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Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 DOI 10.1186/s40405‑ 017‑ 0024‑ 5 RESEAR CH ARTICLE Open Access A review of educational‑based gambling prevention programs for adolescents 1* 2 3 Boon Chin Oh , Yee Jie Ong and Jasmine M. Y. Loo *Correspondence: Abstracts firstname.lastname@example.org Graduate School Educational-based problem gambling prevention programs are important avenues in of Education, University targeting at-risk behaviors among adolescents to prevent an escalation of problematic of Melbourne, Parkville, VIC 3010, Australia behaviors into adulthood. The aim of this review is to examine features pertinent to Full list of author information effective educational-based programs in the area of adolescent problem gambling is available at the end of the prevention in hopes of providing a foundation and future suggestions for preventive article efforts. A stronger understanding of this research area will be essential in ensuring that past practical and theoretical advancements are integrated into the development of future programs. Background Gambling disorder (GD) is defined as a continuous and recurring compulsive gambling behavior that may affect functioning at the individual, family and social level (American Psychiatric Association 2013; Pirritano et al. 2014; Verdura Vizcaino et al. 2013). It is formally known as pathological gambling (PAG) in DSM-IV, which is defined as destruc - tive and recurrence gambling behavior that intervene interest regarding personal, fam- ily and career (Loo et al. 2008; Sleczka et al. 2015). It is used primarily in clinical and medical contexts. Meanwhile, problem gambling (PG) is defined as compulsive gambling behavior that bring forth negative consequences to personal and society, but it may not necessarily meet diagnostic criteria of pathological gambling (Loo et al. 2008; Williams et al. 2012). Hence, these terms (GD, PAG, PG) will guide our discussion in this paper. Nowadays, gambling can be easily accessed in many forms (Lavoie and Ladouceur 2004). Given the global expansion of the gambling industry, a significant increase in the prevalence of problem gambling is inevitable (Williams et al. 2012). Williams et al. (2012) compared various problem gambling prevalence studies from 1975 to 2012 and identified an average PG rate of 2.3% across the different countries, with the lowest 0.5% in Denmark and Netherland, and the highest in Hong Kong (average 5.6%), Macau (6.0%) and South Africa (6.4%). Lower PG rates were found in European countries (e.g., Denmark and Germany), while higher rates were found in Asian countries (e.g. Hong Kong, Macau, and Singapore) (Williams et al. 2012). This globalise phenomenon is associated with numerous negative consequences, affecting not just individuals, but as well as their families and the society (Messerlian and Derevensky 2005; Williams et al. 2012). Gambling industries were reported to be © The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 2 of 16 generating remarkable profits with over US$ 30 billion revenues from nations such as United States and Macau (Gaming Inspection and Coordination Bureau 2012; Lehman 2011). With such a high involvement of money on gambling, there is no doubt that financial difficulties would be one of the most common problem experienced as PGs have been reported suffering from massive debts, poverty and bankruptcy (George and Murali 2005; Williams et al. 2011). This can lead to other secondary issues such as dis - ruption in family relationships. PGs would often have conflicts with their family mem - bers, potentially negatively impacting younger generations. Adolescents who report symptoms of GD are more likely to have parents with gambling issues (Magoon and Ingersoll 2006; Vachon et al. 2004). Similarly with adults, adolescents also face many psychosocial issues associated with PG. Problem gamblers are also at a higher risk of developing many psychological issues, namely, depression, anxiety, alcoholism and antisocial personality disorder (Cunning- ham-Williams et al. 1998; Delfabbro et al. 2006; George and Murali 2005). Among them, depression is most prevalent, with a comorbidity range of 50–70%, and this is promi- nent among youths (Becona et al. 1996; Messerlian et al. 2007). Langhinrichsen-Rohling et al. (2004) also found that problematic adolescent gamblers were more susceptible to conduct problems, substance abuse and emotional issues. Relational issues may con- sequently lead to family neglect, domestic violence and even mental health problems (George and Murali 2005; Williams et al. 2012). In fact, it was reported that children of problem gamblers were at a higher risk of developing conduct and adjustment prob- lems, mostly due to neglected parenting precipitated by gambling activities (Vitaro et al. 2008). There is no doubt that an adolescent’s school performance would also be affected as their attention is being redirected to managing gambling-related problems. Ólason et al. (2006) reported that students who engage in PG reported lower grades, lower sat- isfaction of their school performance and skipped classes more often as compared to non-PGs. These findings reiterate that PG has detrimental effects on adolescents’ psy - chosocial and emotional well being. Prevalence of adolescent gambling is on the rise (Nower et al. 2004; Turner et al. 2008) and many youths reported gambling at least once at the age of 8–12 years (Ladouceur et al. 1994). Early exposure to gambling may lead to a higher risk of developing PG, which many PGs in retrospect reported gambling at a younger age onset (Chambers et al. 2003; Nower et al. 2004). Furthermore, due to limited developed cognitive ability, adolescents are more susceptible to gambling fallacies (Chambers et al. 2003; Lavoie and Ladouceur 2004); hence, higher PG prevalence compared to adults (Gupta and Dereven- sky 1998; Nower et al. 2004; Shaffer et al. 1999). Nevertheless, efforts and actions have been taken to mitigate adverse consequences of gambling in the society, particularly among adolescents. Educational-based prevention programs are excellent grass-roots methods that have been used in several regions for PG prevention (Lavoie and Ladouceur 2004; Turner et al. 2008a, b; Williams and Con- nolly 2006). Goldston et al. (2008) noted the importance of addressing PG at early age to reduce carryover of PG behaviour into adulthood. Hence, this review aims to examine the available literature on educational-based prevention programs focusing on adoles- cents. A systematic search was done using keywords of gambling, prevention, awareness, and education as well as inclusion criteria of educational-based approach and adolescent Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 3 of 16 population through the following databases: Academic Search Complete, PsycARTI- CLES, Google Scholar, Springer, PubMed, Elsevier and ProQuest Central. All papers were further evaluated, and this results in a total of 17 studies, which will be described and evaluated in subsequent sections. Educational‑based gambling prevention programs among adolescents Several gambling prevention programs have been developed to address the arising prev- alence of PG among adolescents. As prevention outcomes are based on the