Mindfulness originated from Buddhist contemplative practice 2500 years ago. Mindfulness has increasingly been integrated into a variety of health care programs to address issues such as chronic pain, mental health problems, and addictions. The purpose of this study was to evaluate the feasibility of teaching problem gamblers about mindfulness meditation as part of regular treatment for problem gambling. The study evaluated an 8-week mindfulness group program that included 17 clients from the Problem Gambling Institute of Ontario at the Centre for Addiction and Mental Health (88% male) using questionnaires that were distributed before the first group session and after the final group session. The evaluation was a mixed method design that included both qualitative and quantitative feedback about the group. All of the participants showed an improvement in their levels of mindfulness after the 8-week treatment program. The Mindfulness Attention Awareness Scale (MAAS) scores increased from a pre-test score of 3.65 (SD = 1.01) to a post-test score of 4.40 (SD = 0.78). Qualitative feedback about the group also highlighted a number of improvements in the clients' lives that included being more in control, relaxed and able to stay in the now. The results indicated that mindfulness was successfully taught during the 8-week group program. This study evaluated the suitability of mindfulness as an intervention as part of a problem gambling treatment service. However, the study did not evaluate whether mindfulness improved the clients' ability to resist relapse. Future studies are needed to examine the long-term impact of mindfulness sessions.

Background Although Internet-based interventions (IBIs) have been around for two decades, uptake has been slow. Increasing the acceptability of IBIs among end users may increase uptake. In this study, we explored the factors that shape acceptability of IBIs for problem gambling from the perspective of clients and clinicians. Findings from this qualitative study of focus groups informed the design and implementation of an IBI for problem gambling.Methods Using a semi-structured interview guide, we conducted three focus groups with clients experiencing gambling problems (total n = 13) and two with clinicians providing problem gambling treatment (total n = 21). Focus groups were audio recorded, transcribed verbatim, and analyzed using a two-part inductive-deductive approach to thematic analysis.Results Although both user groups reported similar experiences, each group also had unique concerns. Clinician perspectives were more homogeneous reflective of healthcare professionals sharing the same practice and values. Clinicians were more concerned about issues relating to the dissemination of IBIs into clinical settings, including the development of policies and protocols and the implications of IBIs on the therapeutic relationship. In comparison, client narratives were more heterogeneous descriptive of diverse experiences and individual preferences, such as the availability of services on a 24-hour basis. There was consensus among clients and clinicians on common factors influencing acceptability: access, usability, high quality technology, privacy and security, and the value of professional guidance.Conclusions Acceptability is an important factor in the overall effectiveness of IBIs. Gaining an understanding of how end users perceive IBIs and why they choose to use IBIs can be instrumental in the successful and meaningful design, implementation, and evaluation of IBIs.

The use of mindfulness meditation (MM) in the treatment of problem gambling (PG), has been used effectively for over five years. However, the neural mechanisms responsible for the improvements are unknown. The literature describes healthy individuals with an increase in alpha power and a decrease in alpha frequency after eight weeks of mindfulness meditation, but it is unknown if changes are similar amongst individuals with PG. Using resting-state electroencephalography (rsEEG), we measured the changes in alpha oscillations before and after an eight-week mindfulness meditation intervention (MMi) and a pre/ post-five-minute mindfulness meditation body scan (MMb). For people with PG, we observed an increase in alpha power and decreased alpha peak frequency after the MMi, while the inverse was true for the MMb. The most considerable alpha rhythm changes occurred in the frontal and temporal lobes, areas sensitive to reward and sensory processing in PG. Our observed changes may reflect theories that MMi for PG may improve attentional control as hypothesized by previous research in alpha oscillations and cue-reward processing.