School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
Turning Point, Eastern Health, 110 Church Street, Richmond, VIC, 3121, Australia.
J Gambl Stud. 2020 Mar;36(1):387-404. doi: 10.1007/s10899-019-09873-w.
The aim of this study was to investigate the feasibility and impact of an action and coping planning intervention deployed in gambling venues to improve adherence to expenditure limits. We conducted a 2-group parallel-block randomised controlled trial comparing one 20-min session of action and coping planning to an assessment alone. Gamblers who were intending to set a monetary limit on EGMs (n = 184) were recruited in venues and administered the intervention prior to gambling. Measures were adherence to self-identified gambling limits and adherence to expenditure intentions at 30-days post-intervention using the Time Line Follow-Back. The intervention was feasible in terms of recruitment and willingness of gamblers to engage in a pre-gambling intervention. Most gamblers enacted strategies to limit their gambling prior to entering the venue, albeit these limits were on average higher than the Australian low risk gambling guidelines. In terms of impact, the intervention did not improve adherence to limits at post or 30-day follow-up assessment. However, Moderate Risk/Problem Gamblers in the Intervention group spent less (a median of $60 less) than intended (median $100) within the venue. All intervention participants intended to spend significantly less in the 30 days after the intervention compared to the amount spent in the 30 days prior to the intervention. This reduction was not found for participants in the control group. A simple brief intervention appears feasible in gambling venues and have an impact on gambling intentions over the short term.
本研究旨在探讨在赌博场所实施行动和应对计划干预措施以提高支出限制遵守率的可行性和影响。我们进行了一项 2 组平行组随机对照试验，比较了一次 20 分钟的行动和应对计划干预与单独评估。计划在老虎机上设定货币限制的赌徒（n=184）在场所招募，并在赌博前接受干预。使用时间线回溯法，在干预后 30 天内，根据自我确定的赌博限制和支出意图的遵守情况来衡量措施。就招募和赌徒参与赌博前干预的意愿而言，该干预措施是可行的。大多数赌徒在进入场所前采取了限制赌博的策略，尽管这些限制平均高于澳大利亚低风险赌博指南。就影响而言，干预措施并没有提高限制在干预后或 30 天随访评估时的遵守率。然而，干预组中的中度风险/问题赌徒在场所内的花费（中位数为 60 澳元）低于预期（中位数为 100 澳元）。所有干预组的参与者在干预后的 30 天内计划花费明显低于干预前 30 天的花费。对照组的参与者则没有发现这种情况。一项简单的简短干预措施在赌博场所似乎是可行的，并在短期内对赌博意图产生影响。