content and the targeted audience, risk and protective factors related to gambling are essential com- ponents in designing preventions. Guilamo-Ramos et al. (2005) noted that preventions can be based on different theoretical perspective, one focusing on addressing unique determinants of behaviours (risk factors) and another focusing on common deter- minant of behaviours (protective factors). Dowling et al. (2017) defined risk factors as factors that can increase the possibility of PG and protective factors as factors that can reduce the possibility of PG. Hence, prevention programs that target risk factors aim to decrease the influence of risk factors, whereas prevention programs targeting protective factors aim to increase the influence of protective factors in preventing PG. The edu - cational-based gambling prevention programs for adolescents found in this paper are mainly categorized into either the unique or common determinant of problem gambling approach to warrant further discussion. A summary of various prevention programs based on unique and common determinants of problem gambling approach are tabu- lated in Tables 1 and 2. Unique determinant (risk factors) of problem gambling approach In the gambling prevention context, much emphasis has been placed on addressing unique gambling-related cognition such as erroneous beliefs about gambling (Turner et al. 2008a, b). Gamblers’ faulty beliefs and lack of gambling knowledge contribute to the development of PG (Blaszczynski and Nower 2002), which suggests the importance of educational gambling information in PG prevention. Education of information, based on the inoculation theory, states that knowledge can prepare individuals against future gambling urges (McGuire 1961). In other words, educational gambling knowledge serves as a resistance that can help protect individuals from future attitudinal change. Mathematical education has been proposed to be effective in correcting erroneous cognitions on gambling (Lavoie and Ladouceur 2004; Turner et al. 2008a, b; Williams and Connolly 2006; Williams et al. 2010). Williams and Connolly (2006) investigated the effectiveness of increasing statistical and mathematical knowledge through classes focusing on gambling probabilities to reduce gambling participation among university students. A post 6 months evaluation then showed that students’ knowledge in gambling odds and resistance towards gambling fallacies increased after the prevention, but no visible changes in actual gambling behaviour were reported. This suggests that math - ematical knowledge contributed to the students’ theoretical knowledge may be insuffi - cient to induce changes in PG behaviour. In fact, PGs are found to be well-equipped with gambling knowledge and information (Delfabbro et al. 2009). The differences between PGs and non-PGs could be explained by the unrealistic beliefs they hold about gambling. Goldston et al. (2008) noted that misconceptions about illusion of control can contribute Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 4 of 16 Table 1 Unique determinant of problem behaviour approach Authors Aim and program design Participants Findings Ferland et al. (2002) Examined a video-based educational program to N = 424 students in age range from 11 to 15 years old A significant reduction of misconceptions, F(3, correct misconceptions and cognitive errors on Conditions: (1) video only; (2) information only; (3) 416) = 8.56, p < 0.0001, and knowledge errors, F(3, gambling such as differences between gambling information and video; (4) control 416) = 8.86, p < 0.0001, reported in all treatment and skill, chances of winning, illusion of control, groups compared to the control group randomness and winning strategies. Most reduction in misconceptions reported in the information and video condition groups Ladouceur et al. (2003) Examined a preventive exercises on correcting gam- First phase of study, N = 153 students from grade 5 In the first study, a significant reduction in erroneous bling misconceptions and made comparison with and 6, divided into treatment and control group perception reported in the treatment group com- the Count Me Out gambling awareness program Second phase of the study, N = 509 students from pared to the control group, F(1, 151) = 13.90; p < .05 Three exercises: (1) “The Draw” activity focused on the same grades, conditions: (1) Count me out In the second study, E-S condition reported significant illustration of independence of events in gambling administered by specialist (C-S); (2) Count me out reduction of misconceptions compared to C-T and and the concept of chance; (2) “The Dice Game” administered by a teacher (C-T ); (3) Preventive exer- C-S conditions, F (2,346) = 3.83; p < .05 demonstrated that one cannot control the results of cises designed and administered by specialist (E-S) Program administered by the specialist produced better gambling; (3) The “Lottery” activity emphasized that outcomes compared to program administered by the no one can control chance teacher (p < .05) Preventive exercises designed by the specialist were found more efficient compared to the exercises from the Count Me Out program (p < .05) Ladouceur et al. (2004) Examined an English translated video-based edu- N = 506 students from grade 7 and 8 divided into Significant improvement on knowledge and reduction cational program to correct misconceptions and treatment and control group in misconceptions about gambling reported in the improve knowledge about gambling treatment group Lavoie and Ladouceur (2004) Examined a video-based educational program to N = 273 French-speaking students in grade 5 and 6 Significant increase in gambling knowledge, modifying attitudes towards gambling and improv- Conditions: (1) Discussion + Video; (2) Video-only; (3) F(2.266) = 7.25, p < .005, and decreases in erroneous ing knowledge on gambling such as misconcep- Control attitudes, F(2.267) = 7.05, p < .005, reported in both tions, cognitive errors and illusion of control treatment groups No significant differences found between the two treat - ment groups Ladouceur et al. (2005) Examined a video-based educational program to N = 568 from grade 11–12 from three high schools, Significant improvement in specific knowledge on improve gambling knowledge and correct gam- divided into treatment and control group excessive gambling, F(1,493) = 18.06; P < .0001, and bling misconceptions decrease stereotypes towards excessive gamblers, F(1,481) = 24.36; P < .0001, reported in treatment group Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 5 of 16 Table 1 continued Authors Aim and program design Participants Findings Williams and Connolly (2006) Examined a class educational program to decrease N = 470 university students Significant increase in statistical knowledge, F(2, gambling behaviour by improving statistical Conditions: (1) Probability Theory + Gambling 330) = 25.4, p < .01, and resistance to gambling fal- knowledge such as descriptive statistics, probability, Examples; (2) Generic instruction on Probability; (3) lacies, F(2, 330) = 3.2, p = .05, reported in treatment estimation, and the central limit theorem Control groups Reported no significant reduction in gambling behav- iour Korn et al. (2006) Examined the usability internet-based prevention N = 34 youths