J. Med. Internet Res. - Web-based counseling for problem gambling: exploring motivations and recommendations.

Tópicos

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Resumo

CKGROUND: For highly stigmatized disorders, such as problem gambling, Web-based counseling has the potential to address common barriers to treatment, including issues of shame and stigma. Despite the exponential growth in the uptake of immediate synchronous Web-based counseling (ie, provided without appointment), little is known about why people choose this service over other modes of treatment.OBJECTIVE: The aim of the current study was to determine motivations for choosing and recommending Web-based counseling over telephone or face-to-face services.METHODS: The study involved 233 Australian participants who had completed an online counseling session for problem gambling on the Gambling Help Online website between November 2010 and February 2012. Participants were all classified as problem gamblers, with a greater proportion of males (57.4%) and 60.4% younger than 40 years of age. Participants completed open-ended questions about their reasons for choosing online counseling over other modes (ie, face-to-face and telephone), as well as reasons for recommending the service to others.RESULTS: A content analysis revealed 4 themes related to confidentiality/anonymity (reported by 27.0%), convenience/accessibility (50.9%), service system access (34.2%), and a preference for the therapeutic medium (26.6%). Few participants reported helpful professional support as a reason for accessing counseling online, but 43.2% of participants stated that this was a reason for recommending the service. Those older than 40 years were more likely than younger people in the sample to use Web-based counseling as an entry point into the service system (P=.045), whereas those engaged in nonstrategic gambling (eg, machine gambling) were more likely to access online counseling as an entry into the service system than those engaged in strategic gambling (ie, cards, sports; P=.01). Participants older than 40 years were more likely to recommend the service because of its potential for confidentiality and anonymity (P=.04), whereas those younger than 40 years were more likely to recommend the service due to it being helpful (P=.02).CONCLUSIONS: This study provides important information about why online counseling for gambling is attractive to people with problem gambling, thereby informing the development of targeted online programs, campaigns, and promotional material.

Resumo Limpo

ckground high stigmat disord problem gambl webbas counsel potenti address common barrier treatment includ issu shame stigma despit exponenti growth uptak immedi synchron webbas counsel ie provid without appoint littl known peopl choos servic mode treatmentobject aim current studi determin motiv choos recommend webbas counsel telephon facetofac servicesmethod studi involv australian particip complet onlin counsel session problem gambl gambl help onlin websit novemb februari particip classifi problem gambler greater proport male younger year age particip complet openend question reason choos onlin counsel mode ie facetofac telephon well reason recommend servic othersresult content analysi reveal theme relat confidentialityanonym report convenienceaccess servic system access prefer therapeut medium particip report help profession support reason access counsel onlin particip state reason recommend servic older year like younger peopl sampl use webbas counsel entri point servic system p wherea engag nonstrateg gambl eg machin gambl like access onlin counsel entri servic system engag strateg gambl ie card sport p particip older year like recommend servic potenti confidenti anonym p wherea younger year like recommend servic due help pconclus studi provid import inform onlin counsel gambl attract peopl problem gambl therebi inform develop target onlin program campaign promot materi

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