Journal of Gambling Studies

, Volume 33, Issue 3, pp 955–973 | Cite as

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

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 

References

  1. Abbott, M., Bellringer, M., Garrett, N., & Mundy-McPherson, S. (2014). New Zealand 2012 National gambling study: Overview and gambling participation. Report Number 1. Auckland: AUT.Google Scholar
  2. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.CrossRefGoogle Scholar
  3. Carlbring, P., & Smit, F. (2008). Randomized trial of internet-delivered self-help with telephone support for pathological gamblers. Journal of Consulting and Clinical Psychology, 76(6), 1090–1094. doi:10.1037/a0013603.CrossRefPubMedGoogle Scholar
  4. Cunningham, J. A. (2005). Little use of treatment among problem gamblers. Psychiatric Services, 56(8), 1024–1025. doi:10.1176/appi.ps.56.8.1024-a.CrossRefPubMedGoogle Scholar
  5. Hing, N., Holdsworth, L., Tiyce, M., & Breen, H. (2014). Stigma and problem gambling: Current knowledge and future research directions. International Gambling Studies, 14(1), 64–81. doi:10.1080/14459795.2013.841722.CrossRefGoogle Scholar
  6. Hing, N., Nuske, E., & Gainsbury, S. (2011). Gamblers at-risk and their help-seeking behaviour. Lismore: Gambling Research Australia.Google Scholar
  7. Hing, N., Nuske, E., Gainsbury, S. M., Russell, A. M. T., & Breen, H. (2016). How does the stigma of problem gambling influence help-seeking, treatment and recovery? A view from the counselling sector. International Gambling Studies, 16(2), 1–18. doi:10.1080/14459795.2016.1171888.CrossRefGoogle Scholar
  8. Hing, N., Russell, A., Nuske, E., & Gainsbury, S. (2015). The stigma of problem gambling: Causes, characteristics and consequences. Melbourne: Victorian Responsible Gambling Foundation.Google Scholar
  9. Hodgins, D. C., Currie, S. R., Currie, G., & Fick, G. H. (2009). Randomized trial of brief motivational treatments for pathological gamblers: More is not necessarily better. Journal of Consulting and Clinical Psychology, 77(5), 950–960. doi:10.1037/a0016318.CrossRefPubMedGoogle Scholar
  10. Hodgins, D. C., Currie, S. R., El-Guebaly, N., & Peden, N. (2004). Brief motivational treatment for problem gambling: A 24-month follow-up. Psychology of Addictive Behaviors, 18(3), 293–296. doi:10.1037/0893-164X.18.3.293.CrossRefPubMedGoogle Scholar
  11. Hodgins, D. C., & El-Guebaly, N. (2000). Natural and treatment-assisted recovery from gambling problems: A comparison of resolved and active gamblers. Addiction, 95(5), 777–789. doi:10.1046/j.1360-0443.2000.95577713.x.CrossRefPubMedGoogle Scholar
  12. Horch, J., & Hodgins, D. (2008). Public stigma of disordered gambling: Social distance, dangerousness, and familiarity. Journal of Social and Clinical Psychology, 27(5), 505–528.CrossRefGoogle Scholar
  13. Lubman, D. I., Rodda, S. N., Hing, N., Cheetham, A., Cartmill, T., Nuske, E., et al. (2015). Gambler self-help strategies: A comprehensive assessment of self-help strategies and actions. Melbourne: Gambling Research Australia.Google Scholar
  14. Moore, S. M., Thomas, A. C., Kyrios, M., & Bates, G. (2012). The self-regulation of gambling. Journal of Gambling Studies, 28(3), 405–420. doi:10.1007/s10899-011-9265-x.CrossRefPubMedGoogle Scholar
  15. Neighbors, C., Hove, M. C., Nasrallah, N. A., & Jensen, M. M. (2011). Self-help approaches for addiction. In B. A. Johnson (Ed.), Addiction medicine: Science and practice (Vol. 1). Springer: Heidelberg.Google Scholar
  16. Petry, N. M., Weinstock, J., Morasco, B. J., & Ledgerwood, D. M. (2009). Brief motivational interventions for college student problem gamblers. Addiction, 104(9), 1569–1578. doi:10.1111/j.1360-0443.2009.02652.x.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Productivity Commission. (2010). Gambling (report no. 50). Canberra: Commonwealth of Australia.Google Scholar
  18. Rodda, S. N., Dowling, N., Jackson, A. C., & Lubman, D. I. (2016). Improved outcomes following a single session web-based intervention for problem gambling. Journal of Gambling Studies. doi:10.1007/s10899-016-9638-2.PubMedGoogle Scholar
  19. Rodda, S. N., Hing, N., & Lubman, D. I. (2014). Improved outcomes following contact with a gambling helpline: the impact of gender on barriers and facilitators. International Gambling Studies, 14(2), 318–329. doi:10.1080/14459795.2014.921721.CrossRefGoogle Scholar
  20. Rodda, S. N., & Lubman, D. I. (2012). Characteristics of gamblers using a national online counselling service for problem gambling. Journal of Gambling Studies, 30(2), 277–289. doi:10.1007/s10899-012-9352-7.CrossRefGoogle Scholar
  21. Rodda, S. N., Lubman, D. I., Cheetham, A., Dowling, N. A., & Jackson, A. C. (2015a). Single session web-based counselling: a thematic analysis of content from the perspective of the client. British Journal of Guidance and Counselling, 43(1), 117–130. doi:10.1080/03069885.2014.938609.CrossRefGoogle Scholar
  22. Rodda, S. N., Lubman, D. I., Iyer, R., Gao, C., & Dowling, N. (2015b). Subtyping based on readiness and confidence: The identification of help-seeking profiles for gamblers accessing web-based counselling. Addiction, 110, 494–501.CrossRefPubMedGoogle Scholar
  23. Slutske, W. S. (2006). Natural recovery and treatment-seeking in pathological gambling: Results of two U.S. national surveys. American Journal of Psychiatry, 163(2), 297–302. doi:10.1176/appi.ajp.163.2.297.CrossRefPubMedGoogle Scholar

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

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