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Evaluation of a Brief Online Self-help Program for Concerned Gamblers.

Håkan Wall1,2, Kristoffer Magnusson3,4, Anne H Berman3,4,5

  • 1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden. hakan.wall@ki.se.

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Summary

This study evaluated an online self-help program for concerned gamblers, finding high recruitment but low long-term engagement. Future programs should offer open access to all modules for better user retention in gambling addiction support.

Keywords:
GamblingGambling helplineInternet interventionSelf-help

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Area of Science:

  • Psychology
  • Public Health
  • Digital Health

Background:

  • Concerned gamblers often seek support through helplines.
  • Online self-help programs offer a scalable intervention for gambling problems.
  • Integrating digital tools with existing support services is crucial.

Purpose of the Study:

  • To assess the feasibility and content of a brief, online self-help program for concerned gamblers.
  • To evaluate user engagement and module completion rates within a gambling helpline context.
  • To analyze changes in gambling expenditures among program participants.

Main Methods:

  • A four-module online program based on Motivational Interviewing (MI) and Cognitive Behavioral Therapy (CBT).
  • Recruitment via a gambling helpline webpage, with 4655 participants.
  • Longitudinal analysis of gambling expenditures using marginalized two-part models.

Main Results:

  • High initial engagement: 92% completed at least one module, 23% completed all four.
  • Significant user attrition: only 10% retained in the gambling log beyond 14 days.
  • Conflicting expenditure trends: decreased for short-term loggers, increased for long-term loggers.

Conclusions:

  • Online programs are feasible for recruiting concerned gamblers via helplines.
  • Low repeat usage suggests a need for more accessible online program structures.
  • Future interventions should consider open-access module design to improve sustained engagement in gambling harm reduction.