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Journal of Gambling Studies
Published in: Journal of Gambling Studies 1/2017

01-03-2017 | Original Paper

Improved Outcomes Following a Single Session Web-Based Intervention for Problem Gambling

Authors: S. N. Rodda, D. I. Lubman, A. C. Jackson, N. A. Dowling

Published in: Journal of Gambling Studies | Issue 1/2017

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Abstract

Research suggests online interventions can have instant impact, however this is yet to be tested with help-seeking adults and in particular those with problem gambling. This study seeks to determine the immediate impact of a single session web-based intervention for problem gambling, and to examine whether sessions evaluated positively by clients are associated with greater improvement. The current study involved 229 participants classified as problem gamblers who agreed to participate after accessing Gambling Help Online between November 2010 and February 2012. Almost half were aged under 35 years of age (45 %), male (57 %) as well as first time treatment seekers (62 %). Participants completed measures of readiness to change and distress both prior to and post-counselling. Following the provision of a single-session of counselling, participants completed ratings of the character of the session (i.e., degree of depth and smoothness) post-counselling. A significant increase in confidence to resist and urge to gamble and a significant decrease in distress (moderate effect size; d = .56 and .63 respectively) was observed after receiving online counselling. A hierarchical regression indicated the character of the session was a significant predictor of change in confidence, however only the sub-scale smoothness was a significant predictor of change in distress. This was the case even after controlling for pre-session distress, session word count and client characteristics (gender, age, preferred gambling activity, preferred mode of gambling, gambling severity, and preferred mode of help-seeking). These findings suggest that single session web-based counselling for problem gambling can have immediate benefits, although further research is required to examine the impact on longer-term outcomes.
Literature
Abar, B., Baumann, B. M., Rosenbaum, C., Boyer, E., & Boudreaux, E. D. (2012). Readiness to change alcohol and illicit drug use among a sample of emergency department patients. Journal of Substance Use, 17(3), 260–268.CrossRef
Abar, B., Baumann, B. M., Rosenbaum, C., Boyer, E., Ziedonis, D., & Boudreaux, E. D. (2013). Profiles of importance, readiness and confidence in quitting tobacco use. Journal of Substance Use, 18(2), 75–81.CrossRefPubMedPubMedCentral
Abbott, M., Bellringer, M., Vandal, A., Hodgins, D., Preez, K., & Landon, J., et al. (2012). Effectiveness of problem gambling brief telephone interventions: A randomised controlled trial. Gambling and Addictions Research Centre, Auckland University of Technology: Prepared for: Ministry of Health, 2012.
Bambling, M., King, R., Reid, W., & Wegner, K. (2008). Online counselling: The experience of counsellors providing synchronous single-session counselling to young people. Counselling and Psychotherapy Research, 8(2), 110–116.CrossRef
Barak, A., & Bloch, N. (2006). Factors related to perceived helpfulness in supporting highly distressed individuals through an online support chat. Cyber Psychology and Behavior, 9, 60–68.CrossRef
Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97, 487–499.CrossRefPubMed
Bonate, P. L. (2010). Analysis of pretest–posttest designs. Florida: CRC Press.
Boudreaux, E. D., Sullivan, A., Abar, B., Bernstein, S. L., Ginde, A. A., & Camargo, C. A., Jr. (2012). Motivation rulers for smoking cessation: A prospective observational examination of construct and predictive validity. Addiction Science and Clinical Practice, 7(8), e59.
Christensen, D. R., Dowling, N. A., Jackson, A. C., Brown, M., Russo, J., Francis, K. L., et al. (2013). A proof of concept for using brief dialectical behavior therapy as a treatment for problem gambling. Behaviour Change, 30(02), 117–137.CrossRef
Cohen, G. E., & Kerr, B. A. (1998). Computer-mediated counseling: An empirical study of a new mental health treatment. Computers in Human Services, 15(4), 13–27.CrossRef
