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    Therapist-delivered and self-help interventions for gambling problems: A review of contents

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    Author
    Rodda, S; Merkouris, SS; Abraham, C; Hodgins, DC; Cowlishaw, S; Dowling, NA
    Date
    2018-06-01
    Source Title
    Journal of Behavioral Addictions
    Publisher
    AKADEMIAI KIADO ZRT
    University of Melbourne Author/s
    Cowlishaw, Sean; Dowling, Nicole; Abraham, Samuel
    Affiliation
    Melbourne Graduate School of Education
    Psychiatry
    Melbourne School of Psychological Sciences
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Rodda, S., Merkouris, S. S., Abraham, C., Hodgins, D. C., Cowlishaw, S. & Dowling, N. A. (2018). Therapist-delivered and self-help interventions for gambling problems: A review of contents. JOURNAL OF BEHAVIORAL ADDICTIONS, 7 (2), pp.211-226. https://doi.org/10.1556/2006.7.2018.44.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/255242
    DOI
    10.1556/2006.7.2018.44
    Abstract
    Background and aims To date, no systematic approach to identifying the content and characteristics of psychological interventions used to reduce gambling or problem gambling has been developed. This study aimed to develop a reliable classification system capable of identifying intervention characteristics that could, potentially, account for greater or lesser effectiveness. Methods Intervention descriptions were content analyzed to identify common and differentiating characteristics. A coder manual was developed and applied by three independent coders to identify the presence or absence of defined characteristics in 46 psychological and self-help gambling interventions. Results The final classification taxonomy, entitled Gambling Intervention System of CharacTerization (GIST), included 35 categories of intervention characteristics. These were assigned to four groups: (a) types of change techniques (18 categories; e.g., cognitive restructuring and relapse prevention), (b) participant and study characteristics (6 categories; e.g., recruitment strategy and remuneration policy), and (c) characteristics of the delivery and conduct of interventions (11 categories; e.g., modality of delivery and therapist involvement), and (d) evaluation characteristics (e.g., type of control group). Interrater reliability of identification of defined characteristics was high (κ = 0.80-1.00). Discussion This research provides a tool that allows systematic identification of intervention characteristics, thereby enabling consideration, not only of whether interventions are effective or not, but also of which domain-relevant characteristics account for greater or lesser effectiveness. The taxonomy also facilitates standardized description of intervention content in a field in which many diverse interventions have been evaluated. Conclusion Application of this coding tool has the potential to accelerate the development of more efficient and effective therapist-delivered and self-directed interventions to reduce gambling problems.

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