Effects of personalized and normative feedback via the Positive Play Quiz on responsible gambling intention, self-efficacy and behavior: A randomized controlled trial.
rct · Level II
Where this comes from
- Record sourced from PubMed, PMID 39630514.
- Also identified by DOI 10.1111/add.16722 and PMC identifier 11986280.
- Licence recorded as CC BY-NC-ND.
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Abstract
To evaluate whether a personalized and normative feedback (PNF) intervention for responsible gambling increases gambling insight as well as intention and self-efficacy to engage in responsible gambling and behavioral engagement. Two-arm randomized controlled trial. Outcome measurements occurred post-randomization and 3 months later. Online, Canada. Canadian community members who gambled at a land-based casino or online in the last 3 months [61.9% men; mean age = 56.52 (standard deviation = 14.80)] recruited via an online panel (n = 4091). Participants were randomized to receive PNF (n = 1940) or no feedback (n = 2151). Primary outcomes included gambling insight, intentions and self-efficacy to engage in seven responsible gambling behaviors post-randomization as well as engagement in these behaviors during the 3-month follow-up. Post-intervention, participants receiving PNF (relative to no feedback) had greater gambling insight (d = 0.32, P = 4.59<sup>e-25</sup>) as well as greater intentions and self-efficacy to learn about how the games they play work (d<sub>intention</sub> = 0.31, P = 4.92<sup>e-24</sup>; d<sub>self-efficacy</sub> = 0.25, P = 4.35<sup>e-16</sup>), learn about the odds of winning at these games (d<sub>intention</sub> = 0.30, P = 1.43<sup>e-21</sup>; d<sub>self-efficacy</sub> = 0.25, P = 2.13<sup>e-15</sup>) and use operator-provided tools to help limit their gambling (d<sub>intention</sub> = 0.20, P = 1.36<sup>e-10</sup>; d<sub>self-efficacy</sub> = 0.18, P = 3.92<sup>e-9</sup>). However, post-intervention differences in intention and self-efficacy to limit time and money spent gambling, openness about gambling with others and balancing gambling with other activities were not observed. Meaningful increases in behavioral engagement 3 months later were observed but were not significant. PNF for responsible gambling (relative to no feedback) appears to increase gambling insight, intentions and self-efficacy to engage in gambling literacy and use of limit-setting tools. Exploratory analyses indicated receiving PNF (relative to no feedback) led to behavioral changes during the 3-month follow-up period.
Medical subject headings
- Self Efficacy
- Gambling
- Intention
- Feedback, Psychological