were interviewed Youths reported that they liked the information, program through games, information and help interface and interactivity of the website, felt that the resources content were appropriate and appealing, increased Program includes time management, general risk knowledge and awareness about gambling, and perception, money management, decision making, know where to seek help for gambling related issues principles of randomness, self-assessment, negative consequences minimization, and gambling treat- ment resources Taylor and Hillyard (2009) Examined a gambling awareness prevention program N = 8455 students from primary, junior high and high Significant change in gambling misconceptions “Don’t Gamble Away Our Future” to improve gam- school reported in post-test, t (8,454) = − 50.89, p = .000 bling awareness and knowledge Parents were invited for presentations and given information packet Walther et al. (2013) Examined a school-based media education program N = 2109 students in grade 6 and 7 from 80 schools, Significant increase in gambling knowledge (d = 0.18), on gambling knowledge, attitudes and behaviors divided into treatment and control group decrease in problematic gambling attitudes (d = 0.15) Program: 90-min program about gambling fallacies, and current gambling behavior (d = 0.02) discussion about warning signs of pathological No significant effect on lifetime gambling gambling and role play exercise on gambling features Todirita and Lupu (2013) Compared primary prevention program with rational N = 81 children of age 12–13 Significant improvement reported in gambling knowl- emotive education (REE) on children’s gambling Conditions: (1) Primary Prevention; (2) REE; (3) Control edge in both treatment groups, F(2, 77) = 23.33, knowledge p < .001 Primary prevention program focused on illusion of Primary prevention was more efficient than REE, F(2, control, attitudes and cognitive errors in gambling 78) = 21.97, p < .001, in changing misconceptions REE focused on problem-solving techniques and about games improving emotional strength Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 6 of 16 Table 1 continued Authors Aim and program design Participants Findings Lupu and Lupu (2013) Compared effectiveness of primary prevention pro - N = 75 teenagers from grade 6 Significant change in erroneous cognitions about gram and REE Conditions: (1) Control; (2) REE; (3) Primary prevention gambling reported in treatment group that was Primary prevention program focused on restructuring and REE exposed to primary prevention program and REE, F(2, gambling misconceptions 72) = 33.54, p = .000, changes maintained and lasted REE focused on understanding cognitive and behav- for at least 12 months ior ABC model to gambling Donati et al. (2014) Examined a school-based educational program to N = 181, mean age = 15.95 Significant improvement in gambling knowledge, prevent adolescent PG focusing on gambling F(1,145) = 12.62, p < .01, and economic perception, knowledge and misconceptions, economic gam- F(1,143) = 7.16, p < .01, in reported treatment group bling perception and superstitious thinking Significant reduction in gambling misconceptions, F(1,145) = 10.84, p < .01, and superstitious thinking, F(1,141) = 5.48, p < .05 reported in treatment group Findings were stable over time and small significant gambling behavioural change were reported, χ (1, N = 83) = 2.34, p < .05 Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 7 of 16 ff Table 2 Common determinant of problem behaviour approach Authors Design Participants Findings King and Hardy (2006) Developed gambling action team (GAT ) to address Participants: Students from University of Alabama Eectiveness of the program was not evaluated campus gambling campus The program was comprehensive as it targeted: (a) aware- Prioritize in: (a) developing comprehensive gambling ness and information; b) skill development and educa- education program; (b) providing gambling related tion; c) capacity building, community development consultation; (c) developing problem gambling aware- and institutional change; (d) social and public policy; ness approach; (d) ensuring compliance with local prevention aimed at individuals at high risk efforts, law and legislation Turner et al. (2008a) Examined a 1 h prevention program for PG, targeting N = 374 from grade 5 to 12 from 18 schools, divided Significant improvements on gambling misconceptions gambling myths, poor coping skills, emotional distress into treatment and control group reported, F (1,360) = 6.8, p < 0.01, in the treatment and problem solving skills group but no significant effect on gambling behaviour, coping skills and gambling attitudes Turner et al. (2008a) Examined a school-based educational program focusing N = 201 students of age 15–18, divided into treatment Significant increased in knowledge in random chances, on PG awareness, self-monitoring and coping skills and control group F(1, 9.4) = 14.7, p < .01, self-monitoring, F(1, 8.4) = 6.4, and random chance knowledge p < .05, and coping skills, F(1, 9.6) = 9.7, p < .02, reported in treatment group Found a moderate to high impact on students who were at-risks Williams et al. (2010) Examined a school-based prevention program to N = 1240 students from grade 9–12 from 14 schools, Significant improvements in gambling knowledge, prevent PG divided into treatment and control group F(2, 1235) = 35.1, p < .001), gambling attitudes, F(2, Five to six interactive lessons: (1) history of gambling; (2) 1235) = 15.4, p < .001, decision making, problem solv- problem gambling; (3) gambling fallacies; (4) decision ing, F(2, 1235) = 6.29, p = .002, resistance to gambling making and problem solving, and (5) barriers to good fallacies F(2, 1235) = 34.4, p < .001, reported in treat- decision making and problem solving ment group. More negative attitudes towards gambling Significant reduction in rates of gambling frequency, F(2, 1235) = 4.07, p = .017, and PG, χ (1 df) = 3.75, p = .053, reported in treatment group Luk et al. (2011) Examined a positive youth development program N = 232 secondary one students from two schools, 16 Significant positive change in the social competency (P.A.T.H.S) to help students to develop intrapersonal, students selected for focus group sessions scores (p = .0001) compared to the pre-test interpersonal skills and sense of personal autonomy Significant reduction in life satisfaction scale and an Focus group conducted to examine the impression and increase in behavioral intention to drink alcohol and to perceived benefits of the program gamble Program was reported boring by some students Improvements on interpersonal skills, emotion manage- ment and a sense of responsibility reported Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 8 of 16 to GD. This belief system seems to reduce their rationality when gambling, focusing on winning strategies instead of the amount of time and money spent in gambling activities. This leads to prevention efforts focused on addressing gambling misconceptions. Lavoie and Ladouceur (2004) conducted a video-based prevention program to increase students’ gambling knowledge and modify erroneous gambling perceptions by show- ing a video about illusion of control and gambling probabilities. Video was used as a medium as it could