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Change strategies and associated implementation challenges: An analysis of online counselling sessions

journal contribution
posted on 26.04.2018, 00:00 authored by SN Rodda, Nerilee HingNerilee Hing, DC Hodgins, A Cheetham, M Dickins, DI Lubman
Self-change is the most frequent way people limit or reduce gambling involvement and often the first choice of people experiencing gambling-related problems. Less well known is the range of change strategies gamblers use and how these are selected, initiated or maintained. This study examined change strategies discussed in counselling transcripts from 149 clients who accessed a national online gambling help service in Australia. Using thematic analysis, we identified the presence of six change strategies; cash control and financial management, social support, avoiding or limiting gambling, alternative activities, changing thoughts and beliefs, and self-assessment and monitoring. Four implementation issues were also identified; a mismatch between need and strategy selection or maintenance; importance and readiness versus the cost of implementation; poor or unplanned transitions between strategies; and failure to review the helpfulness of strategies resulting in premature abandonment or unhelpful prolonged application. This study is the first to identify change strategies discussed in online counselling sessions. This study suggests change strategies are frequently discussed in online counselling sessions and we identified multiple new actions associated with change strategies that had not previously been identified. However, multiple implementation issues were identified and further work is required to determine the helpfulness of change strategies in terms of their selection, initiation and maintenance.

Funding

Category 2 - Other Public Sector Grants Category

History

Volume

33

Issue

3

Start Page

955

End Page

973

Number of Pages

19

eISSN

1573-3602

ISSN

1050-5350

Publisher

Springer New York LLC

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Turning Point, Eastern Health; Auckland University of Technology; Monash University; University of Calgary

Era Eligible

Yes

Journal

Journal of Gambling Studies