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Research

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'Research'

Publications

Qualitative Research on the Lived Experience and Views of Gambling among Children and Young People
Sherbert Research, CultureStudio Research and Family Kids & Youth

This is original research which builds an understanding about the lived experience of gambling harms among different subgroups of children and young people, including an understanding of their perspectives on gambling and how gambling impacts their everyday lives. The groups explored in this research include children under 11, children and young people who are affected others, and children and young people who are at a disproportionate risk of experiencing gambling-related harm.

LGBTQ+ People and Gambling Harms: A Scoping Review
University of Brighton

This is a review of the latest evidence on the topic of gambling harm within LGBTQ+ (lesbian, gay, bisexual, transgender, queer+) communities, and considers the prevalence, lived experience, and drivers of gambling harm in LGBTQ+ communities. This is the full report and includes information on methodology, terminology, and a full discussion of findings.

Audience segmentation
YouGov

This presentation summarises a mixed-methods research project that segments those who gamble into 7 smaller segments, based on individuals wanting to reduce their current level of gambling and/or wanting advice, tools, and support to do so. The report provides an increased understanding of the size, demographics, motivators and barriers of those who want to reduce their gambling.

Self-help Strategies for Reducing Gambling Harms: Scoping Study
Alma Economics

Alma Economics was commissioned by GambleAware to explore the existing literature about the use of self-help strategies among people who are experiencing gambling related harms. This research acts to increase understanding of what is known about how communities use self-help strategies (including marginalised communities), what the motivators are for using these strategies, and how effective they can be.

Frameworks and Measurement of Gambling Related Harm: A Scoping Study
National Centre for Social Research and University of Plymouth

This study, funded by GambleAware, is a short scoping study to understand developments in the conceptualisation and measurement of Gambling Related Harms. The goal was to appraise existing frameworks and measurement approaches, and thereby inform future research, prevention and intervention strategies.

The last decade has seen substantial developments in the conceptualisation and measurement of GRH, providing new perspectives that move beyond entrenched and clinically-derived definitions for gambling. A continued move towards public health paradigms will require continued support for the development of underlying tools and expertise.

Importantly, the study emphasises that new modes of gambling related harm measurement are needed. The field should move away from anachronistic measurement tools that conflate harms and behaviours, which are often used to produce often binary and stigmatising “problem gambler” labels onto individuals.

Annual GB Treatment and Support Survey 2022
YouGov

The Annual GB treatment and support survey is commissioned each year in order for GambleAware to have an up to date understanding of usage and relative demand for treatment and support for gambling harms across GB.

Just over 18,000 adults were surveyed in November 2022. In this most recent survey in addition to questions around treatment and support and some of the barriers and facilitators to accessing help, we also asked questions on the age participants were first exposed to gambling, the impact the cost of living crisis is having on propensity to gamble and relapse among those who have previously stopped gambling.

Building Knowledge of Women’s Lived Experience of Gambling and Gambling Harms Across Great Britain
IFF, University of Bristol and GamCare

We wanted to better understand women’s lived experiences of gambling, so we commissioned a consortium of IFF Research, the University of Bristol and GamCare’s Women’s Programme to explore this in detail. The aim of the research is to build knowledge about why women in Britain take part in different types of gambling, how women are affected by another person’s gambling, the effect this has on them and their lives, and their experience of support and treatment services.

Applying Public Health Learnings to Safer Gambling Communications
Ipsos UK

Ipsos UK were commissioned by GambleAware to undertake a review of evidence to inform what works in safer gambling communications. The aim of this review was to conduct a synthesis of the available evidence to inform the general principles of best practice within existing public health communications and apply them to the area of safer gambling and gambling harm prevention.

Cover of "Annual Statistics from the National Gambling Treatment Service (Great Britain) 2018/2019"
Annual Statistics from the National Gambling Treatment Service (Great Britain) 2018/2019
GambleAware

The National Gambling Treatment Service (NGTS) is a network of organisations working together to provide confidential treatment and support for anyone experiencing gambling-related harms and is free to access across England, Scotland and Wales. The NGTS is commissioned by GambleAware, an independent grant-making charity, that takes a public health approach to reducing gambling harms. The data for the 2018/19 period is presented within this report.

Cover of "Examining the frequency and nature of gambling marketing in televised broadcasts of professional sporting events in the United Kingdom"
Examining the frequency and nature of gambling marketing in televised broadcasts of professional sporting events in the United Kingdom
R.I. Purves, N. Critchlow, A. Morgan, M. Stead & F. Dobbie

Gambling operators in the United Kingdom have introduced a voluntary ban on adverts broadcast during televised sport before 21:00 (the ‘whistle-to-whistle’ ban). To inform debates around the potential effectiveness of this ban, we examine the frequency and nature of gambling marketing in televised broadcasts across professional sporting events.

