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Client Views of Contingency Management in Gambling Treatment: A Thematic Analysis

Lucy Dorey, Jack McGarrigle McGarrigle, Richard May, Alice Hoon Orcid Logo, Simon Dymond Orcid Logo

International Journal of Environmental Research and Public Health, Volume: 19, Issue: 24, Start page: 17101

Swansea University Authors: Lucy Dorey, Jack McGarrigle McGarrigle, Alice Hoon Orcid Logo, Simon Dymond Orcid Logo

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DOI (Published version): 10.3390/ijerph192417101

Abstract

Low levels of treatment access and poor retention among those with gambling problems suggests a need to improve treatment. Contingency management (CM) is a behavioural intervention involving the identification of target behaviours and the provision of incentives when targets are met. There exists a...

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Published in: International Journal of Environmental Research and Public Health
ISSN: 1660-4601
Published: MDPI AG 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa62188
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Contingency management (CM) is a behavioural intervention involving the identification of target behaviours and the provision of incentives when targets are met. There exists a substantial evidence base for CM increasing abstinence and attendance in substance misuse treatment, but this has not been widely extended to gambling treatment setting. This study sought to explore the views of clients about CM for the treatment of problematic and disordered gambling. We conducted semi-structured interviews with 25 gambling treatment clients who were, or had previously been, engaged in treatment in Great Britain. Participants were provided with an explanation of CM, two hypothetical scenarios, and two structured questionnaires to facilitate discussion. Thematic analysis was used to interpret findings. Some participants felt that clients could manipulate CM while in treatment to obtain money to gamble, and that mechanisms of CM could trigger recovering clients into relapse. Participants also identified potential benefits of CM to achieve treatment goals, by enhancing motivation and engagement while in treatment, and helping bring people into treatment earlier. Gambling treatment clients broadly supported the use of incentives for treatment. 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spelling 2023-01-11T16:44:33.8454336 v2 62188 2022-12-20 Client Views of Contingency Management in Gambling Treatment: A Thematic Analysis f3d5f821ffc1f2ada538df1196457873 Lucy Dorey Lucy Dorey true false 64f915e9af3796f57e4c5e9c4dabe475 Jack McGarrigle McGarrigle Jack McGarrigle McGarrigle true false 6ee42ad57b74f8941f4de3f02eed163f 0000-0002-9921-6156 Alice Hoon Alice Hoon true false 8ed0024546f2588fdb0073a7d6fbc075 0000-0003-1319-4492 Simon Dymond Simon Dymond true false 2022-12-20 HPS Low levels of treatment access and poor retention among those with gambling problems suggests a need to improve treatment. Contingency management (CM) is a behavioural intervention involving the identification of target behaviours and the provision of incentives when targets are met. There exists a substantial evidence base for CM increasing abstinence and attendance in substance misuse treatment, but this has not been widely extended to gambling treatment setting. This study sought to explore the views of clients about CM for the treatment of problematic and disordered gambling. We conducted semi-structured interviews with 25 gambling treatment clients who were, or had previously been, engaged in treatment in Great Britain. Participants were provided with an explanation of CM, two hypothetical scenarios, and two structured questionnaires to facilitate discussion. Thematic analysis was used to interpret findings. Some participants felt that clients could manipulate CM while in treatment to obtain money to gamble, and that mechanisms of CM could trigger recovering clients into relapse. Participants also identified potential benefits of CM to achieve treatment goals, by enhancing motivation and engagement while in treatment, and helping bring people into treatment earlier. Gambling treatment clients broadly supported the use of incentives for treatment. CM is seen as a facilitator of extended engagement in treatment, and an encouragement for clients to make progress in the treatment process. Journal Article International Journal of Environmental Research and Public Health 19 24 17101 MDPI AG 1660-4601 contingency management; gambling; treatment; thematic analysis; qualitative 19 12 2022 2022-12-19 10.3390/ijerph192417101 COLLEGE NANME Psychology COLLEGE CODE HPS Swansea University This study was funded by GambleAware. 