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Abstract
Voluntary self-exclusion programs allow gamblers to voluntarily be denied access to gambling venues for an agreed upon period. Many people who self-exclude decide to return to gambling venues after the exclusion period has ended, however people who reinstate may be at risk for the recurrence of gambling problems. This study was designed to determine the efficacy of a tutorial created with the intent of reducing the risk of harm to those who reinstate. People who wished to be reinstated were asked to complete a survey on gambling related issues and then watch the tutorial video. An online video-based tutorial designed to reduce gambling related harm and to provide information about treatment services was developed. The control group (N = 131) consisted of people who reinstated in the year prior to the implementation of the online tutorial. The experimental intervention group (N = 104) were those who reinstated after the implementation of the online tutorial. There was a significant decrease in gambling and problem gambling comparing pre-exclusion to during exclusion in both the experimental and control group. Furthermore, this drop in gambling problem was sustained for 6-months and 12-months after reinstatement. However, no main effect or interaction was found that supported the efficacy of the tutorial. Self-exclusion by itself was associated with a sustained reduction in problem gambling. There was no significant evidence that the educational tutorial had any additional impact on the reinstatement process.
Highlights
Voluntary self-exclusion is a self-directed intervention offered by many gambling venues such as casinos that can be used by gamblers who want to ban themselves from access to the gambling venue (Nower and Blaszczynski 2008a) or from accessing online gambling websites (Luquiens et al, 2018)
Due to the high rates of self-excluders using self-exclusion programs multiple times, it has been suggested that additional protective measures such has treatment referrals or improved coordination between gambling venues and treatment clinics be put in place (Lhommeau et al 2015; Luquiens et al 2018)
There was no difference between survey completers (SD = 5.5, SD = 6.4) and non-completers (M = 5.0, SD = 5.5) of the follow up survey in terms of PGSI scores during self-exclusion, t = -0.63, ns, d = 0.08
Summary
Voluntary self-exclusion is a self-directed intervention offered by many gambling venues such as casinos that can be used by gamblers who want to ban themselves from access to the gambling venue (Nower and Blaszczynski 2008a) or from accessing online gambling websites (Luquiens et al, 2018). This self-directed intervention is often the first serious attempt a person makes to control their gambling (Blaszczynski et al 2004). Many problem gamblers change their minds about self-exclusion and wish to return to gambling (Gainsbury 2014; Nowatzki and Williams 2002). It would be helpful to have validated resources designed to decrease the likelihood of them returning to problematic levels of gambling after reinstatement (Gainsbury 2014; Nowatzki and Williams 2002)
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