BackgroundThe rate of treatment seeking has been demonstrated to be low across several research environments. This is in part due to the systemic barriers that would be treatment seekers face to accessing traditional face-to-face treatment. Making problem gambling treatment resources available through the Internet is one way to reduce the impact of those systemic barriers. The use of Internet based resources to address problem gambling has been growing and a field of research evaluating it has developed as well. However, there has been little done to examine this growing field of research as a whole.
ObjectiveTo collect and evaluate research on the use of Internet based intervention for problem gambling in order to provide an understanding of the current state of the field. A secondary objective of this study is to outline the advantages and challenges that are associated with addressing problem gambling using Internet based resources.
MethodsA scoping review was performed of five peer-reviewed research data bases (PsychINFO, CINAHL, Medline, Social Science Abstracts and Scopus) and three grey literature databases (MedEdPortal, Proquest: dissertations and Opengrey). Article inclusion required to have been published in the last ten years (2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017), include an intervention for problem gambling, and involve the use of the Internet to deliver that intervention.
ResultsA total of 21 articles were found that met the review requirements. Studies were found from several different areas with particularly strong representation for Australia and New Zealand, and Scandinavia. Cognitive behavioural therapy was the most common form of internet based intervention. Internet based interventions we generally shown to be effective by the collected research in reducing problem gambling scores and gambling behaviours. Stated advantages include lower feelings of stigma, greater flexibility in time of treatment, and ease of access to relevant information. Stated disadvantages include ethical concerns related to clients in crisis and confidentiality, a lack of rapport in the client-provider relationship, and high rates of attrition.
ConclusionInternet based interventions are a promising direction for treatment and prevention of problem gambling, particularly in reducing barrier to accessing professional help. The state of the current literature is sparse and more research is needed in directly comparing internet based interventions and their traditional counterparts.