capture students’ interest and attention, resulting in larger preven- tion effect. Results revealed that students’ gambling knowledge increased and errone - ous perceptions were reduced. This implied the benefits and effectiveness of multimedia learning in illustrating complicated gambling-related concepts, which can prevent PG behaviour (Mayer and Moreno 2002; Wohl et al. 2010). It is important to note that the impact of video presentations on actual gambling behaviour was not evaluated in this study, which could be further examined. Goldston et al. (2008) developed a video-based prevention aimed to educate stu- dents about gambling misconceptions. Students aged between 11 and 15 years old were recruited and assigned into either video-only, information-only, both video and information, or control condition. In the video condition, students watched a 20-min video about gambling and skill, chances of winning, randomness, and illusion of con- trol through a humorous presentation portrayed by a character in the video. Meanwhile, students in the information-only condition engaged in discussions about gambling activities, misconceptions, financial consequences and development of lotteries. Results revealed that students in all three conditions reported a significant decrease in gambling misconceptions compared to the control group. The combined information and video condition also showed greater treatment effect compared to the other treatment condi - tions. Results indicate that humour is an effective way to capture the youth’s attention and to create a fun learning environment. Moreover, interactive sessions that encour- age engagement and discussions, as compared to a didactic session is more effective for youths. Holm (2000) agrees that interactive education is more effective in changing per - formance as compared to didactic education. In a follow up study by Ladouceur et al. (2004), the same video was translated into English and examined on a group of English-educated students from seventh to eighth grade. Similarly, students who watched the video had a significant improvement on gam - bling knowledge and a reduction in gambling misconceptions compared to the control group. This lends support for the usage of video to educate youth about gambling and correct their misconceptions about gambling. However, this study did not compare between the treatment conditions, so the conclusions on which method of delivery was better could not be determined. Ladouceur et al. (2005) conducted a similar study and found similar results in the treatment group. Nonetheless, research findings generally supported the benefits of video presentation and humor in gambling awareness pro - grams in targeting young audiences. Apart from these, Ladouceur et al. (2003) conducted a study to examine the effective - ness of a prevention program designed by a psychologist specialized in PG to correct gambling misconceptions through education on the concept of chance and independ- ence of events in gambling outcomes. The program was later compared with another generalist-developed gambling awareness program (Count Me Out), which addressed Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 9 of 16 the concepts of chance, luck and competency in hopes of preventing gambling decisions made based on chance or superstition. The prevention program designed and admin - istered by a specialist was more effective in reducing gambling misconceptions, which suggested the significance of both program administrator and content specificity. Donati et al. (2014) also examined an educational program, conducted by trained developmental psychologists, which targeted gambling misconceptions, economic gambling perception and superstitions. Positive outcomes were stable over time and some gambling behav- ioral changes were reported. These findings highlighted the importance of training pre - vention program providers and developing programs with solid theoretical foundation. Walther et al. (2013) examined the short-term effects of a media education prevention for sixth and seventh grade students on their gambling knowledge, attitudes and behav- iours. The whole program included internet use, online communication, online gaming and gambling. The 90-min program focused on educating students about gambling fal - lacies, signs of pathological gambling and gambling features. Students in the treatment group reported an increase in gambling knowledge, and reduction in both problematic gambling attitudes and current gambling behaviour seven weeks after intervention. However, there was no significant effect on lifetime gamblers. The results indicate that long-term effects should be taken into consideration when analyzing the effectiveness of gambling prevention programs on adolescent by examining the effects during adult - hood. Long-term effect is important in prevention studies because individuals interact with developmental, societal and cultural factors that constantly affect cognition and behavior, consequently impacting on the potential escalation (or non-escalation) to PG. Prevention programs should have a long-term goal to assist adolescents in coping with gambling urges while maintaining a healthy lifestyle. Furthermore, media education can potentially assist students in developing critical analytical skills necessary in processing positive media portrayals of gambling wins, which consequently reduces gambling pro- pensity for leisure purposes. In another study, Korn et al. (2006) developed a website to educate youths about gam- bling activities through multiple prevention strategies which targeted a range of gam- bling behaviours. Participants engaged in interactive games and learned about time and money management, general risk perception, decision making, and concept of randomness. Self-assessment and negative consequences minimization (i.e., for identi- fied high-risk PGs) were provided to assist participants in assessing their PG severity. Treatment resources were made available to participants who need professional help in managing their gambling behaviour. Finally, participants were interviewed to assess the effectiveness and impression of the website. Results showed that participants liked the presentation and interaction of the website, felt that the website was user friendly, con- tent appealing and appropriate, as well as, managed to gain knowledge and awareness about gambling. Future studies building up on these findings will benefit from utilizing the internet as a medium for PG awareness programs among youths, by introducing an interactive website as an effective means to retain interest and convey information to younger individuals. Proudfoot et al. (2011) stated that internet intervention is ideal as it can be tailor made to meet the needs of individuals with differing levels of PG severity. Furthermore, this study highlighted the importance of strengthening the social support system in improving youths’ coping strategies and managing risk factors. Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 10 of 16 Focusing on the social support aspect, Taylor and Hillyard (2009) examined an inter- active prevention program to raise gambling awareness among students, school admin- istrators and parents. Students participated in lectures, discussions and activities to understand gambling and dangers associated to it, while parents were invited to presen- tations and given an information packet. Significant improvements in gambling knowl - edge and awareness were reported after the program. Although the inclusion of parents as social support for participating youths were positively accepted, outcome effects of parents’ participation was not empirically examined to determine the extent of positive impact on students’ outcomes. Besides using media as a medium to deliver preventions, some studies examine other prevention approach and compared the effectiveness of the programs. A recent work by Todirita and Lupu (2013) compared one program using specific information about gambling and the other using rational emotive education (REE). REE targets to enhance emotions strength through increase awareness of emotional distress caused by irrational beliefs in gambling, which allows irrational beliefs to be replaced by rational beliefs. Lupu and Iftene (2009) found that REE can reduce anxiety associated with some disrup- tive behaviours such as gambling. Students in the information group were given hands- on experience on gambling activities via an interactive software, whereas students in REE group were taught skills on identifying emotions using the Activating-Belief-Conse- quences (ABC) model which explained that cognitions can triggered negative emotions and disruptive behaviours. Through this model, students learnt to change their feelings and behaviours through altering erroneous cognitions. Students in both groups reported improvements in gambling knowledge, particularly those in the information group who reported significant improvements in knowledge of gambling, illusion of control and erroneous cognitions (Todirita and Lupu 2013). The greater impact in information group could be moderated by age, as the students recruited were between 12 and 13 years old. According to Piaget’s cognitive development theory, children are still in a concrete oper- ation stage, which they have limited ability in solving concrete problems (Derevensky et al. 1996). The REE technique might be a difficult concept to grasp; hence, pure infor - mation via interactive software might be more appropriate for their age. Future research can examine how different prevention approach can affect different age group. Lupu and Lupu (2013) replicated a similar study by comparing the effectiveness of program which included both information and REE approaches, results showed that a combination of both approaches yielded larger intervention effects that were long-lasting (12 months). This opens up the possibility of including multiple approaches that targets both cogni - tive and emotions aspect for better and longer-lasting outcomes. The effectiveness of school-based prevention programs based on unique determinant of behaviour has found to show positive results on increasing gambling knowledge and correcting gambling misconceptions. However, the impact on actual gambling behav- iour was not well-established. The unique determinant approach also mainly focused on cognitive factors, less emphasis was placed on other factors such as emotions, cul- ture, societal and family influence. Blaszczynski and Nower (2002) found that emotional vulnerabilities and prior impulsive-related disorder contributed to the development of problem gambling as well. Hodgins et al. (2012) also found that PG behaviour was associated with religion, demographic variables, peers’ influence and marital status. Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 11 of 16 Hence, preventions that are based on specific determinant of gambling behaviour should examine these factors as well. On the other hand, an alternative view, which focuses not on problem behaviours, but emphasizes on positive factors in adolescent develop- ment associated with problematic behaviours can provide valuable insights. This view is based on common determinant of behaviours and is based on the assumption that posi- tive development in youth can act as a protective factor against problematic behaviours (Guilamo-Ramos et al. 2005). Preventions developed based on this concept emphasize on building social skills, coping skills, resilience, self-efficacy, spirituality and any other positive behaviours that can potentially reduce or prevent negative behaviours. Common determinants (protective factors) of problem gambling approach Prevention studies that adopt the common determinant approach utilize the positive psychology approach, which is to focus on enhancing the protective factors to reduce the influence of risk factors that contribute towards PG. In gambling prevention studies, only a few studies were found using the common determinant approach as strategy in prevention programs. Turner et al. (2008a, b) designed a curriculum to teach gambling probabilities, self-monitoring, and coping skills. The implemented curriculum lasted seven weeks with teachers carrying out various interactive activities such as discussion, skits and counseling sessions. The findings revealed that the experimental group showed significant improvements in their understanding on randomness, self-monitoring, and coping skills. This program had greater impact especially for those students who needed such information; however, not for those high-risk students in terms of coping skill knowledge (Turner et al. 2008a, b). Similarly, Turner et al. (2008b) examined the effectiveness of a 1-h program target - ing gambling myths, poor coping skills, emotional distress and problem solving skills on students of grade five to 12. Researchers reported significant improvements on gambling misconceptions, but there were no significant results reported for coping skills, gam - bling attitudes and behaviour. One possibility of such outcome could be due to the short- term exposure to the program, which was insufficient to create a meaningful impact on skills, attitudes and behaviour. The program only successfully changed the cognitive aspect due to the informative element. This highlights the importance of the duration of exposure to programs in order for internalization to occur, which in turn facilitates change in attitude and behaviour. Williams et al. (2010) conducted a 4 months (longer exposure) program on lessons regarding gambling knowledge, erroneous cognitions and coping skills. The program mainly covered five lessons on gambling history, PG, gambling fallacies, decision mak - ing, and problems solving skills. Besides reporting increased gambling related knowl- edge, students gained better resistance to erroneous cognitions, and improved problem solving abilities and decision-making skills. Furthermore, participants had a more nega- tive attitude towards gambling and showed a decline in PG frequency. The results for both Turner et al. (2008a, b) and Williams et al. (2010) suggested that domains like cop- ing skill and problem solving can be effective in addressing PG. Although no apparent evaluation was conducted to measure program effectiveness, the work of King and Hardy (2006) is worth a mention for the comprehensive cover- age in a college setting. The main core focus in the program was the formation of a Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 12 of 16 team known as the Gambling Action