Crisp, B., Thomas, S. A., Jackson, A. C., & Thomason, N. (2001). The influence of demographic, behavioural and treatment characteristics on problem gambling counselling outcomes. Australian Journal of Primary Health, 7(2), 32–36.CrossRef
Cummings, A. L., Slemon, A. G., & Hallberg, E. T. (1993). Session evaluation and recall of important events as a function of counselor experience. Journal of Counseling Psychology, 40(2), 156–165.CrossRef
de Lisle, S., Dowling, N. A., & Allen, J. S. (2014). Mechanisms of action in the relationship between mindfulness and problem gambling behaviour. International Journal of Mental Health and Addiction, 12(2), 206–225.
Dowling, M., & Rickwood, D. (2013). Online counseling and therapy for mental health problems: A systematic review of individual synchronous interventions using chat. Journal of Technology in Human Services, 31(1), 1–21.CrossRef
Dowling, N., Smith, D., & Thomas, T. (2006). Treatment of female pathological gambling: The efficacy of a cognitive-behavioural approach. Journal of Gambling Studies, 22(4), 355–372.CrossRefPubMed
Dowling, N., Smith, D., & Thomas, T. (2007). A comparison of individual and group cognitive-behavioural treatment for female pathological gambling. Behaviour Research and Therapy, 45, 2192–2202.CrossRefPubMed
Dowling, N., Smith, D., & Thomas, T. (2009). A preliminary investigation of abstinence and controlled gambling as self-selected goals of treatment for female pathological gambling. Journal of Gambling Studies, 25(2), 201–214.CrossRefPubMed
Dowling, N. A. (2013). Treatment of female problem gambling. In D. Richard, A. Blaszczynski, & L. Nower (Eds.), The Wiley-Blackwell handbook of disordered gambling (pp. 225–250). West Sussex: Wiley.CrossRef
Dowling, N. A., Cowlishaw, S., Jackson, A., Merkouris, S., Francis, K., & Christensen, D. (2015a). The prevalence of comorbid personality disorders in treatment-seeking problem gamblers: A systematic review and meta-analysis. Journal of Personality Disorders, 29(6), 735–754.CrossRefPubMed
Dowling, N. A., Cowlishaw, S., Jackson, A. C., Merkouris, S. S., Francis, K. L., & Christensen, D. R. (2015b). The prevalence of psychiatric comorbidity in treatment-seeking problem gamblers: A systematic review and meta-analysis. Australian and New Zealand Journal of Psychiatry, 49(6), 519–539.CrossRefPubMedPubMedCentral
Dowling, N. A., Rodda, S. N., Lubman, D. I., & Jackson, A. C. (2014). The impacts of problem gambling on concerned significant others accessing web-based counselling. Addictive Behaviors, 39(8), 1253–1257.CrossRefPubMed
Evans, L., & Delfabbro, P. (2005). Motivators for change and barriers to help-seeking in Australian problem gamblers. Journal of Gambling Studies, 21(2), 133–155.CrossRefPubMed
Ferris, J., & Wynne, H. (2001). The Canadian problem gambling index. Ottawa, ON: Canadian Centre on Substance Abuse.
Friedlander, M. L., Thibodeau, J. R., & Ward, L. G. (1985). Discriminating the “good” from the “bad” therapy hour: A study of dyadic interaction. Psychotherapy: Theory, Research, Practice, Training, 22(3), 631–642.CrossRef
Guo, S., Manning, V., Thane, K. K. W., Ng, A., Abdin, E., & Wong, K. E. (2012). Predictors of treatment outcome among Asian pathological gamblers (PGs): Clinical, behavioural, demographic, and treatment process factors. Journal of Gambling Studies, 30(1), 89–103.CrossRef
Hodgins, D. C., Ching, L., & McEwen, J. (2009a). Strength of commitment language in motivational interviewing and gambling outcomes. Psychology of Addictive Behaviors, 23(1), 122–130. doi:10.​1037/​a0013010.CrossRefPubMed
Hodgins, D. C., Currie, S. R., Currie, G., & Fick, G. H. (2009b). Randomized trial of brief motivational treatments for pathological gamblers: More is not necessarily better. Journal of Consulting and Clinical Psychology, 77(5), 950–960. doi:10.​1037/​a0016318.CrossRefPubMed
Hosmer, D. W., & Lemeshow, S. (1989). Applied logistic regression. New York: Wiley.
King, R., Bambling, M., Lloyd, C., Gomurra, R., Smith, S., Reid, W., et al. (2006a). Online counselling: The motives and experiences of young people who choose the internet instead of face to face or telephone counselling. Counselling and Psychotherapy Research, 6(3), 169–174.CrossRef
