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Brief interventions for problem gambling: A meta-analysis

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  • Lena C Quilty
  • Jeffrey D Wardell
  • Thulasi Thiruchselvam
  • Matthew T Keough
  • Christian S Hendershot

Abstract

Background: Brief interventions have been increasingly investigated to promote early intervention in gambling problems; an accurate estimate of the impact of these interventions is required to justify their widespread implementation. The goal of the current investigation was to evaluate the efficacy of in-person brief interventions for reducing gambling behaviour and/or problems, by quantifying the aggregate effect size associated with these interventions in the published literature to date. Methods: Randomized controlled trials including the following design features were identified via systematic review: an adult sample experiencing problems associated with gambling; an in-person individual psychosocial intervention of brief duration (≤3 sessions); a control/comparison group; and an outcome related to gambling behaviour and/or problems. Results: Five records compared brief interventions to assessment only control; using a random effect model, brief interventions were associated with a small but statistically significant reduction in gambling behaviour across short-term follow-up periods versus assessment only control (g = -.19, 95% CI [-.37, -.01]). Aggregate effect sizes for gambling problems and long-term follow-up periods were not statistically significant. Five records compared brief interventions to longer active interventions; there was no significant difference between brief interventions and longer active interventions. Conclusions: Results supported the efficacy of brief interventions for problem gambling compared to inactive control in the reduction of gambling behaviour; no differences were found across brief versus longer interventions for both gambling behaviour and problems. While these findings must be interpreted in the context of the limited number of studies and small magnitude of the combined effect sizes, the current meta-analysis supports the further investigation of the public health impact of these cost-effective interventions.

Suggested Citation

  • Lena C Quilty & Jeffrey D Wardell & Thulasi Thiruchselvam & Matthew T Keough & Christian S Hendershot, 2019. "Brief interventions for problem gambling: A meta-analysis," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-17, April.
  • Handle: RePEc:plo:pone00:0214502
    DOI: 10.1371/journal.pone.0214502
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Igor Yakovenko & David C. Hodgins, 2018. "A scoping review of co-morbidity in individuals with disordered gambling," International Gambling Studies, Taylor & Francis Journals, vol. 18(1), pages 143-172, January.
    3. Belinda C. Goodwin & Matthew Browne & Matthew Rockloff & Judy Rose, 2017. "A typical problem gambler affects six others," International Gambling Studies, Taylor & Francis Journals, vol. 17(2), pages 276-289, May.
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    Cited by:

    1. Jenny Saxton & Simone N Rodda & Natalia Booth & Stephanie S Merkouris & Nicki A Dowling, 2021. "The efficacy of Personalized Normative Feedback interventions across addictions: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-31, April.

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