Narratives of reduction and change among patients of an internet-delivered therapy for gambling harm.
Aim: Shame and fear of stigma represent barriers which prevent many gamblers from seeking help. To overcome some of these obstacles, new types of professional help have emerged, based on use of telephone and information technology. The aim of this study was to offer an overview of the characteristic...
| Publicado en: | Journal of Public Health: From Theory to Practice (2198-1833) Vol. 33; no. 10; pp. 2069 - 2080 |
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| Autores principales: | , |
| Formato: | Artículo |
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Springer Nature
Oct2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=188353132&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 188353132 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 21981833 NENI jtl: Journal of Public Health: From Theory to Practice (2198-1833) issn: 21981833 maglogo: N pubinfo: dt: Oct2025 vid: 33 iid: 10 pid: 237 pub: Springer Nature artinfo: ui: 188353132 10.1007/s10389-023-02172-0 ppf: 2069 ppct: 11 formats: tig: atl: Narratives of reduction and change among patients of an internet-delivered therapy for gambling harm. aug: au: Lucchini, Fabio Griffiths, Mark D. affil: https://ror.org/006maft66 Faculty of Law, eCampus University, Via Isimbardi 10, 20060, Novedrate, CO, Italy https://ror.org/04xyxjd90 International Gaming Research Unit, Psychology Department, Nottingham Trent University, 50 Shakespeare Street, NG1 4FQ, Nottingham, UK su: Italy Qualitative research Self-efficacy Medical care Socioeconomic factors Content analysis Internet Quantitative research Patient-professional relations Cognitive therapy Sociodemographic factors Social classes Gambling Descriptive statistics Research methodology Data analysis software Proportional hazards models sug: subj: Qualitative research Self-efficacy Medical care Socioeconomic factors Content analysis Internet Quantitative research Patient-professional relations Cognitive therapy Sociodemographic factors Social classes Italy Other Gambling Industries Internet Publishing and Broadcasting and Web Search Portals Wired Telecommunications Carriers Gambling Descriptive statistics Research methodology Data analysis software Proportional hazards models keyword: Agency Change Internet-delivered therapy Narratives Patients Agency Change Internet-delivered therapy Narratives Patients ab: Aim: Shame and fear of stigma represent barriers which prevent many gamblers from seeking help. To overcome some of these obstacles, new types of professional help have emerged, based on use of telephone and information technology. The aim of this study was to offer an overview of the characteristics of high-risk gamblers who entered an internet-delivered therapy program, and provides a typology of such patients through their narratives of gambling reduction and change. Subject and methods: Of the 4742 gamblers (83.4% males) who accessed internet-delivered therapy in Italy, the present study focuses on the 784 gamblers who began the therapy and the 177 gamblers (22.6%) who completed the treatment. By utilizing a mixed-methods approach, the present study describes the socio-economic and gambling characteristics of patients and identified outcome predictors. Results: Compared to treatment completers, treatment dropouts had a higher propensity to use non-strategy-based games, gamble more frequently, and have a shorter history of gambling and problem gambling. The study also examined the stories of high-risk gamblers who successfully completed the therapy. Four different types of gamblers in treatment — 'compliant', 'autonomous', 'erratic', and 'fragile' — were identified. Conclusion: The results of this study reflect the complex intertwining of individual agency and structural conditions that may affect the outcome of a therapy, providing a first insight into new ways to analyze help-seeking behavior and recovery from gambling harm. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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