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An Exploratory RCT to Support Gamblers’ Intentions to Stick to Monetary Limits: A Brief Intervention Using Action and Coping Planning

  • Simone N. RoddaEmail author
  • Kathleen L. Bagot
  • Victoria Manning
  • Dan I. Lubman
Original Paper

Abstract

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.

Keywords

Prevention Intentions Self-regulation Pre-commitment Responsible gambling 

Notes

Acknowledgements

This research was conducted with funding from the Victorian Responsible Gambling Foundation. We would like to thank gambling venues and their managers for allowing us to access their venues for participant recruitment. We would also like to acknowledge the research assistants who were involved in participant interviews.

Author’s contribution

All authors designed the study and wrote the protocol. KLB conducted the data analysis. SNR wrote the first draft of the manuscript and all authors contributed to and have approved the final manuscript.

Funding

Funding for this study was by the Victorian Responsible Gambling Foundation, Australia (No. 06/216). VRGF had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.

Compliance with Ethical Standards

Conflict of interest

The authors have no conflict of interest to declare in relation to this article. Over the past 3 years, SR, KB, VM and DL have received funding from multiple sources, including government departments (Health Research Council NZ, NHMRC, ARC, VIC-Health) and the Victorian Responsible Gambling Foundation (through hypothecated taxes from gambling revenue). None of the authors have knowingly received research funding from the gambling industry or any industry-sponsored organization.

Research Involving Human Participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

