St-Pierre Renée A, Temcheff Caroline E, Derevensky Jeffrey L, Gupta Rina
International Centre for Youth Gambling Problems and High-Risk Behaviors, McGill University, 3724, McTavish Street, Montreal, QC, H3A 1Y2, Canada.
Département de psychoéducation, Université de Sherbrooke, 2500 boul. de l'Université, A7-360, Sherbrooke, QC, J1K 2R1, Canada.
J Prim Prev. 2015 Dec;36(6):361-85. doi: 10.1007/s10935-015-0404-5.
Given its serious implications for psychological and socio-emotional health, the prevention of problem gambling among adolescents is increasingly acknowledged as an area requiring attention. The theory of planned behavior (TPB) is a well-established model of behavior change that has been studied in the development and evaluation of primary preventive interventions aimed at modifying cognitions and behavior. However, the utility of the TPB has yet to be explored as a framework for the development of adolescent problem gambling prevention initiatives. This paper first examines the existing empirical literature addressing the effectiveness of school-based primary prevention programs for adolescent gambling. Given the limitations of existing programs, we then present a conceptual framework for the integration of the TPB in the development of effective problem gambling preventive interventions. The paper describes the TPB, demonstrates how the framework has been applied to gambling behavior, and reviews the strengths and limitations of the model for the design of primary prevention initiatives targeting adolescent risk and addictive behaviors, including adolescent gambling.
鉴于问题赌博对青少年心理和社会情感健康有着严重影响,预防青少年问题赌博日益被视为一个需要关注的领域。计划行为理论(TPB)是一个成熟的行为改变模型,已在旨在改变认知和行为的初级预防干预措施的开发和评估中得到研究。然而,TPB作为青少年问题赌博预防举措开发框架的效用尚未得到探索。本文首先审视了现有的实证文献,这些文献探讨了针对青少年赌博的校内初级预防项目的有效性。鉴于现有项目的局限性,我们随后提出了一个概念框架,用于在开发有效的问题赌博预防干预措施时整合TPB。本文介绍了TPB,展示了该框架如何应用于赌博行为,并审视了该模型在设计针对青少年风险和成瘾行为(包括青少年赌博)的初级预防举措方面的优势和局限性。