblemgambling.org/main-page/youth-gambling/.
Mass.gov (2021). About the office of problem gambling services. https://www.mass.gov/info-details/about-the-office-of-problem-gambling-services.
McMahon, N., Thomson, K., Kaner, E., & Bambra, C. (2019). Effects of prevention and harm reduction interventions on gambling behaviours and gambling related harm: An umbrella review. Addictive Behaviors, 90, 380–388.
NCPG (2023). Advocacy. https://www.ncpgambling.org/programs-resources/advocacy/.
NCPG (2023). Help by state. https://www.ncpgambling.org/help-treatment/help-by-state/.
Neighbors, C., Larimer, M. E., & Lewis, M. A. (2004). Targeting misperceptions of descriptive drinking norms: Efficacy of a computer-delivered personalized normative feedback intervention. Journal of Consulting and Clinical Psychology, 72(3), 434–447. https://doi.org/10.1037/0022-006X.72.3.434.
Neighbors, C., Lewis, M. A., Atkins, D. C., Jensen, M. M., Walter, T., Fossos, N., Lee, C. M., & Larimer, M. E. (2010). Efficacy of web-based personalized normative feedback: A two-year randomized controlled trial. Journal of Consulting and Clinical Psychology, 78(6), 898–911. https://doi.org/10.1037/a0020766.
Neighbors, C., Rodriguez, L. M., Rinker, D. V., Gonzales, R. G., Agana, M., Tackett, J. L., & Foster, D. W. (2015). Efficacy of personalized normative feedback as a brief intervention for college student gambling: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 83(3), 500–511.
Nelson, E. L., & Patton, S. (2016). Using videoconferencing to deliver individual therapy and pediatric psychology interventions with children and adolescents. Journal of Child and Adolescent Psychopharmacology, 26(3), 212–220.
Olmsted, L. (2021, July 1). Brand new Las Vegas mega-resort casino changes the face of the strip. Forbes Magazine. https://www.forbes.com/sites/larryolmsted/2021/07/01/brand-new-las-vegas-mega-resort-casino-changes-the-face-of-the-strip/.
Petrella, S. (2022, December 12). Where is DFS legal? Tracking all 50 states for DraftKings, FanDuel, other providers. Action. https://www.actionnetwork.com/legal-online-sports-betting/where-is-daily-fantasy-sports-legal.
Petry, N. M., & Blanco, C. (2013). National gambling experiences in the United States: Will history repeat itself? Addiction, 108(6), 1032–1037.
Petry, N. M., Ginley, M. K., & Rash, C. J. (2017). A systematic review of treatments for problem gambling. Psychology of Addictive Behaviors, 31(8), 951–961.
Rodda, S. N. (2021). A systematic review of internet delivered interventions for gambling: Prevention, harm reduction and early intervention. Journal of Gambling Studies, 38(3), 967–991. https://doi.org/10.1007/s10899-021-10070-x.
Rosenstock, I. M. (1966). Why people use health services. The Milbank Memorial Fund Quarterly, 44(3), 94–127. https://doi.org/10.2307/3348967.
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15(2), 175–183.
Saxton, J., Rodda, S. N., Booth, N., Merkouris, S. S., & Dowling, N. A. (2021). The efficacy of personalized normative feedback interventions across addictions: A systematic review and meta-analysis. PloS One, 16(4), e0248262.
St-Pierre, R. A., Derevensky, J. L., Temcheff, C. E., Gupta, R., & Martin-Story, A. (2017). Evaluation of a school-based gambling prevention program for adolescents: Efficacy of using the theory of planned behaviour. Journal of Gambling Issues, 36(1), 1–25. https://doi.org/10.4309/jgi.v0i36.3984.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research techniques. Sage Publications.
Thomas, S. A., Merkouris, S. S., Radermacher, H. L., Dowling, N. A., Misso, M. L., Anderson, C. J., & Jackson, A. C. (2011). Australian guideline for treatment of problem gambling: An abridged outline. The Medical Journal of Australia, 195(11–12), 664–665.
Toneatto, T., & Ladoceur, R. (2003). Treatment of pathological gambling: A critical review of the literature. Psychology of Addictive Behaviors, 17(4), 284–292.
Wang, X. (2013). Applying the integrative model of behavioral prediction and attitude functions in the context of social media use while viewing mediated sports. Computers in Human Behavior, 29(4), 1538–1545. https://doi.org/10.1016/j.chb.2013.01.031.
Williams, R. J., Wood, R. T., & Currie, S. R. (2010). Stacked deck: An effective, school-based program for the prevention of problem gambling. The Journal of Primary Prevention, 31(3), 109–125.
Witte, K. (1996). Predicting risk behaviors: Development and validation of a diagnostic scale. Journal of Health Communication, 1(4), 317–342. https://doi.org/10.1080/108107396127988.
Witte, K., & Allen, M. (2000). A meta-analysis of fear appeals: Implications for effective public health campaigns. Health Education & Behavior, 27(5), 591–615.
Yi, S., & Kanetkar, V. (2011). Coping with guilt and shame after gambling loss. Journal of Gambling Studies, 27, 371–387.
Author information
Authors and Affiliations
Contributions
Material preparation and data collection were performed by Zixiao Yang, Bonnie E. Deal, and Nick Carcioppolo. Analysis was conducted by all authors. The first draft of the manuscript was written by Nick Carcioppolo, Bonnie E. Deal, and Zixiao Yang. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Statements and Declarations
No funding was received for conducting this study. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Yang, Z., Deal, B.E., Carcioppolo, N. et al. A Content Analysis of Problematic Gambling Prevention Interventions in the United States. J Gambl Stud 40, 51–64 (2024). https://doi.org/10.1007/s10899-023-10237-8
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10899-023-10237-8