Team (GAT) that takes specific initiatives in gam - bling education using proactive means. The GAT focused on developing a comprehen - sive gambling education, gambling-related consultation, PG awareness, and ensuring compliance with governmental efforts and legislation. This comprehensive program targets the collaboration of many experts and advocates to prevent PG using multiple platforms, such as gambling symposiums, gambling and debt management counseling based on campus, advertisements and informational websites (King and Hardy 2006). Although evaluation of its effectiveness is yet to be conducted, the GAT preparation and implementation was said to be a comprehensive program as it covers various important aspects such as awareness, skill development and capacity building (Connecticut Coun- cil on Problem Gambling 1998). In Asia, limited studies are available on gambling prevention among youths. Luk et al. (2011) looked into the impact of a positive youth development program on gambling behaviours of secondary students in Macau. The program aimed to improve interper - sonal, intrapersonal skills, and sense of autonomy to prevent problem behaviours such as alcohol abuse and gambling. Outcomes showed that there was a significant improve - ment on social competency scores, but students reported a reduction in life satisfaction and increased behavioral intention to drink alcohol and gamble. Focus group discussions revealed that some students felt that the program was boring. Another possible explana- tion could be that the interpersonal skills training contributed to increase peer influence to gamble due to socialization. This denotes the importance of emphasizing youth train - ing on coping strategies in dealing with peer pressure to gamble. The effectiveness of common determinant of behavior approach in prevention effort has not been well established as there were only few studies that found the use of this approach in the literature. Nonetheless, these studies provide some insights to mitigate PG from another perspective. Compared to prevention targeting specific risk factors of gambling, a broader and multidimensional approach might be good to address PG in a more holistic manner by including developmental and environmental factors. It is challenging, however, to select relevant components for program inclusion and deter- mine outcome measures of program effectiveness. Stice and Shaw (2004) noted that many moderating factors can affect intervention outcomes such as participants’ condi - tion, demographic variables, program format, content, number of sessions and measures used. Future research should look into these factors as part of program evaluation to effectively address PG in the community. Discussion Educational-based programs that adopted the unique determinant approach, which targeted risk factors to prevent PG among adolescents, have shown consistent pro- gram effect in increasing knowledge and correcting misconceptions about gambling, and consequently increase resistance towards gambling myths and fallacies. However, there is insufficient evidence from these programs to conclude that having good gam - bling knowledge and belief system can effectively reduce actual youth gambling behav - iour. This implies that there is a lack of transference of knowledge and beliefs learnt towards behavioural change in gambling. Future studies can examine programs that use cognitive-behavioural approach to provide opportunities for knowledge application into Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 13 of 16 gambling settings. Another reason for the lack of evidence is due to limited research found that examined behavioural outcomes of the educational programs, this suggests the importance of doing more follow-up studies to examine the effectiveness of pro - grams on gambling behaviour. Gambling educational programs that targeted risk factors provide useful insights into improving and restructuring cognitive process in relation to gambling. Most studies discussed placed too much emphasis on cognitive aspects that can contribute to gam- bling behaviour, while other risk factors such as parental and peer influences, which are known contributing factors to youth PG development were not addressed (Vachon et al. 2004; Magoon and Ingersoll 2006; Barnes et al. 1999). As adolescent learn through mod- elling and are in the stage where they are more susceptible to peer influences and peer pressure, programs that integrate parental and peer support can provide a holistic pre- vention against PG On the other hand, programs that adopt the common determinant approach aim to increase the influence of protective factors to address PG among youths provide an alternative perspective. Williams et al. (2010) found that addressing gambling knowledge and fallacies, as well as increasing problem solving skills could reduce gambling behav- iour. This suggests the importance of focusing on potential protective factors that can help to address PG. Shek and Lee (2010) suggest that programs that focus on positive youth development has the potential to strengthen their positive qualities and reduce the probability of developing PG. There is also a need to investigate and develop more theories that support this approach, so that more programs can apply appropriate the- ories into the framework to enhance the effectiveness of the programs. Williams et al. (2010) highlight the importance of incorporating both unique and common determinant approaches into the prevention program due to the benefits of both approaches. There - fore, future research can tap more onto these two approaches, to create more oppor- tunities for both approaches to integrate and complement one another in the effort to mitigate PG among adolescent. Examining approaches used in different prevention programs provide valuable insights toward building a strong foundation for future programs to be based on. Apart from looking at the approaches, some other factors are important to be discussed in this paper as well. Studies by Korn et al. (2006) demonstrated that youth responded well in programs that were interactive, fun and engaging. Some studies noted the benefits of using multi-media learning to enhance the learning and retention of knowledge among youths [Ferland et al. (2002); Ladouceur et al. (2004); Lavoie and Ladouceur (2004)]. Programs conducted by trained specialist produced better outcomes compared to pro- gram conducted by untrained teachers (Todirita and Lupu 2013). These studies point towards the importance of examining other components of programs such as method of delivery as well as the person delivering the programs. A comparison studies by Turner et al. (2008b) and Turner et al. (2008a) that targeted similar skills set in the programs but differed in duration of program showed that the time or number of sessions conducted could have different effects on program outcomes. Stice and Shaw (2004) suggest that different components of programs such as delivery method, content and provider could influence participants’ acceptance and respond towards the programs. This opens up Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 14 of 16 more possibility to investigate these factors to enhance the effectiveness of current and future programs. Given the importance