Jogos a Dinheiro – Rede de Responsabilidade Social

Systematic Review of Empirically Evaluated School-Based Gambling Education Programs

Título: Systematic Review of Empirically Evaluated School-Based Gambling Education Programs
Autores: Brittany Keen, Alex Blaszczynski, Fadi Anjoul
Ano: 2017


Adolescent problem gambling prevalence rates are reportedly five times higher than in the adult population. Several school-based gambling education programs have been developed in an attempt to reduce problem gambling among adolescents; however few have been empirically evaluated. The aim of this review was to report the outcome of studies empirically evaluating gambling education programs across international jurisdictions. A systematic review following guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement searching five academic databases: PubMed, Scopus, Medline, PsycINFO, and ERIC, was conducted. A total of 20 papers and 19 studies were included after screening and exclusion criteria were applied. All studies reported intervention effects on cognitive outcomes such as knowledge, perceptions, and beliefs. Only nine of the studies attempted to measure intervention effects on behavioural outcomes, and only five of those reported significant changes in gambling behaviour. Of these five, methodological inadequacies were commonly found including brief follow-up periods, lack of control comparison in post hoc analyses, and inconsistencies and misclassifications in the measurement of gambling behaviour, including problem gambling. Based on this review, recommendations are offered for the future development and evaluation of school-based gambling education programs relating to both methodological and content design and delivery considerations.


  1. Blaszczynski, A., Dumlao, V., & Lange, M. (1997). How much do you spend gambling? Ambiguities in survey questionnaire items. Journal of Gambling Studies, 13(3), 237–252. doi: 10.1023/A:1024931316358.CrossRefPubMedGoogle Scholar
  2. Blaszczynski, A., Ladouceur, R., Goulet, A., & Savard, C. (2006). How much do you spend gambling? Ambiguities in questionnaire items assessing expenditure. International Gambling Studies, 6(2), 123–128. doi: 10.1080/14459790600927738.CrossRefGoogle Scholar
  3. Blaszczynski, A., Ladouceur, R., Goulet, A., & Savard, C. (2008a). Differences in monthly versus daily evaluations of money spent on gambling and calculation strategies. Journal of Gambling Issues, 21, 98–105. doi: 10.4309/jgi.2008.21.9.CrossRefGoogle Scholar
  4. Blaszczynski, A., Ladouceur, R., & Moodie, C. (2008b). The Sydney Laval universities gambling screen: Preliminary data. Addiction Research & Theory, 16(4), 401–411. doi: 10.1080/16066350701699031.CrossRefGoogle Scholar
  5. Braverman, J., Tom, M., & Shaffer, H. (2014). Accuracy of self-reported versus actual online gambling wins and losses. Psychological Assessment, 26(3), 865–877. doi: 10.1037/a0036428.CrossRefPubMedGoogle Scholar
  6. Canale, N., Vieno, A., Griffiths, M. D., Marino, C., Chieco, F., Disperati, F., et al. (2016). The efficacy of a web-based gambling intervention program for high school students: A preliminary randomized study. Computers in Human Behavior, 55, 946–954. doi: 10.1016/j.chb.2015.10.012.CrossRefGoogle Scholar
  7. Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. doi: 10.1037/0033-2909.112.1.155.CrossRefPubMedGoogle Scholar
  8. Currie, S. R., Miller, N., Hodgins, D. C., & Wang, J. (2009). Defining a threshold of harm from gambling for population health surveillance research. International Gambling Studies, 9(1), 19–38. doi: 10.1080/14459790802652209.CrossRefGoogle Scholar
  9. Davis, R. M. (2003). Prevention of problem gambling: A schoolbased intervention(M.Sc.). University of Calgary, Canada. Retrieved from
  10. Delfabbro, P., King, D., & Griffiths, M. D. (2014). From adolescent to adult gambling: An analysis of longitudinal gambling patterns in South Australia. Journal of Gambling Studies, 30(3), 547–563. doi: 10.1007/s10899-013-9384-7.CrossRefPubMedGoogle Scholar
  11. Delfabbro, P., Lahn, J., & Grabosky, P. (2005). Further evidence concerning the prevalence of adolescent gambling and problem gambling in Australia: A study of the ACT. International Gambling Studies, 5(2), 209–228. doi: 10.1080/14459790500303469.CrossRefGoogle Scholar
  12. Delfabbro, P., Lambos, C., King, D., & Puglies, S. (2009a). Knowledge and beliefs about gambling in Australian secondary school students and their implications for education strategies. Journal of Gambling Studies, 25(4), 523–539. doi: 10.1007/s10899-009-9141-0.CrossRefPubMedGoogle Scholar
