Reaching Out to Big Losers: How Different Types of Gamblers are Affected by a Brief Motivational Contact Initiated by th

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Reaching Out to Big Losers: How Different Types of Gamblers are Affected by a Brief Motivational Contact Initiated by the Gambling Provider Jakob Jonsson1   · David C. Hodgins2 · Ingrid Munck3 · Per Carlbring1 Accepted: 7 September 2020 © The Author(s) 2020

Abstract Telephone and letter-based motivational interventions with high expenditure gamblers have significant short and long term positive effects on gambling and use of responsible gambling tools. This report examines how different subtypes of gamblers, based upon patterns of play, are differentially affected. A randomized controlled trial design with three conditions (n = 1003 in each): feedback intervention by letter, telephone or a no-contact control condition. Subtypes of gamblers were derived by latent class analyses (LCA) based upon gambling behavior pre intervention. The participants were customers of Norsk Tipping gambling platforms. 1003 statistical triplets from the top 0.5% of customers based upon annual expenditure, matched on sex, age, and net losses. Primary outcome measure was gambling theoretical loss (TL), derived from the Norsk Tipping customer database. The LCA identified six subtypes: High Casino, High Sport, High Lottery, High Video lottery terminal (VLT), Lottery/Mix and Bingo/Casino. There were almost no differences in change in TL between the six subtypes of gamblers receiving the letter or telefone interventions respectively. However, the choice of contact by letter or telephone did have different effects for the different gambling subtypes. Sending a letter seems like a cost effective alternative to telephone contact for the High Lottery type, but telephone contact performs better for High Casino, High Sport and High VLT customers. Responsible gambling interventions can be improved by subtyping of gamblers. Keywords  Behavioral feedback · Motivational intervention · Problem gambling · Prevention · Responsible gambling · Subtypes of gamblers

Electronic supplementary material  The online version of this article (https​://doi.org/10.1007/s1089​ 9-020-09978​-7) contains supplementary material, which is available to authorized users. * Jakob Jonsson [email protected] 1

Department of Psychology, Stockholm University, 106 91 Stockholm, Sweden

2

Department of Psychology, University of Calgary, 2500 University Dr NW, Calgary, AB T2N 1N4, Canada

3

Department of Education and Special Education, University of Gothenburg, P. O. Box 300, 405 30 Gothenburg, Sweden



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Journal of Gambling Studies

Introduction Commercial gambling is a large industry with many multinational and national companies (Hodgins and Petry 2016). Although gambling is a recreational activity for most individuals, a significant proportion develop gambling-related problems and problematic gambling is considered a public health issue in many countries (Latvala et  al. 2019; Wardle et  al. 2019). Gambling disorder is characterized by loss of control and negative consequences (American Psychiatric Association 2013), and the prevalence f