King, R., Bambling, M., Reid, W., & Thomas, I. (2006b). Telephone and online counselling for young people: A naturalistic comparison of session outcome, session impact and therapeutic allience. Counselling and Psychotherapy and Research, 6(3), 175–181.CrossRef
King, R., Bickman, L., Shochet, I., McDermott, B., & Bor, B. (2010). Use of the internet for provision of better counselling and psychotherapy services to young people, their families and carers. Psychotherapy in Australia, 17(1), 66–74.
Kuutmann, K., & Hilsenroth, M. J. (2012). Exploring in-session focus on the patient–therapist relationship: Patient characteristics, process and outcome. Clinical Psychology and Psychotherapy, 19(3), 187–202.CrossRefPubMed
Ledbetter, A. M., & Larson, K. A. (2008). Nonverbal cues in e-mail supportive communication: Associations with sender sex, recipient sex, and support satisfaction. Information, Communication and Society, 11(8), 1089–1110.CrossRef
Ledgerwood, D. M., Arfken, C. L., Wiedemann, A., Bates, K. E., Holmes, D., & Jones, L. (2013). Who goes to treatment? Predictors of treatment initiation among gambling help-line callers. The American Journal on Addictions, 22(1), 33–38.CrossRefPubMed
Ledgerwood, D. M., Wiedemann, A. A., Moore, J., & Arfken, C. L. (2011). Clinical characteristics and treatment readiness of male and female problem gamblers calling a state gambling helpline. Addiction Research and Theory, 20(2), 162–171. doi:10.​3109/​16066359.​2011.​588815.CrossRef
Mackinnon, A., Jorm, A. F., Christensen, H., Korten, A. E., Jacomb, P. A., & Rodgers, B. (1999). A short form of the Positive and Negative Affect Schedule: Evaluation of factorial validity and invariance across demographic variables in a community sample. Personality and Individual Differences, 27(3), 405–416.CrossRef
Melville, K., Casey, L. M., & Kavanagh, D. J. (2007). Psychological treatment dropout among pathological gamblers. Clinical Psychology Review, 27(8), 944–958.CrossRefPubMed
Miller, J. K. (2008). Walk-in single session team therapy: A study of client satisfaction. Journal of Systemic Therapies, 27(3), 78–94.CrossRef
Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: Helping people change. Guilford Press.
Petry, N. M. (2005). Stages of change in treatment-seeking pathological gamblers. Journal of Consulting and Clinical Psychology, 73(2), 312–322.CrossRefPubMed
Petry, N. M., Weinstock, J., Ledgerwood, D. M., & Morasco, B. (2008). A randomized trial of brief interventions for problem and pathological gamblers. Journal of Consulting and Clinical Psychology, 76(2), 318–328.CrossRefPubMedPubMedCentral
Productivity Commission. (2010). Gambling (Report Number 50). Canberra.
Reynolds, D. A. J., Stiles, W. B., Bailer, A. J., & Hughes, M. R. (2013). Impact of exchanges and client-therapist alliance in online-text psychotherapy. Cyberpsychology, Behavior, and Social Networking, 16(5), 370–377.CrossRef
Reynolds, D. J., Stiles, W. B., & Grohol, J. M. (2006). An investigation of session impact and alliance in internet based psychotherapy: Primliminary results. Counselling and Psychotherapy and Research, 6(3), 164–168.CrossRef
Rodda, S. N., & Lubman, D. I. (2012). Ready to change: A scheduled telephone-counselling program for problem gambling. Australasian psychiatry, 20(4), 338–342.CrossRefPubMed
Rodda, S., & Lubman, D. I. (2014). Characteristics of gamblers using a national online counselling service for problem gambling. Journal of Gambling Studies, 30(2), 277–289.
Rodda, S. N., Lubman, D. I., Cheetham, A., Dowling, N. A., & Jackson, A. C. (2015a). Single session web-based counselling: A thematic analysis of content from the perspective of the client. British Journal of Guidance and Counselling, 43(1), 117–130. doi:10.​1080/​03069885.​2014.​938609.CrossRef
Rodda, S. N., Lubman, D. I., Dowling, N., Bough, A., & Jackson, A. (2013a). Web-based counseling for problem gambling: Exploring motivations and recommendations. Journal of Medical Internet Research, 15(5), e99.CrossRefPubMedPubMedCentral
Rodda, S. N., Lubman, D. I., Dowling, N. A., & McCann, T. V. (2013b). Reasons for using web-based counselling among family and friends impacted by problem gambling. Asian Journal of Gambling Issues and Public Health, 3(1), 1–11.CrossRef
