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What are the benefits and limitations of contingency management?: Perspectives of gambling treatment providers

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View Open Access Article View Snapshot Back to Search Results

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Author(s): Dorey, Lucy ; Christensen, Darren R. ; May, Richard ; Hoon, Alice E. ; Dymond, Simon

Journal: Harm Reduction Journal

Year Published: 2022

Date Added: April 28, 2022

The usefulness and feasibility of contingency management (CM) for treating gambling disorder has not been a topic of much research. CM works by rewarding target behaviours, such as abstaining from gambling. The aim of this study was to investigate what treatment providers thought of using CM to treat gambling disorder. 30 treatment providers in the UK learned about CM and were asked what they thought the benefits and limitations of this approach were. The authors identified four themes from the interviews. The first theme was that CM did not align with personal treatment philosophies, but participants were open about it. The second theme was concern about CM’s perceived similarity to gambling. The third theme was the concern that CM could be manipulated and rupture the therapeutic alliance. The fourth theme was about how CM might be implemented and delivered.


Citation: Dorey, L., Christensen, D. R., May, R., Hoon, A. E., & Dymond, S. (2022). Gambling treatment service providers’ views about contingency management: A thematic analysis. Harm Reduction Journal, 19, Article 19. https://doi.org/10.1186/s12954-022-00600-0

Article DOI: https://doi.org/10.1186/s12954-022-00600-0

Keywords: gambling ; incentives ; nudging ; qualitative ; service providers ; thematic analysis ; treatment ; treatment outcomes ; treatment programs

Topics: Information for Treatment Providers

Conceptual Framework Factors:   Gambling Resources ; Resources - Interventions

Study Design: Qualitative: Content Analysis

Geographic Coverage: United Kingdom

Study Population: 30 treatment providers who provide treatment to people with problem gambling

Sampling Procedure: Purposive sampling; the authors approached several gambling treatment service providers and the sites that were willing to be part of the study were given recruitment materials to be distributed to their staff (information about the study and a link to the study website).

Study Funding:

This study was funded by GambleAware.

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