First slide of "Briefing Presentation - Treatment Needs and Gap Analysis in Great Britain – A Synthesis of Findings"
Briefing Presentation - Treatment Needs and Gap Analysis in Great Britain – A Synthesis of Findings
S. Dinos

Presentation on the synthesis of findings from a programme of studies which aimed to:
- Review the current need, demand and use of gambling treatment and support in England, Scotland and Wales
- Identify where there are geographic and demographic gaps in provision
- Detail the demand for treatment and support by gamblers and affected others in Britain

Cover of "Treatment Needs and Gap Analysis in Great Britain – A Synthesis of Findings"
Treatment Needs and Gap Analysis in Great Britain – A Synthesis of Findings
S. Dinos

In 2018, GambleAware commissioned a programme of studies to review the current need, demand and use of gambling treatment and support in England, Scotland and Wales, to identify where there are geographic and demographic gaps in provision; and, to detail the demand for treatment and support by gamblers and affected others in Britain.
Whilst previous research provides data on problem gamblers (and those experiencing lower levels of gambling harm) within the general population, there is little (if any) research on the size and characteristics of those seeking or accessing treatment and support for gambling harms. The primary aim of this report is to synthesise findings across all strands of this programme.

Cover of "The effect of marketing and advertising on children, young people and vulnerable people: Quantitative Research Report"
The effect of marketing and advertising on children, young people and vulnerable people: Quantitative Research Report
A. Macgregor, C. Elliot & J. Shields

In February 2019, GambleAware commissioned ScotCen to conduct a survey of 11-24-year olds in England, Scotland and Wales. Although an online survey of those aged 11-24 had been part of the original commissioning process, delays in accessing the sample and issues encountered in the pilot resulted in a number of modifications, the major ones being:
• The survey changed mode from online only to a sequential postal-online-computer
assisted telephone interview (CATI) model
• Incentives were to be offered on completion of the survey.
This report explores awareness of, and participation with, gambling marketing and its association with gambling-related knowledge, attitudes, and behaviour among those aged 11-24 years.

Cover of "The effect of gambling marketing and advertising on children, young people and vulnerable adults"
The effect of gambling marketing and advertising on children, young people and vulnerable adults
Ipsos MORI

In March 2018, GambleAware commissioned two independent consortia to assess the extent, nature and impact of gambling marketing and advertising on children, young people and vulnerable groups in the UK. The first consortium was led by Ipsos MORI (in partnership with University of Bristol, University of Edinburgh, Ebiquity and the Centre for Analysis of Social Media at Demos), and the second by the University of Stirling (in partnership with ScotCen Social Research, University of Glasgow, and University of Warwick). Each consortium looked at the broad spectrum of gambling marketing and advertising, using different research methods. Separate consortium reports have been prepared to give more detail on the work each consortia led and methods used.
Ipsos MORI have written this final synthesis report to explore the effect of gambling advertising on children, young people and vulnerable adults. It draws on data from all nine strands of research carried out as part of this study.

Cover of "Effective Treatment and Support for Problem Gambling - Rapid Evidence Assessment"
Effective Treatment and Support for Problem Gambling - Rapid Evidence Assessment
L. Kalbfleisch, D. Baxter, S. McKnight, T. Sztainert & M. Sohail

A rapid evidence review was commissioned to provide an updated evidence base on treatment and support for problem gambling in order to inform future growth, improvement, and evaluation of problem gambling treatment services across Great Britain. The report covers ten key treatment topics including: Cognitive Behavioural Therapy; Motivational Interventions; Remote and Self-Help Interventions; Helplines; Treatment Involving Concerned Significant Others; Residential Treatment; Pharmacological Treatments; Brain Stimulation; Gamblers Anonymous; Emerging Treatment Modalities.

Cover of "An assessment of the accuracy of survey estimates of the prevalence of problem gambling in the UK''
An assessment of the accuracy of survey estimates of the prevalence of problem gambling in the UK
P. Sturgis

The 2016 combined health surveys find 4.2% of the adult population experience gambling harm compared with 13.2% in the 2019 YouGov survey. This is a substantial discrepancy that cannot be explained by sampling variability. This report provides a description of the range of errors that may be present in the different survey estimates and assesses which of the two surveys is likely to be most affected by these errors and in which ways.

Cover of "Gambling Treatment and Support"
Gambling Treatment and Support
B. Gunstone & K. Gosschalk

This report presents the findings of a study to explore the usage of, and demand for, treatment and support services among gamblers and those affected by another’s gambling. This involved identifying problem gamblers in the sample, using a validated measure of problem gambling, that have and have not
engaged in any form of treatment, as well as for affected others. A further objective was to extrapolate the findings to a detailed local level.

