Effects of personalized and normative feedback via the Positive Play Quiz on responsible gambling intention, self-efficacy and behavior: A randomized controlled trial.

IF 5.2 1区医学 Q1 PSYCHIATRY

Addiction Pub Date : 2024-12-04 DOI:10.1111/add.16722

Nassim Tabri, Richard T A Wood, Michael J A Wohl

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引用次数: 0

Abstract

Aims: To evaluate whether a personalized and normative feedback (PNF) intervention for responsible gambling increases gambling insight as well as intention and self-efficacy to engage in responsible gambling and behavioral engagement.

Design: Two-arm randomized controlled trial. Outcome measurements occurred post-randomization and 3 months later.

Setting: Online, Canada.

Participants: Canadian community members who gambled at a land-based casino or online in the last 3 months [61.9% men; mean age = 56.52 (standard deviation = 14.80)] recruited via an online panel (n = 4091).

Intervention and comparator: Participants were randomized to receive PNF (n = 1940) or no feedback (n = 2151).

Measurements: Primary outcomes included gambling insight, intentions and self-efficacy to engage in seven responsible gambling behaviors post-randomization as well as engagement in these behaviors during the 3-month follow-up.

Findings: Post-intervention, participants receiving PNF (relative to no feedback) had greater gambling insight (d = 0.32, P = 4.59^e-25) as well as greater intentions and self-efficacy to learn about how the games they play work (d_intention = 0.31, P = 4.92^e-24; d_{self-efficacy} = 0.25, P = 4.35^e-16), learn about the odds of winning at these games (d_intention = 0.30, P = 1.43^e-21; d_{self-efficacy} = 0.25, P = 2.13^e-15) and use operator-provided tools to help limit their gambling (d_intention = 0.20, P = 1.36^e-10; d_{self-efficacy} = 0.18, P = 3.92^e-9). However, post-intervention differences in intention and self-efficacy to limit time and money spent gambling, openness about gambling with others and balancing gambling with other activities were not observed. Meaningful increases in behavioral engagement 3 months later were observed but were not significant.

Conclusions: PNF for responsible gambling (relative to no feedback) appears to increase gambling insight, intentions and self-efficacy to engage in gambling literacy and use of limit-setting tools. Exploratory analyses indicated receiving PNF (relative to no feedback) led to behavioral changes during the 3-month follow-up period.

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积极游戏测验中个性化和规范性反馈对负责任赌博意图、自我效能感和行为的影响：一项随机对照试验。

目的：评估负责任赌博的个性化和规范性反馈（PNF）干预是否能提高负责任赌博的洞察力、参与负责任赌博和行为参与的意愿和自我效能感。设计：两组随机对照试验。结果测量在随机化后和3个月后进行。设置：在线，加拿大。参与者：过去3个月内在陆上赌场或网上赌博的加拿大社区成员[61.9%男性；平均年龄= 56.52岁（标准差= 14.80）]通过在线小组（n = 4091）招募。干预和比较：参与者随机分为接受PNF （n = 1940）和无反馈（n = 2151）两组。测量：主要结果包括随机分组后参与7种负责任赌博行为的赌博洞察力、意图和自我效能，以及3个月随访期间参与这些行为的情况。研究结果：干预后，接受PNF（相对于没有反馈）的参与者有更大的赌博洞察力（d = 0.32, P = 4.59e-25），以及更大的意图和自我效能感，以了解他们玩的游戏是如何运作的(意向= 0.31,P = 4.92e-24；d自我效能= 0.25,P = 4.35e-16)，了解在这些游戏中获胜的几率(倾向= 0.30,P = 1.43e-21；自我效能= 0.25,P = 2.13e-15)，并使用操作员提供的工具来帮助限制他们的赌博(倾向= 0.20,P = 1.36e-10；自我效能感= 0.18,P = 3.92 -9)。然而，干预后在限制赌博时间和金钱的意愿和自我效能、与他人赌博的开放性以及赌博与其他活动之间的平衡方面没有观察到差异。3个月后观察到行为投入有意义的增加，但并不显著。结论：负责任赌博的PNF（相对于没有反馈）似乎增加了赌博洞察力，意图和自我效能，参与赌博素养和限制设置工具的使用。探索性分析表明，在3个月的随访期间，接受PNF（相对于没有反馈）导致行为改变。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addiction 医学-精神病学

CiteScore

10.80

自引率

6.70%

发文量

319

审稿时长

3 months

期刊介绍： Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.