Rodda, S. N., Lubman, D. I., Iyer, R., Gao, C., & Dowling, N. (2015b). Subtyping based on readiness and confidence: The identification of help-seeking profiles for gamblers accessing web-based counselling. Addiction, 110, 494–501.CrossRefPubMed
Samstag, L. W., Batchelder, S. T., Muran, J. C., Safran, J. D., & Winston, A. (1998). Early identification of treatment failures in short-term psychotherapy: An assessment of therapeutic alliance and interpersonal behavior. The Journal of Psychotherapy Practice and Research, 7(2), 126–143.PubMedPubMedCentral
Smith, S., Thomas, S., & Jackson, A. C. (2004). An exploration of the therapeutic relationship and counselling outcomes in a problem gambling counselling service. Journal of Social Work Practice, 18(1), 99–112.CrossRef
Stiles, W. B., Reynolds, S., Hardy, G., Rees, A., Barkham, M., & Shapiro, D. (1994). Evaluation and description of psychotherapy sessions by clients using the Session Evaluation Questionnaire and the Session Impacts Scale. Journal of Counseling Psychology, 41(2), 175–185.CrossRef
Stiles, W. B., & Snow, J. S. (1984). Dimensions of psychotherapy session impact across sessions and across clients. British Journal of Clinical Psychology, 23(1), 59–63.CrossRefPubMed
Suurvali, H., Cordingley, J., Hodgins, D. C., & Cunningham, J. A. (2009). Barriers to seeking help for gambling problems: A review of the empirical literature. Journal of Gambling Studies, 25(3), 407–424.CrossRefPubMed
Talmon, M. (1990). Single-session therapy: Maximizing the effect of the first (and often only) therapeutic encounter. Jossey-Bass.
Thomas, S. A., Merkouris, S. S., Radermacher, H. L., Dowling, N. A., Misso, M. L., Anderson, C. J., et al. (2011). Australian guideline for treatment of problem gambling: An abridged outline. Medical Journal of Australia, 195(11), 664–665.CrossRefPubMed
Toneatto, T., & Gunaratne, M. (2009). Does the treatment of cognitive distortions improve clinical outcomes for problem gambling? Journal of Contemporary Psychotherapy, 39(4), 221–229.CrossRef
Tryon, G. (1990). Session depth and smoothness in relation to the concept of engagement in counseling. Journal of Counseling Psychology, 37(3), 248–253.CrossRef
van Wier, M. F., Ariens, G. A. M., Dekkers, J. C., Hendriksen, I. J. M., Smid, T., & van Mechelen, W. (2009). Phone and e-mail counselling are effective for weight management in an overweight working population: A randomized controlled trial. BMC Public Health, 9, 6. doi:10.​1186/​1471-2458-9-6.CrossRefPubMedPubMedCentral
Wade, N. G., Post, B. C., Cornish, M. A., Vogel, D. L., & Tucker, J. R. (2011). Predictors of the change in self-stigma following a single session of group counseling. Journal of Counseling Psychology, 58(2), 170–182.CrossRefPubMed
Walker, M., Toneatto, T., Potenza, M., Petry, N., Ladouceur, R., Hodgins, D. C., et al. (2006). A framework for reporting outcomes in problem gambling treatment research: The Banff, Alberta Consensus. Addiction, 101(4), 504–511.CrossRefPubMed
Wohl, M. J., & Sztainert, T. (2011). Where did all the pathological gamblers go? Gambling symptomatology and stage of change predict attrition in longitudinal research. Journal of Gambling Studies, 27(1), 155–169. doi:10.​1007/​s10899-010-9186-0.CrossRefPubMed
Wood, R. T. A., & Griffiths, M. (2007). Online guidance, advice and support for problem gamblers and concerned relatives and friends: An evaluation of the GamAid pilot service. British Journal of Guidance and Counselling, 35(4), 373–389.CrossRef
Wulfert, E., Blanchard, E. B., Freidenberg, B. M., & Martell, R. S. (2006). Retaining pathological gamblers in cognitive behavior therapy through motivational enhancement A pilot study. Behavior Modification, 30(3), 315–340.CrossRefPubMed
Young, U. K. (2003). National review of tele counselling and web counselling services final report. Canberra: Australian Government Department of Health and Ageing.
Metadata
Title
Improved Outcomes Following a Single Session Web-Based Intervention for Problem Gambling
Authors
S. N. Rodda
D. I. Lubman
A. C. Jackson
N. A. Dowling
Publication date
01-03-2017
Publisher
Springer US
Published in
Journal of Gambling Studies / Issue 1/2017
Electronic ISSN: 1573-3602
DOI
https://doi.org/10.1007/s10899-016-9638-2

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