Reaching Out to Big Losers: Exploring Intervention Effects Using Individualized Follow-Up

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Reaching Out to Big Losers : Exploring Intervention Effects Using Individualized Follow-Up

Jonsson, Jakob, 1968- (författare): Stockholms universitet,Klinisk psykologi

Munck, Ingrid (författare): Gothenburg University,Göteborgs universitet,Institutionen för pedagogik och specialpedagogik,Department of Education and Special Education

Hodgins, David C. (författare)

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Carlbring, Per (författare): Stockholms universitet,Klinisk psykologi

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(creator_code:org_t)

2023-02-09
2023
Engelska.
Ingår i: Psychology of Addictive Behaviors. - : American Psychological Association (APA). - 0893-164X .- 1939-1501. ; 37:7, s. 886-893

Relaterad länk:: https://urn.kb.se/re...; visa fler...; https://doi.org/10.1...; http://kipublication...; https://gup.ub.gu.se...; visa färre...

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Abstract Ämnesord

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Objective: Previous research suggests that a brief duty-of-care telephone call to high expenditure customers was associated with lower gambling over the subsequent year. The current aim was to assess effects on individual trajectories rather than overall group effects reported previously. The objective was to identify different patterns of individual change over the follow-up year and explore differential responses of subgroups of individuals. Method: A matched pair design contrasting the outcome for telephone intervention with a no-intervention control condition. Five hundred and ninety-six statistical pairs randomly drawn from the top 0.5% of customers based upon annual expenditure at Norsk Tipping, Norway. Primary outcome measure was gambling theoretical loss (TL), derived from the Norsk Tipping gambling data warehouse. Player trajectories across time were identified using growth mixture modeling to assess differential intervention effects on homogenous subgroups of individuals. Results: Relatively low, medium, and high TL subgroups were identified. The telephone intervention was associated with greater reductions than the control condition for all three subgroups but showed the strongest effect for the subgroup with the highest TL. The intervention was most effective for casino and sport gamblers, male, young, and middle-aged. Conclusions: A brief duty of care telephone contact with high expenditure customers showed sustained effects over 12 months, in particular for individuals showing the highest level of TL. Examining trajectories using advanced statistical models identified customer characteristics most strongly associated with reduced TL. These findings can guide prevention strategies with evidence-based knowledge about differential effects.Public Health Significance StatementA brief contact intervention with high expenditure customers showed sustained positive effects, in particular for individuals showing the highest level of expenditure. Findings about differential effects for individuals with specific profiles can guide evidence-based knowledge prevention strategies to provide duty of care for gambling customers.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
SOCIAL SCIENCES -- Psychology (hsv//eng)

Nyckelord

behavioral feedback
problem gambling
prevention
individualized effect trajectories
GMM
psykologi
Psychology
behavioral feedback
problem gambling
prevention
individualized effect
trajectories
GMM

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Av författaren/redakt...: Jonsson, Jakob, ...; Munck, Ingrid; Hodgins, David C ...; Carlbring, Per

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Av lärosätet: Stockholms universitet; Karolinska Institutet; Göteborgs universitet

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