of examining content (approaches, other potential risk and pro- tective factors) and components (delivery method, deliverer, duration and number of sessions) in educational programs, the evaluation of programs should be emphasized as well. Follow up evaluations on actual PG behaviour should be conducted to investigate long-term effects of prevention programs, as youths who are exposed to gambling at a young age could potentially develop PG during adulthood (Kourgiantakis et al. 2016). This indicated that PG can develop throughout youths’ developmental life span, high - lighting the need for programs with sustained long-term effect on actual PG outcomes and mental health. Conclusion In summary, the current review paper outlined studies that focus on educational-based gambling prevention programs for adolescents. Emerging discussions here emphasize the need for more theoretical and evidence-based programs that examine approaches, potential risk and protective factors, program structure, delivery methods and struc- tured long-term evaluation. All these factors should be taken into consideration by future researchers in developing and implementing programs that can effectively miti - gate PG among adolescent. Authors’ contributions All authors contributed to the discussion, research, writing and revision of the paper. All authors read and approved the final manuscript. Author details 1 2 Graduate School of Education, University of Melbourne, Parkville, VIC 3010, Australia. Psychology Department, Anglia Ruskin University, East Rd, Cambridge, UK. Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Sunway, Selangor DarulEhsan, Malaysia. Acknowledgements The authors thank Dr Jasmine Loo for initial discussions, guidance and review of the paper. Competing interests The authors declare that they have no competing interests. Informed consent All procedures were in accordance to ethical guidelines. Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Received: 26 March 2017 Accepted: 26 May 2017 References American Psychiatric Association. (2013). DSM 5. Arlington: American Psychiatric Association. Barnes, G. M., Welte, J. W., Hoffman, J. H., & Dintcheff, B. A. (1999). Gambling and alcohol use among youth: influ- ences of demographic, socialization, and individual factors. Addictive Behaviors, 24(6), 749–767. doi:10.1016/ S0306-4603(99)00048-9. Becona, E., Del Carmen Lorenzo, M., & Fuentes, M. J. (1996). Pathological gambling and depression. Psychological Reports, 78(2), 635–640. Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97(5), 487–499. Chambers, R. A., Taylor, J. R., & Potenza, M. N. (2003). Developmental neurocircuitry of motivation in adolescence: A critical period of addiction vulnerability. American Journal of Psychiatry, 160(6), 1041. Connecticut Council on Problem Gambling. (1998). Prevention of problem gambling. Retrieved from http://www.ccpg.org. Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 15 of 16 Cunningham-Williams, R. M., Cottler, L. B., Compton Iii, W. M., & Spitznagel, E. L. (1998). Taking chances: Problem gamblers and mental health disorders-results from the St. Louis epidemiologic catchment area study. American Journal of Public Health, 88(7), 1093. Delfabbro, P., Lahn, J., & Grabosky, P. (2006). Psychosocial correlates of problem gambling in Australian students. Australian and New Zealand Journal of Psychiatry, 40(6–7), 587–595. doi:10.1080/j.1440-1614.2006.01843.x. Delfabbro, P., Lambos, C., King, D., & Puglies, S. (2009). Knowledge and beliefs about gambling in Australian second- ary school students and their implications for education strategies. Journal of Gambling Studies, 25(4), 523–539. doi:10.1007/s10899-009-9141-0. Derevensky, J., Gupta, R., & Della Cioppa, G. (1996). A developmental perspective of gambling behavior in children and adolescents. Journal of Gambling Studies, 12(1), 49–66. doi:10.1007/BF01533189. Donati, M. A., Primi, C., & Chiesi, F. (2014). Prevention of problematic gambling behaviour among adolescent: Testing the Efficacy of an integrative intervention. Journal of Gambling Studies, 30(4), 803–818. doi:10.1007/s10899-013-9398-1. Dowling, N., Merkouris, S., Greenwood, C., Oldenhof, E., Toumbourou, J., & Youssef, G. (2017). Review: Early risk and protec- tive factors for problem gambling: A systematic review and meta-analysis of longitudinal studies. Clinical Psychology Review, 51, 109–124. doi:10.1016/j.cpr.2016.10.008. Ferland, F., Ladouceur, R., & Vitaro, F. (2002). Prevention of problem gambling: Modifying misconceptions and increasing knowledge. Journal of Gambling Studies, 18(1), 19–30. doi:10.1023/B:JOPP.0000048024.37066.32. Gaming Inspection and Coordination Bureau. (2012). Gross revenue from different gaming activities. Retrieved from http:// www.dicj.gov.mo/web/en/information/DadosEstat/2012/content.html#n1. George, S., & Murali, V. (2005). Pathological gambling: An overview of assessment and treatment. Advances in Psychiatric Treatment, 11, 450–456. Goldston, D. B., Molock, S. D., Whitbeck, L. B., Murakami, J. L., Zayas, L. H., & Hall, G. C. N. (2008). Cultural consid- erations in adolescent suicide prevention and psychosocial treatment. American Psychologist, 63(1), 14–31. doi:10.1037/0003-066X.63.1.14. Guilamo-Ramos, V., Litardo, H. A., & Jaccard, J. (2005). Prevention programs for reducing adolescent problem behaviors: Implications of the co-occurrence of problem behaviors in adolescence. Journal of Adolescent Health, 36(1), 82–86. Gupta, R., & Derevensky, J. L. (1998). Adolescent gambling behavior: A prevalence study and examination of the corre- lates associated with problem gambling. Journal of Gambling Studies, 14(4), 319–345. doi:10.1023/A:1023068925328. Hodgins, D. C., Schopflocher, D., Martin, C., El-Guebaly, N., Casey, D., Currie, S., et al. (2012). Disordered gambling among higher-frequency gamblers: Who is at risk? Psychological Medicine, 42(11), 2433–2444. Holm, H. A. (2000). Review: Interactive, but not didactic, continuing medical education is effective in changing physician performance. ACP Journal Club, 132(2), 75. King, C., & Hardy, T. W. (2006). The gambling action team: A cross-divisional approach to gambling education and inter- vention. New Directions for Student Services, 113, 83–92. doi:10.1002/ss.198. Korn, D., Murray, M., Morrison, M., Reynolds, J., & Skinner, H. A. (2006). Engaging youth about gambling using the internet: The YouthBet.Net website. Canadian Journal of Public Health, 97(6), 448–453. Kourgiantakis, T., Stark, S., Lobo, D. S., & Tepperman, L. (2016). Parent problem gambling: A systematic review of preven- tion programs for children. Journal Of Gambling Issues, 33, 8–29. doi:10.4309/jgi.2016.33.2. Ladouceur, R., Dube, D., & Bujold, A. (1994). Gambling among primary school students. Journal of Gambling Studies, 10(4), 363–370. doi:10.1007/BF02104902. Ladouceur, R., Ferland, F., & Fournier, P. M. (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. Ladouceur, R., Ferland, F., & Vitaro, F. (2004). Prevention of problem gambling: Modifying misconceptions and increasing knowledge among Canadians youths. Journal of Primary Prevention, 25(3), 329–335. doi:10.1023/B:J OPP.0000048024.37066.32. Ladouceur, R., Ferland, F., Vitaro, F., & Pelletier, O. (2005). Modifying youths’ perception toward pathological gamblers. Addictive Behaviors, 30(2), 351–354. doi:10.1016/j.addbeh.2004.05.002. Lavoie, M. P., & Ladouceur, R. (2004). Prevention of gambling among youth: Increasing knowledge and modifying atti- tudes toward gambling. Journal of Gambling Issues. doi:10.4309/jgi.2004.10.7. Langhinrichsen-Rohling, J., Rohde, P., Seeley, J. R., & Rohling, M. (2004). Individual, family, and peer correlates of adoles- cent gambling. Journal of Gambling Studies, 20(1), 23–46. doi:10.1023/B:JOGS.0000016702.69068.53. Lehman, B. (2011). 