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Transcranial Direct Current Stimulation for Online Gamers
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Web-based counseling for problem gambling: exploring motivations and recommendations.

Simone Rodda1, Dan I Lubman, Nicki A Dowling

  • 1Turning Point Alcohol and Drug Centre, Fitzroy, Australia. simoner@turningpoint.org.au

Journal of Medical Internet Research
|May 28, 2013
PubMed
Summary

People with problem gambling prefer web-based counseling for its confidentiality and convenience. This online therapy is recommended for its accessibility and effectiveness, especially for those seeking discreet support.

Keywords:
InternetWeb-based interventionscounselinggamblinghealth services accessibilitymotivation

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Area of Science:

  • Psychology
  • Public Health
  • Digital Health

Background:

  • Problem gambling is highly stigmatized, creating barriers to traditional treatment.
  • Web-based counseling offers a potential solution by addressing shame and stigma.
  • Immediate synchronous web-based counseling is growing, but motivations for its use are unclear.

Purpose of the Study:

  • To investigate the reasons individuals choose web-based counseling over telephone or face-to-face services for problem gambling.
  • To identify factors influencing recommendations of web-based counseling services.

Main Methods:

  • A content analysis of open-ended responses from 233 Australian problem gamblers who used the Gambling Help Online service.
  • Participants completed questionnaires on their motivations for choosing and recommending online counseling.
  • Data collected between November 2010 and February 2012.

Main Results:

  • Key motivations for choosing online counseling included confidentiality/anonymity (27.0%), convenience/accessibility (50.9%), and service system access (34.2%).
  • Professional support was rarely cited as a reason for accessing, but 43.2% recommended it for this reason.
  • Older participants (over 40) were more likely to use it for confidentiality and as an entry point; younger participants recommended it for helpfulness.

Conclusions:

  • Understanding these motivations is crucial for developing targeted online interventions and promotional strategies for problem gambling.
  • Web-based counseling effectively overcomes barriers associated with stigma and accessibility for individuals with gambling problems.
  • The findings inform the design and marketing of digital mental health services for sensitive issues.