评估关于赌博的心理健康急救课程的对话：对知识、污名化态度、信心和帮助行为的影响。

Evaluation of the Conversations About Gambling Mental Health First Aid course: effects on knowledge, stigmatising attitudes, confidence and helping behaviour.

机构信息

Mental Health First Aid Australia, 369 Royal Parade, Parkville, VIC, 3052, Australia.

Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, VIC, 3010, Australia.

出版信息

BMC Psychol. 2022 Mar 24;10(1):78. doi: 10.1186/s40359-022-00785-w.

DOI:10.1186/s40359-022-00785-w

PMID:35331327

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8943993/

Abstract

BACKGROUND

The effects of problem gambling are wide-ranging, affecting many aspects of health and negatively impacting the person who gambles, their family and friends, and their community. People experiencing problem gambling have low rates of help-seeking and perceive many barriers to treatment, although evidence suggests that encouragement and support from friends and family can increase rates of help-seeking. Mental Health First Aid Australia's Conversations About Gambling course aims to teach members of the public evidence-based strategies for recognising and responding to signs of problem gambling in a person they know.

METHODS

This research evaluated the effects of the Conversations About Gambling course on participants' knowledge, confidence, stigmatising attitudes, intended helping behaviour and actual helping behaviour towards a person experiencing problem gambling. Participants from Australia completed surveys before the course, immediately after the course and six months later. Changes over time (pre-course to post-course, and pre-course to 6-month follow-up) were assessed with linear mixed models. Descriptive statistics and content analyses of open-ended questions pertaining to participants' satisfaction with the course were also produced.

RESULTS

Between 2018 and 2020, 166 participants were recruited into this study. At 6-month follow-up 87 participants (52.4%) provided data. Participants' knowledge about gambling and gambling problems, confidence, desire for social distance and intentions to help a person experiencing problem gambling significantly improved from pre-course to post-course, and from pre-course to 6-month follow-up. The quality of some actions taken to support a person they knew who was experiencing problem gambling also improved from pre-course to 6-month follow-up, in line with the teachings of the course. Participants perceived the course to be highly acceptable.

CONCLUSIONS

The results of this initial evaluation of Mental Health First Aid Australia's Conversations About Gambling course suggest that it is an effective and acceptable educational intervention for those who wish to support a person experiencing problem gambling.

摘要

背景

赌博问题的影响广泛，影响着健康的许多方面，并对赌博者、他们的家人和朋友以及他们的社区产生负面影响。有赌博问题的人寻求帮助的比率较低，他们认为治疗存在许多障碍，尽管有证据表明，朋友和家人的鼓励和支持可以提高寻求帮助的比率。澳大利亚心理健康急救协会的“赌博问题对话”课程旨在向公众传授基于证据的策略，以识别和应对他们认识的人出现的赌博问题迹象。

方法

本研究评估了“赌博问题对话”课程对参与者的知识、信心、污名化态度、意图帮助行为和实际帮助行为的影响。来自澳大利亚的参与者在课程前、课程后立即和 6 个月后完成了调查。使用线性混合模型评估随时间的变化（课程前到课程后，课程前到 6 个月随访）。还对与课程满意度相关的参与者的开放性问题的描述性统计和内容分析。

结果

在 2018 年至 2020 年间，有 166 名参与者参与了这项研究。在 6 个月的随访中，有 87 名参与者（52.4%）提供了数据。参与者对赌博和赌博问题的知识、信心、对社交距离的渴望和帮助有赌博问题的人的意愿从课程前到课程后，以及从课程前到 6 个月的随访都显著提高。从课程前到 6 个月的随访，支持他们认识的有赌博问题的人的某些行动的质量也有所提高，符合课程的教学内容。参与者认为该课程非常可接受。