2011 report shows stable commercial casino industry following three chal- lenging years. Retrieved from http://www.americangaming.org/newsroom/ press-releases/2011-report-shows-stable-commercial-casino-industry-following-three. Loo, J. M. Y., Raylu, N., & Oei, T. P. S. (2008). Gambling among the Chinese: A comprehensive review. Clinical Psychology Review, 28(7), 1152–1166. doi:10.1016/j.cpr.2008.04.001. Luk, A. L., Au, A. M., Leong, K., Zhu, M. M., Lau, G., Wong, T. C., et al. (2011). Eec ff tiveness of a positive youth development program for secondary 1 students in Macau: A pilot study. The Scientific World Journal, 11, 1089–1100. Lupu, V., & Iftene, F. (2009). The impact of rational emotive behavior education on anxiety in teenagers. Journal of Cogni- tive and Behavioral Psychotherapies, 9(1), 95–105. doi:10.1016/j.sbspro.2013.12.692. Lupu, I. R., & Lupu, V. (2013). Gambling prevention program for teenagers. Journal of Cognitive & Behavioural Psychothera- pies, 13(2), 575–584. Magoon, M. E., & Ingersoll, G. M. (2006). Parental modeling, attachment, and supervision as moderators of adolescent gambling. Journal of Gambling Studies, 22(1), 1–22. Mayer, R. E., & Moreno, R. (2002). Animation as an aid to multimedia learning. Educational Psychology Review, 14(1), 87–99. McGuire, W. J. (1961). Resistance to persuasion conferred by active and passive prior refutation of the same and alterna- tive counterarguments. The Journal of Abnormal and Social Psychology, 63(2), 326–332. doi:10.1037/h0048344. Messerlian, C., Gillespie, M., & Derevensky, J. L. (2007). Beyond drugs and alcohol: Including gambling in a high-risk behavioural framework. Paediatrics & Child Health, 12(3), 199–204. Messerlian, C., & Derevensky, J. L. (2005). Youth gambling: A public health perspective. Journal of Gambling Issues, 20(1), 69–79. Oh et al. Asian J of Gambling Issues and Public Health (2017) 7:4 Page 16 of 16 Nower, L., Derevensky, J. L., & Gupta, R. (2004). The relationship of impulsivity, sensation seeking, coping, and substance use in youth gamblers. Psychology of Addictive Behaviors, 18(1), 49–55. doi:10.1037/0893-164X.18.1.49. Ólason, D. T., Skarphedinsson, G. A., Jonsdottir, J. E., Mikaelsson, M., & Gretarsson, S. J. (2006). Prevalence estimates of gambling and problem gambling among 13-to 15-year-old adolescents in Reykjavík: An examination of correlates of problem gambling and different accessibility to electronic gambling machines in Iceland. Journal of Gambling Issues, 18, 39–55. Pirritano, D., Plastino, M., Bosco, D., Gallelli, L., Siniscalchi, A., & De Sarro, G. (2014). Gambling disorder during dopa- mine replacement treatment in Parkinson disease: A comprehensive review. BioMed Research International. doi:10.1155/2014/728038. Proudfoot, J., Klein, B., Barak, A., Carlbring, P., Cuijpers, P., Lange, A., et al. (2011). Establishing guidelines for executing and reporting internet intervention research. Cognitive Behaviour Therapy, 40(2), 82–97. doi:10.1080/16506073.2011.573 Shaffer, H. J., Hall, M. N., & Bilt, J. V. (1999). Estimating the prevalence of disordered gambling behavior in the United States and Canada: A research synthesis. American Journal of Public Health, 89(9), 1369–1375. Shek, D. L., & Lee, J. J. (2010). Prevention of problem gambling in Chinese adolescents: relevance of problem gambling assessment and positive youth development frameworks. International Journal Of Adolescent Medicine And Health, 22(1), 139–151. Sleczka, P., Braun, B., Piontek, D., Bühringer, G., & Kraus, L. (2015). DSM-5 criteria for gambling disorder: Underlying struc- ture and applicability to specific groups of gamblers. Journal of behavioral addictions, 4(4), 226–235. Stice, E., & Shaw, H. (2004). Eating disorder prevention programs: A meta-analytic review. Psychological Bulletin, 130(2), Taylor, L. M., & Hillyard, P. (2009). Gambling awareness for youth: An analysis of the “Don’t Gamble Away Our Future” pro- gram. International Journal of Mental Health and Addiction, 7, 250–261. doi:10.1007/s11469-008-9184-y. Todirita, I., & Lupu, V. (2013). Gambling prevention program among children. Journal of Gambling Studies, 29(1), 161–169. doi:10.1007/s10899-012-9293-1. 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 Addiction, 6(2), 238–243. doi:10.1007/s11469-007-9121-5. Turner, N. E., Macdonald, J., & Somerset, M. (2008b). Life skills, mathematical reasoning and critical thinking: A cur- riculum for the prevention of problem gambling. Journal of Gambling Studies, 24(3), 367–380. doi:10.1007/ s10899-007-9085-1. Vachon, J., Vitaro, F., Wanner, B., & Tremblay, R. E. (2004). Adolescent gambling: Relationships with parent gambling and parenting practices. Psychology of Addictive Behaviors, 18(4), 398. Verdura Vizcaino, E. J., Fernandez-Navarro, P., Blanco, C., Ponce, G., Navio, M., Moratti, S., et al. (2013). Maintenance of atten- tion and pathological gambling. Psychology of Addictive Behaviors, 27(3), 861–867. doi:10.1037/a0032656. Vitaro, F., Wanner, B., Brendgen, M., & Tremblay, R. E. (2008). Ospr ff ing of parents with gambling problems: Adjust - ment problems and explanatory mechanisms. Journal of Gambling Studies, 24(4), 535–553. doi:10.1007/ s10899-008-9096-6. Walther, B., Hanewinkel, R., & Morgenstern, M. (2013). Short-term effects of a school-based program on gambling preven- tion in adolescents. Journal of Adolescent Health, 52(5), 599–605. doi:10.1016/j.jadohealth.2012.11.009. Williams, R. J., & Connolly, D. (2006). Does learning about the mathematics of gambling change gambling behavior? Psychology of Addictive Behaviors, 20(1), 62–68. doi:10.1037/0893-164X.20.1.62. Williams, R. J., Rehm, J., & Stevens, R. M. G. (2011). The social and economic impacts of gambling. Retrieved from https:// www.uleth.ca/dspace/handle/10133/1286 Williams, R. J., Volberg, R. A., & Stevens, R. M. G. (2012). The population prevalence of problem gambling: Methodologi- cal influences, standardized rates, jurisdictional differences, and worldwide trends. Retrieved from http://hdl.handle. net/10133/3068. Williams, R. J., West, B. L., & Simpson, R. I. (2012). Prevention of problem gambling: A comprehensive review of the evidence, and identified best practices. Retrieved from http://hdl.handle.net/10133/3121. Williams, R. J., Wood, R., & Currie, S. (2010). Stacked deck: An effective, school-based program for the prevention of prob - lem gambling. The Journal of Primary Prevention, 31(3), 109–125. doi:10.1007/s10935-010-0212-x. Wohl, M. J. A., Christie, K.-L., Matheson, K., & Anisman, H. (2010). Animation-based education as a gambling prevention tool: Correcting erroneous cognitions and reducing the frequency of exceeding limits among slots players. Journal of Gambling Studies, 26(3), 469–486. doi:10.1007/s10899-009-9155-7.
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