  13. Delfabbro, P., Winefield, A. H., & Anderson, S. (2009b). Once a gambler—always a gambler? A longitudinal analysis of gambling patterns in young people making the transition from adolescence to adulthood. International Gambling Studies, 9(2), 151–163. doi: 10.1080/14459790902755001.CrossRefGoogle Scholar
  14. Derevensky, J. L., & Gupta, R. (2000). Prevalence estimates of adolescent gambling: A comparison of the SOGS-RA, DSM-IV-J, and the GA 20 Questions. Journal of Gambling Studies, 16(2), 227–251. doi: 10.1023/A:1009485031719.CrossRefPubMedGoogle Scholar
  15. Derevensky, J. L., Gupta, R., & Winters, K. (2003). Prevalence rates of youth gambling problems: Are the current rates inflated? Journal of Gambling Studies, 19(4), 405–425. doi: 10.1023/A:1026379910094.CrossRefPubMedGoogle Scholar
  16. Donati, M. A., Primi, C., & Chiesi, F. (2014). Prevention of problematic gambling behavior among adolescents: Testing the efficacy of an integrative intervention. Journal of Gambling Studies, 30(4), 803–818. doi: 10.1007/s10899-013-9398-1.CrossRefPubMedGoogle Scholar
  17. Ferland, F., Ladouceur, R., & Vitaro, F. (2002). Prevention of problem gambling: Modifying misconceptions and increasing knowledge. Journal of gambling studies18(1), 19–29.
  18. Ferland, F., Ladouceur, R., & Vitaro, F. (2005). Efficacité d’un programme de prévention des habitudes de jeu chez les jeunes: résultats de l’évaluation pilote. L’Encéphale, 31(4), 427–436. doi: 10.1016/S0013-7006(05)82404-2.CrossRefPubMedGoogle Scholar
  19. Fisher, S. (1992). Measuring pathological gambling in children: The case of fruit machines in the U.K. Journal of Gambling Studies, 8(3), 263–285. doi: 10.1007/BF01014653.CrossRefPubMedGoogle Scholar
  20. Fisher, S. (2000). Developing the DSM-IV criteria to identify adolescent problem gambling in non-clinical populations. Journal of Gambling Studies, 16(2), 253–273. doi: 10.1023/A:1009437115789.CrossRefPubMedGoogle Scholar
  21. Gaboury, A., & Ladouceur, R. (1993). Evaluation of a prevention program for pathological gambling among adolescents. The Journal of Primary Prevention, 14(1), 21–28. doi: 10.1007/BF01324653.CrossRefPubMedGoogle Scholar
  22. Gainsbury, S., & Blaszczynski, A. (2011). Online self-guided interventions for the treatment of problem gambling. International Gambling Studies, 11(3), 289–308. doi: 10.1080/14459795.2011.617764.CrossRefGoogle Scholar
  23. Griffiths, M., & Barnes, A. (2008). Internet gambling: An online empirical study among student gamblers. International Journal of Mental Health and Addiction, 6(2), 194–204. doi: 10.1007/s11469-007-9083-7.CrossRefGoogle Scholar
  24. Gupta, R., Nower, L., Derevensky, J. L., Blaszczynski, A., Faregh, N., & Temcheff, C. (2013). Problem gambling in adolescents: An examination of the pathways model. Journal of Gambling Studies, 29(3), 575–588. doi: 10.1007/s10899-012-9322-0.CrossRefPubMedGoogle Scholar
  25. Hanss, D., Mentzoni, R. A., Delfabbro, P., Myrseth, H., & Pallesen, S. (2014). Attitudes toward gambling among adolescents. International Gambling Studies, 14(3), 505–519. doi: 10.1080/14459795.2014.969754.CrossRefGoogle Scholar
  26. International Centre for Youth Gambling Problems and High-Risk Behaviours. (2004). The amazing chateau [CD-ROM]. Montreal, Quebec: McGill University.Google Scholar
  27. Jacques, C., & Ladouceur, R. (2003). DSM-IV-J criteria: A scoring error that may be modifying the estimates of pathological gambling among youths. Journal of Gambling Studies, 19(4), 427–431. doi: 10.1023/A:1026332026933.CrossRefPubMedGoogle Scholar
  28. Jiménez-Murcia, S., Álvarez-Moya, E. M., Stinchfield, R., Fernández-Aranda, F., Granero, R., Aymamí, N., et al. (2010). Age of onset in pathological gambling: Clinical, therapeutic and personality correlates. Journal of Gambling Studies, 26(2), 235–248. doi: 10.1007/s10899-009-9175-3.CrossRefPubMedGoogle Scholar
  29. Ladouceur, R., Ferland, F., & Fournier, P. (2003). Correction of erroneous perceptions among primary school students regarding the notions of chance and randomness in gambling. American Journal of Health Education, 34(5), 272–277.CrossRefGoogle Scholar
  30. Ladouceur, R., Ferland, F., Poulin, C., Vitaro, F., & Wiebe, J. (2005a). Concordance between the SOGS-RA and the DSM-IV criteria for pathological gambling among youth. Psychology of Addictive Behaviors, 19(3), 271–276. doi: 10.1037/0893-164X.19.3.271.CrossRefPubMedGoogle Scholar
  31. Ladouceur, R., Ferland, F., & Vitaro, F. (2004). Prevention of problem gambling: Modifying misconceptions and increasing knowledge among Canadian youths. Journal of Primary Prevention25(3), 329–335. Accessed 7 January, 2016.