Cover of "Skins in the Game"
Skins in the Game
Royal Society for Public Health

Based on a survey* of young people across the UK aged between 11 and 24, Skins in the Game identifies that a majority of young people see both purchasing a loot box (58%) and taking part in skin betting (60%) as forms of highly addictive gambling. In order to protect the health and well-being of young people, RSPH is calling upon the new Government to update the legislation currently in place around the issue of gaming and gambling, ensuring that both loot boxes and skin betting are fully legally defined and recognised as forms of gambling.

Cover of "A Needs Assessment for Treatment and Support"
A Needs Assessment for Treatment and Support
J. Kerr, S. Lynch-Higgins, B. Thompson, S. Dinos, P. Khambhaita & K. Windle

The study had a number of objectives related to unmet need and barriers to accessing treatment as experienced and/or perceived by problem gamblers and stakeholders. This workstream also drew on findings from the Rapid Evidence Review. In particular, part of the aims of this analysis were formed to address and extend key themes and gaps identified in the REA in relation to pathways to care, unmet need, as well as any barriers and facilitators to accessing treatment and support for individuals experiencing gambling harms who do not access treatment/support services. The key research objectives focused on identifying:
• The type of unmet need and demand for services;
• Barriers to accessing treatment and support; and
• Differences in barriers between groups.

Cover of "Exploring problem gambling, loneliness and lifetime suicidal behaviours: a cross-sectional study using the Adult Psychiatric Morbidity Survey 2007"
Exploring problem gambling, loneliness and lifetime suicidal behaviours: a cross-sectional study using the Adult Psychiatric Morbidity Survey 2007
A. John, S.C. Lee, H. Wardle, S. McManus & S. Dymond

Loneliness, defined as the subjective perception of a lack of contact with other people, is associated with premature mortality, mental ill-health, and increased use of health services. We aimed to explore the extent to which loneliness may be associated with gambling and suicidal thoughts, non-suicidal self-harm (NSSH), self-harm and suicide attempts.

Cover of "Problem gambling and suicidal thoughts, suicide attempts and non-suicidal self-harm in England: evidence from the Adult Psychiatric Morbidity Survey 2007"
Problem gambling and suicidal thoughts, suicide attempts and non-suicidal self-harm in England: evidence from the Adult Psychiatric Morbidity Survey 2007
H. Wardle, S.Dymond, A. John & S.McManus

Concern has been raised about a possible relationship between problem gambling and suicidality, but relatively few studies have examined this. To strengthen the evidence base, Gamble Aware commissioned a project with two objectives. Firstly, to establish whether problem gambling and suicidality are associated. And secondly, to review what data exist or could be collected in order to investigate any association in more depth. This report addresses the project’s first objective. A subsequent report will address the second objective.

Cover of "The Effect of Gambling Marketing and Advertising on Children, Young People and Vulnerable People: Qualitative Research Report"
The Effect of Gambling Marketing and Advertising on Children, Young People and Vulnerable People: Qualitative Research Report
A. Macgregor, H. Biggs & J. Shields

In March 2018, GambleAware commissioned a series of studies to assess the extent, nature and impact of gambling marketing on children, young people and vulnerable groups in the UK. Overall, the series of studies used a variety of methods to examine the extent of current gambling marketing in the UK across different media including social media, the nature and content of gambling marketing in different media, and how children, young people and vulnerable groups respond to gambling marketing. This report presents findings from the qualitative research conducted as part of this series of studies by ScotCen Social Research.

Cover of "Measuring gambling-related harms among children and young people A framework for action"
Measuring gambling-related harms among children and young people A framework for action
M. Blake, J. Pye, C. Mollidor, L. Morris, H. Wardle & G. Reith

This report presents a definition and framework for gambling-related harm among children and young people based on:
• an expert workshop of professionals and researchers working with young people and working in the field of gambling;
• four focus groups in schools with young people aged 13-18.

Cover of "Report 1: presenting findings from desk based research (literature review; content analysis of gambling advertising and a frequency analysis of sports sponsorship)"
Report 1: presenting findings from desk based research (literature review; content analysis of gambling advertising and a frequency analysis of sports sponsorship)
N. Critchlow, M. Stead, C. Moodie, R. Purves, K. Angus, A. Morgan, F. Dobbie, P. Newall & G. Reith

The research produced by the ISM and collaborators part of the consortia are divided into two reports. This first report focuses on the nature and content of gambling marketing and advertising in the UK and how it may reach and influence children, young people, and vulnerable groups. Findings are presented from three work packages: a literature review, a content analysis of gambling advertising in paid for media, and an analysis of gambling references broadcasts of professional sport in the UK. The second report (due Autumn 2019) will explore awareness of, and participation with, gambling marketing and what association (if any) this has with gambling-related knowledge, attitudes, and behaviour.

