A public health advocacy approach for preventing and reducing gambling related harm

To develop a framework to guide the application of public health advocacy strategies aimed at preventing and reducing gambling-related harm.

A narrative review of theories of change and public health advocacy literature.

An eight-step public health advocacy framework was created, which outlines the critical steps and considerations when developing and implementing successful change efforts. Implications for public health: To date, a clear public health advocacy approach to gambling harm prevention and reduction has not been well established. This study proposes a gambling-specific framework to guide future public health advocacy efforts to prevent and reduce gambling harm.