  32. Ladouceur, R., Ferland, F., Vitaro, F., & Pelletier, O. (2005b). Modifying youths’ perception toward pathological gamblers. Addictive Behaviors, 30(2), 351–354. doi: 10.1016/j.addbeh.2004.05.002.CrossRefPubMedGoogle Scholar
  33. Ladouceur, R., Goulet, A., & Vitaro, F. (2013). Prevention programmes for youth gambling: a review of the empirical evidence. International Gambling Studies, 13(2), 141–159. doi: 10.1080/14459795.2012.740496.CrossRefGoogle Scholar
  34. Langham, E., Thorne, H., Browne, M., Donaldson, P., Rose, J., & Rockloff, M. (2016). Understanding gambling related harm: A proposed definition, conceptual framework, and taxonomy of harms. BMC Public Health16
  35. Lavoie, M., & Ladouceur, R. (2004). Prevention of gambling among youth: Increasing knowledge and modifying attitudes toward gambling. Journal of Gambling Issues,. doi: 10.4309/jgi.2004.10.7.Google Scholar
  36. Lemaire, J., de Lima, S., & Patton, D. (2004). It’s your lucky day: Program evaluation(pp. 1–61). Addictions Foundation of Manitoba.Google Scholar
  37. Lupu, I. R., & Lupu, V. (2013). Gambling prevention program for teenagers. Journal of Cognitive and Behavioral Psychotherapies, 13(2a), 575–584.Google Scholar
  38. Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., & The PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med 6(7): e1000097.
  39. Monaghan, S., & Wood, R. T. A. (2010). Internet-based interventions for youth dealing with gambling problems. International Journal of Adolescent Medicine and Health, 22(1), 113–128.PubMedGoogle Scholar
  40. Nation, M., Crusto, C., Wandersman, A., Kumpfer, K. L., Seybolt, D., Morrissey-Kane, E., et al. (2003). What works in prevention: Principles of effective prevention programs. American Psychologist, 58(6–7), 449–456. doi: 10.1037/0003-066X.58.6-7.449.CrossRefPubMedGoogle Scholar
  41. National Collaborating Centre for Methods and Tools. (2008). Quality assessment tool for quantitative studies. Hamilton, ON: McMaster University. (Updated 13 April, 2010).
  42. Neal, P., Delfabbro, P. H., & O’Neill, M. (2005). Problem gambling and harm: working towards a national definition. Melbourne, Australia: National Ministerial Council on Gambling, South Australian Centre for Economic Studies, & the Department of Psychology, University of Adelaide.
  43. Olason, D. T., Kristjansdottir, E., Einarsdottir, H., Haraldsson, H., Bjarnason, G., & Derevensky, J. L. (2011). Internet gambling and problem gambling among 13 to 18 year old adolescents in Iceland. International Journal of Mental Health and Addiction, 9(3), 257–263. doi: 10.1007/s11469-010-9280-7.CrossRefGoogle Scholar
  44. Purdie, N., Matters, G., Hillman, K., Ozolins, C., & Millwood, P. (2011). Gambling and young people in Australia. Report prepared for Gambling Research Australia.
  45. Slutske, W. S. (2007). Longitudinal studies of gambling behaviour. In G. Smith, D. C. Hodgins, & R. J. Williams (Eds.), Research and measurement issues in gambling studies.Oxford: Academic Press: Elsevier.Google Scholar
  46. Slutske, W. S., Jackson, K. M., & Sher, K. J. (2003). The natural history of problem gambling from age 18 to 29. Journal of Abnormal Psychology, 112(2), 263–274. doi: 10.1037/0021-843X.112.2.263.CrossRefPubMedGoogle Scholar
  47. Splevins, K., Mireskandari, S., Clayton, K., & Blaszczynski, A. (2010). Prevalence of adolescent problem gambling, related harms and help-seeking behaviours among an Australian population. Journal of Gambling Studies, 26(2), 189–204. doi: 10.1007/s10899-009-9169-1.CrossRefPubMedGoogle Scholar
  48. Sroufe, L. A., Coffino, B., & Carlson, E. A. (2010). Conceptualizing the role of early experience: Lessons from the Minnesota longitudinal study. Developmental Review,30(1), 36–51. doi: 10.1016/j.dr.2009.12.002.CrossRefPubMedPubMedCentralGoogle Scholar
  49. Stinchfield, R. (2010). A critical review of adolescent problem gambling assessment instruments. International Journal of Adolescent Medicine and Health22(1), 77–93.