Cover of "Can behavioural insights be used to reduce risky play in online environments?"
Can behavioural insights be used to reduce risky play in online environments?
Behavioural Insights Team

The rise of online gambling sites means that placing a bet is only a few keystrokes away. For those that are negatively affected by gambling, increased accessibility poses a risk of financial, social or health-related harm. As such, the Behavioural Insights Team (BIT) was commissioned by GambleAware to conduct the third phase of its remote gambling research programme, which aims to support operators in reducing reduce problem gambling.

Cover of "Tipping point: When public opinion triggers changes to policy"
Tipping point: When public opinion triggers changes to policy
A. Blaszczynski & S. Gainsbury

GambleAware has requested a brief paper outlining evidence for gambling and gambling-related activity (such as various forms of advertising) being subject to a ‘tipping point’ when public opinion causes policy makers to introduce, modify, or ban gambling-related regulation and/or gambling-related activity (such as various forms of advertising). This paper will explore the processes that may be instrumental in fostering policy makers to introduce or modify gambling-related regulations in response to public pressure for reform. The intent is not to review the validity of claims made by the public, academics, lobbyists, or advocacy groups but rather to describe factors that trigger regulatory changes in response to demands for action.

Projects

Building Knowledge of Minority Communities’ Lived Experience of Gambling and Gambling Harms across Great Britain

GambleAware has awarded a £300,000 grant to build knowledge about the lived experience of minority communities in relation to gambling to inform delivery of our Organisation and Commissioning Strategy over the next five years. ‘Minority communities’ includes minority ethnic, minority religion, and minority language communities.

Building knowledge of stigma related to gambling and gambling harms in Great Britain

GambleAware has commissioned a scoping paper that will establish what is known about stigma related to gambling and gambling harms. Knowledge about stigma, and the discrimination it drives, will inform all GambleAware’s commissioning activity to prevent gambling harms, including public awareness campaigns, education, treatment, and research.

Building Knowledge of Women’s Lived Experience of Gambling and Gambling Harms across Great Britain

GambleAware has awarded a £250,000 grant to build knowledge about the drivers of gambling participation and of gambling harms experienced by women, and to understand the differences among sub-groups of women. The knowledge accrued from this research will be used to inform GambleAware’s commissioning practices.

Online gambling data: initial analysis

This ambitious research project examining online gambling behaviour aims to better understand how gamblers’ patterns of play vary across different environments and activities. Player level data will be gathered from many of the largest online gambling firms and collated into one unified dataset, so that ‘big data’ analysis can be undertaken to identify indicators of potentially harmful behaviour.

The impact of message framing on problem recognition amongst problem and at-risk gamblers

This piece of research will explore the impact of the phrasing and positioning of messages designed to encourage safer gambling, in order to support the development of future public health campaigns in this area.

This project aims to address important questions related to the way in which “safe” or “responsible” gambling is promoted, with a particular focus on the way that “problem gambling” is framed, as well as the way in which gambling or betting identities are made central to a campaign.

The Future of Gambling

This project focusses on online computer gaming. It builds knowledge and understanding of the harms which may exist within chance-based elements within gaming. It focuses on ‘loot boxes’ in computer games that people pay to access, with the contents of the box (virtual game upgrades) dictated by chance.

Safer Gambling App – EROGamb 2.0

This project will gather information related to gambling norms, and individuals’ gambling patterns. It will use that information to see whether it can empower people who gamble with a contextual and accurate understanding of their gambling, whilst increasing their control over their gambling patterns.

Lived Experience Programme 2021/22

It is well demonstrated that the meaningful involvement of those with lived experience is crucial at all levels of service delivery, policy and legislation formation, research, and civil society discussion and debate.

GambleAware is keen to ensure that the early intervention and treatment services commissioned are what people want and need, and are effective in preventing and reducing gambling harms; ensuring the voice of people with lived experience is heard is key to that.

PhD Study: Development of harm reduction interventions for bespoke risk environments in the changing landscape of gambling and gaming

The research aims to investigate the gambling-related harms associated with advertising and specific product features to inform the development of corresponding harm-reduction strategies.

CONGAM: Adding Contingency Management to Psychosocial Interventions for Disordered Gambling

This research will undertake a scoping and feasibility assessment of adding Contingency Management to existing psychological treatments for disordered gambling in the UK clinical gambling treatment settings.

Case studies