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Clinical Consensus Statements on Intervention Content for Gambling Treatment: A Contextualised Delphi Study With Clinical Researchers

Authors

Keshani, Imran
Merkouris, Stephanie
Rodda, Simone
Abbott, Max
Aubin, Henri-Jean
Bellringer, Maria
Berman, Anne
Billieux, Joel
Bowden-Jones, Henrietta
Browning, Colette

Supervisor

Item type

Journal Article

Degree name

Journal Title

Journal ISSN

Volume Title

Publisher

Springer Science and Business Media LLC

Abstract

There is little consensus on the optimal components of gambling psychological treatments. This study aimed to identify clinical consensus statements regarding the perceived effectiveness of gambling intervention content (change techniques, participant/recruitment characteristics, delivery characteristics, and evaluation characteristics) from a panel of researchers with psychological gambling treatment expertise across 11 countries. A two-round modified Delphi study was conducted. Thirty-five panellists rated the perceived effectiveness of 96 gambling intervention components for achieving clinically helpful change, which was defined as “reduction in gambling severity, expenditure, and frequency”. Consensus criteria on effectiveness and ineffectiveness were defined a priori. Consensus statements were identified for four of 19 change techniques (motivational enhancement, relapse prevention, cognitive restructuring, and plan social support), five of 23 participant/recruitment characteristics (e.g. eligibility screening took place), 17 of 47 delivery characteristics (e.g. the therapy goal was to reduce time and/or money spent gambling), and three of seven evaluation characteristics (e.g. specific process or mediators are targeted by the intervention). These statements, when interpreted with consideration of contextual factors, can inform the selection of likely effective components to employ in gambling treatment programs and indicate where future research efforts may be most beneficial.

Description

Keywords

5203 Clinical and Health Psychology, 52 Psychology, Behavioral and Social Science, 3 Good Health and Well Being, 1117 Public Health and Health Services, 1701 Psychology, Substance Abuse, 4206 Public health, 5203 Clinical and health psychology

Source

International Journal of Mental Health and Addiction, ISSN: 1557-1874 (Print); 1557-1882 (Online), Springer Science and Business Media LLC, 1-29. doi: 10.1007/s11469-025-01565-4

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Open Access. This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.