  50. Taylor, L. M., & Hillyard, P. (2009). Gambling awareness for youth: An analysis of the “Don’t Gamble Away our Future™” program. International Journal of Mental Health and Addiction, 7(1), 250–261. doi: 10.1007/s11469-008-9184-y.CrossRefGoogle Scholar
  51. Thomas, B. H., Ciliska, D., Dobbins, M., & Micucci, S. (2004). A process for systematically reviewing the literature: Providing the research evidence for public health nursing interventions. Worldviews on Evidence-Based Nursing, 1(3), 176–184. doi: 10.1111/j.1524-475X.2004.04006.x.CrossRefPubMedGoogle Scholar
  52. Todirita, I. R., & Lupu, V. (2013). Gambling prevention program among children. Journal of Gambling Studies, 29(1), 161–169.CrossRefPubMedGoogle Scholar
  53. Turner, N., & Liu, E. (1999). The naive human concept of random events. Presented at the 1999 Conference of the American Psychological Association, Boston, MA.Google Scholar
  54. Turner, N., Macdonald, J., Bartoshuk, M., & Zangeneh, M. (2008a). The evaluation of a 1-h prevention program for problem gambling. International Journal of Mental Health and Addiction, 6(2), 238–243. doi: 10.1007/s11469-007-9121-5.CrossRefGoogle Scholar
  55. Turner, N., Macdonald, J., & Somerset, M. (2008b). Life skills, mathematical reasoning and critical thinking: A curriculum for the prevention of problem gambling. Journal of Gambling Studies, 24(3), 367–380. doi: 10.1007/s10899-007-9085-1.CrossRefPubMedGoogle Scholar
  56. Walther, B., Hanewinkel, R., & Morgenstern, M. (2013). Short-term effects of a school-based program on gambling prevention in adolescents. Journal of Adolescent Health,52(5), 599–605. doi: 10.1016/j.jadohealth.2012.11.009.CrossRefPubMedGoogle Scholar
  57. Welte, J. W., Barnes, G. M., Tidwell, M.-C. O., & Hoffman, J. H. (2008). The prevalence of problem gambling among U.S. adolescents and young adults: Results from a national survey. Journal of Gambling Studies, 24(2), 119–133. doi: 10.1007/s10899-007-9086-0.CrossRefPubMedGoogle Scholar
  58. Williams, R. J. (2002). Prevention of problem gambling: A schoolbased intervention. Alberta: Canada: Alberta Gaming Research Institute.
  59. Williams, R. J., Connolly, D., Wood, R., Currie, S., & Davis, M. (2004). Program findings that inform curriculum development for the prevention of problem gambling. Gambling Research: Journal of the National Association for Gambling Studies (Australia)16(1), 47–69.
  60. Williams, R. J., Wood, R. T., & Currie, S. R. (2010). Stacked Deck: An effective, school-based program for the prevention of problem gambling. The Journal of Primary Prevention, 31(3), 109–125. doi: 10.1007/s10935-010-0212-x.CrossRefPubMedGoogle Scholar
  61. Winters, K. C., Stinchfield, R. D., & Fulkerson, J. (1993). Toward the development of an adolescent gambling problem severity scale. Journal of Gambling Studies, 9(1), 63–84. doi: 10.1007/BF01019925.CrossRefGoogle Scholar
  62. Winters, K. C., Stinchfield, R. D., & Kim, L. G. (1995). Monitoring adolescent gambling in Minnesota. Journal of Gambling Studies, 11(2), 165–183. doi: 10.1007/BF02107113.CrossRefPubMedGoogle Scholar
  63. Wood, R. T., & Williams, R. J. (2007). “How much money do you spend on gambling?” The comparative validity of question wordings used to assess gambling expenditure. International Journal of Social Research Methodology, 10(1), 63–77. doi: 10.1080/13645570701211209.CrossRefGoogle Scholar
  64. Zorzela, L., Loke, Y. K., Ioannidis, J. P., Golder, S., Santaguida, P., Altman, D. G., et al. (2016). PRISMA harms checklist: Improving harms reporting in systematic reviews. BMJ,352, i157. doi: 10.1136/bmj.i157.CrossRefPubMedGoogle Scholar

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