2023-01-11T16:44:33.8454336 2022-12-20T09:04:39.3902730 Professional Services ISS - Uncategorised Lucy Dorey 1 Jack McGarrigle McGarrigle 2 Richard May 3 Alice Hoon 0000-0002-9921-6156 4 Simon Dymond 0000-0003-1319-4492 5 62188__26261__aa3b30a974804de49a44fea6f2c964de.pdf 62188.pdf 2023-01-11T16:43:37.5939601 Output 354795 application/pdf Version of Record true Copyright: © 2022 by the authors. This is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license true eng https://creativecommons.org/licenses/by/4.0/
title Client Views of Contingency Management in Gambling Treatment: A Thematic Analysis
spellingShingle Client Views of Contingency Management in Gambling Treatment: A Thematic Analysis
Lucy Dorey
Jack McGarrigle McGarrigle
Alice Hoon
Simon Dymond
title_short Client Views of Contingency Management in Gambling Treatment: A Thematic Analysis
title_full Client Views of Contingency Management in Gambling Treatment: A Thematic Analysis
title_fullStr Client Views of Contingency Management in Gambling Treatment: A Thematic Analysis
title_full_unstemmed Client Views of Contingency Management in Gambling Treatment: A Thematic Analysis
title_sort Client Views of Contingency Management in Gambling Treatment: A Thematic Analysis
author_id_str_mv f3d5f821ffc1f2ada538df1196457873
64f915e9af3796f57e4c5e9c4dabe475
6ee42ad57b74f8941f4de3f02eed163f
8ed0024546f2588fdb0073a7d6fbc075
author_id_fullname_str_mv f3d5f821ffc1f2ada538df1196457873_***_Lucy Dorey
64f915e9af3796f57e4c5e9c4dabe475_***_Jack McGarrigle McGarrigle
6ee42ad57b74f8941f4de3f02eed163f_***_Alice Hoon
8ed0024546f2588fdb0073a7d6fbc075_***_Simon Dymond
author Lucy Dorey
Jack McGarrigle McGarrigle
Alice Hoon
Simon Dymond
author2 Lucy Dorey
Jack McGarrigle McGarrigle
Richard May
Alice Hoon
Simon Dymond
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container_title International Journal of Environmental Research and Public Health
container_volume 19
container_issue 24
container_start_page 17101
publishDate 2022
institution Swansea University
issn 1660-4601
doi_str_mv 10.3390/ijerph192417101
publisher MDPI AG
college_str Professional Services
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hierarchy_top_id professionalservices
hierarchy_top_title Professional Services
hierarchy_parent_id professionalservices
hierarchy_parent_title Professional Services
department_str ISS - Uncategorised{{{_:::_}}}Professional Services{{{_:::_}}}ISS - Uncategorised
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description Low levels of treatment access and poor retention among those with gambling problems suggests a need to improve treatment. Contingency management (CM) is a behavioural intervention involving the identification of target behaviours and the provision of incentives when targets are met. There exists a substantial evidence base for CM increasing abstinence and attendance in substance misuse treatment, but this has not been widely extended to gambling treatment setting. This study sought to explore the views of clients about CM for the treatment of problematic and disordered gambling. We conducted semi-structured interviews with 25 gambling treatment clients who were, or had previously been, engaged in treatment in Great Britain. Participants were provided with an explanation of CM, two hypothetical scenarios, and two structured questionnaires to facilitate discussion. Thematic analysis was used to interpret findings. Some participants felt that clients could manipulate CM while in treatment to obtain money to gamble, and that mechanisms of CM could trigger recovering clients into relapse. Participants also identified potential benefits of CM to achieve treatment goals, by enhancing motivation and engagement while in treatment, and helping bring people into treatment earlier. Gambling treatment clients broadly supported the use of incentives for treatment. CM is seen as a facilitator of extended engagement in treatment, and an encouragement for clients to make progress in the treatment process.
published_date 2022-12-19T04:21:37Z
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