Subtyping based on readiness and confidence: the identification of help-seeking profiles for gamblers accessing web-based counselling

Rodda, S.N., Lubman, D.I., Iyer, R., Gao, C.X. and Dowling, N.A. 2015, Subtyping based on readiness and confidence: the identification of help-seeking profiles for gamblers accessing web-based counselling, Addiction, vol. 110, no. 3, pp. 494-501, doi: 10.1111/add.12796.

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Title Subtyping based on readiness and confidence: the identification of help-seeking profiles for gamblers accessing web-based counselling
Author(s) Rodda, S.N.
Lubman, D.I.
Iyer, R.
Gao, C.X.
Dowling, N.A.ORCID iD for Dowling, N.A. orcid.org/0000-0001-8592-2407
Journal name Addiction
Volume number 110
Issue number 3
Start page 494
End page 501
Total pages 8
Publisher Wiley
Place of publication London, Eng.
Publication date 2015-03
ISSN 1360-0443
Keyword(s) Confidence in ability to change
gambling
importance of changing
readiness
readiness to change
subtyping
treatment
web-based
Science & Technology
Life Sciences & Biomedicine
Substance Abuse
Psychiatry
PATHOLOGICAL GAMBLERS
EMERGENCY-DEPARTMENT
GAMBLING HELPLINE
MODEL SELECTION
ALCOHOL
IMPULSIVITY
Summary BACKGROUND AND AIMS: Problem gamblers are not a homogeneous group and recent data suggest that subtyping can improve treatment outcomes. This study administered three readiness rulers and aimed to identify subtypes of gamblers accessing a national web-based counselling service based on these rulers. METHODS: Participants were 1204 gamblers (99.4% problem gamblers) who accessed a single session of web-based counselling in Australia. Measures included three readiness rulers (importance, readiness and confidence to resist an urge to gamble), demographics and the Problem Gambling Severity Index (PGSI). RESULTS: Gamblers reported high importance of change [mean = 9.2, standard deviation (SD) = 1.51] and readiness to change (mean = 8.86, SD = 1.84), but lower confidence to resist an urge to gamble (mean = 3.93, SD = 2.44) compared with importance and readiness. The statistical fit indices of a latent class analysis identified a four-class model. Subtype 1 was characterized by a very high readiness to change and very low confidence to resist an urge to gamble (n = 662, 55.0%) and subtype 2 reported high readiness and low confidence (n = 358, 29.7%). Subtype 3 reported moderate ratings on all three rulers (n = 139, 11.6%) and subtype 4 reported high importance of change but low readiness and confidence (n = 45, 3.7%). A multinomial logistic regression indicated that subtypes differed by gender (P < 0.001), age (P = 0.01), gambling activity (P < 0.05), preferred mode of gambling (P < 0.001) and PGSI score (P < 0.001). CONCLUSIONS: Problem gamblers in Australia who seek web-based counselling comprise four distinct subgroups based on self-reported levels of readiness to change, confidence to resist the urge to gamble and importance of change.
Language eng
DOI 10.1111/add.12796
Field of Research 170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, Society for the Study of Addiction
Persistent URL http://hdl.handle.net/10536/DRO/DU:30075298

Document type: Journal Article
Collection: School of Psychology
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