References

  1. Browne, M., Langham, E., Rawat, V., Greer, N., Li, E., Rose, J., et al. (2016). Assessing gambling-related harm in Victoria: A public health perspective. Melbourne: Victorian Responsible Gambling Foundation.Google Scholar
  2. Carraro, N., & Gaudreau, P. (2013). Spontaneous and experimentally induced action planning and coping planning for physical activity: A meta-analysis. Psychology of Sport and Exercise, 14(2), 228–248.Google Scholar
  3. Cheema, J. R. (2014). A review of missing data handling methods in education research. Review of Educational Research, 84(4), 487–508.Google Scholar
  4. Dowling, N. A., Merkouris, S. S., Manning, V., Volberg, R., Lee, S. J., Rodda, S. N., et al. (2018). Screening for problem gambling within mental health services: A comparison of the classification accuracy of brief instruments. Addiction, 113(6), 1088–1104.Google Scholar
  5. Dowling, N. A., Smith, D., & Thomas, T. (2005). Electronic gaming machines: Are they the ‘crack-cocaine’of gambling? Addiction, 100(1), 33–45.Google Scholar
  6. Dowling, N. A., Youssef, G., Greenwood, C., Merkouris, S., Suomi, A., & Room, R. (2017). The development of empirically derived Australian responsible gambling limit. Melbourne: Victorian Responsible Gambling Foundation.Google Scholar
  7. Ferris, J. A., & Wynne, H. J. (2001). The Canadian problem gambling index: User manual. Toronto, ON: Canadian Centre on Substance Abuse.Google Scholar
  8. Gollwitzer, P. M. (1999). Implementation intentions: Strong effects of simple plans. American Psychologist, 54(7), 493–503.Google Scholar
  9. Gollwitzer, P. M., & Brandstätter, V. (1997). Implementation intentions and effective goal pursuit. Journal of Personality and Social Psychology, 73(1), 186.Google Scholar
  10. Gollwitzer, P. M., & Sheeran, P. (2006). Implementation intentions and goal achievement: A meta-analysis of effects and processes. Advances in Experimental Social Psychology, 38, 69–119.Google Scholar
  11. Gravetter, F. J., & Wallnau, L. B. (1996). Statistics for the behavioral sciences. West Publishing Company. p. 711.Google Scholar
  12. Hagger, M. S., & Luszczynska, A. (2014). Implementation intention and action planning interventions in health contexts: State of the research and proposals for the way forward. Applied Psychology: Health and Well-Being, 6(1), 1–47.Google Scholar
  13. Hing, N., Sproston, K., Tran, K., & Russell, A. M. (2017). Gambling responsibly: Who does it and to what end? Journal of Gambling Studies, 33(1), 149–165.Google Scholar
  14. Hollis, S., & Campbell, F. (1999). What is meant by intention to treat analysis? Survey of published randomised controlled trials. British Medical Journal, 319(7211), 670–674.Google Scholar
  15. Kwasnicka, D., Presseau, J., White, M., & Sniehotta, F. F. (2013). Does planning how to cope with anticipated barriers facilitate health-related behaviour change? A systematic review. Health Psychology Review, 7(2), 129–145.Google Scholar
  16. Ladouceur, R., Blaszczynski, A., & Lalande, D. R. (2012). Pre-commitment in gambling: A review of the empirical evidence. International Gambling Studies, 12(2), 215–230.Google Scholar
  17. Ladouceur, R., Shaffer, P., Blaszczynski, A., & Shaffer, H. J. (2017). Responsible gambling: A synthesis of the empirical evidence. Addiction Research & Theory, 25(3), 225–235.Google Scholar
  18. Livingstone, C., Rintoul, A., & Francis, L. (2014). What is the evidence for harm minimisation measures in gambling venues. Evidence Base, 2, 1–24.Google Scholar
  19. Lostutter, T. W., Lewis, M. A., Cronce, J. M., Neighbors, C., & Larimer, M. E. (2014). The use of protective behaviors in relation to gambling among college students. Journal of Gambling Studies, 30(1), 1–20.  https://doi.org/10.1007/s10899-012-9343-8.Google Scholar
  20. McCambridge, J., & Kypri, K. (2011). Can simply answering research questions change behaviour? Systematic review and meta analyses of brief alcohol intervention trials. PLoS ONE, 6(10), e23748.Google Scholar
  21. Miller, W., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change. New York: Guilford Press.Google Scholar
  22. Papies, E. K. (2017). Situating interventions to bridge the intention–behaviour gap: A framework for recruiting nonconscious processes for behaviour change. Social and Personality Psychology Compass, 11(7), e12323.Google Scholar
  23. Productivity Commission. (2010). Gambling. Canberra: Productivity Commission.Google Scholar
  24. Rodda, S. N., Bagot, K., Cheetham, A., Hodgins, D. C., Hing, N., & Lubman, D. I. (2018a). Types of change strategies for limiting or reducing gambling behaviours and their perceived helpfulness: A factor analysis. Psychology of Addictive Behaviors, 32(6), 679–688.  https://doi.org/10.1037/adb0000393.Google Scholar
  25. Rodda, S. N., Bagot, K., Manning, V., & Lubman, D. I. (2018b). “Only take the money you want to lose” Strategies for sticking to limits in electronic gaming machine venues. International Gambling Studies.  https://doi.org/10.1080/14459795.2019.1617330.Google Scholar
  26. Rodda, S. N., Hall, K., Staiger, P., & Dowling, N. (2016a). Self-regulation in disordered gambling: A comparison with substance use disorders. In M. Kyrios, R. Moulding, G. Doron, S. Bhar, M. Nedeljkovic, & M. Mikulincer (Eds.), The self in understanding and treating psychological disorders (pp. 134–143). Cambridge: Cambridge University Press.Google Scholar
  27. Rodda, S. N., Hing, N., Hodgins, D. C., Cheetham, A., Dickins, M., & Lubman, D. I. (2016b). Change strategies and associated implementation challenges: An analysis of online counselling sessions. Journal of Gambling Studies, 33(3), 955–973.  https://doi.org/10.1007/s10899-016-9661-3.Google Scholar
  28. Rodda, S. N., Lubman, D., Iyer, R., Gao, C., & Dowling, N. (2015). Subtyping based on readiness and confidence: The identification of help-seeking profiles for gamblers accessing web-based counselling. Addiction, 110(3), 494–501.Google Scholar
  29. Rodda, S. N., Merkouris, S. S., Abraham, C., Hodgins, D. C., Cowlishaw, S., & Dowling, N. A. (2018c). Therapist-delivered and self-help interventions for gambling problems: A review of contents. Journal of Behavioral Addictions, 7(2), 211–226.  https://doi.org/10.1556/2006.7.2018.44.Google Scholar
  30. Sniehotta, F. F., Scholz, U., & Schwarzer, R. (2005a). Bridging the intention–behaviour gap: Planning, self-efficacy, and action control in the adoption and maintenance of physical exercise. Psychology & Health, 20(2), 143–160.Google Scholar
  31. Sniehotta, F. F., Schwarzer, R., Scholz, U., & Schüz, B. (2005b). Action planning and coping planning for long-term lifestyle change: Theory and assessment. European Journal of Social Psychology, 35(4), 565–576.Google Scholar
  32. Webb, T. L., & Sheeran, P. (2003). Can implementation intentions help to overcome ego-depletion? Journal of Experimental Social Psychology, 39(3), 279–286.Google Scholar
  33. Weinstock, J., Whelan, J. P., & Meyers, A. W. (2004). Behavioral assessment of gambling: An application of the timeline followback method. Psychological Assessment, 16(1), 72–80.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Simone N. Rodda
    • 1
    • 2
    Email author
  • Kathleen L. Bagot
    • 3
  • Victoria Manning
    • 2
    • 4
  • Dan I. Lubman
    • 2
    • 4
  1. 1.School of Population Health, Faculty of Medical and Health SciencesThe University of AucklandAucklandNew Zealand
  2. 2.Turning Point, Eastern HealthRichmondAustralia
  3. 3.The Florey Institute of Neuroscience and Mental HealthUniversity of Melbourne, Melbourne Brain CentreHeidelbergAustralia
  4. 4.Eastern Health Clinical School and Monash Addiction Research Centre, Faculty of Medicine, Nursing and Health SciencesMonash UniversityBox HillAustralia

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