JMIR Publications

ABSTRACT

Voluntary self-exclusion from gambling is a common, but likely underdeveloped, harm reduction tool in the management of gambling problems or gambling disorder. Large-scale, multi-operator, and operator-independent self-exclusion services are needed. A recent nationwide multi-operator self-exclusion service in Sweden (‘Spelpaus’) is promising, but recent data have revealed limitations to this system and possibilities to breach one’s self-exclusion through overseas online gambling. More knowledge is needed about the benefits and challenges of such an extensive self-exclusion service, and its effects as perceived by gamblers. This study protocol describes the rationale and design of a qualitative interview study addressing the effects and limitations perceived by individuals with gambling problems and their concerned significant others. The aim is to interview enough gamblers in order to achieve saturation. The study aims to provide in-depth experience of this novel self-exclusion service, and to inform stakeholders and policy makers for future improvement of harm reduction tools against gambling problems. Gamblers with self-reported gambling problems will be recruited through social media for a qualitative interview study. Recorded interview material will be analyzed through content analysis, and recruitment will continue until saturation in the material is reached. The present study will provide in-depth information about a harm reduction tool which is promising and commonly used, but which has proven to be breached by a significant number of users, potentially limiting its efficiency.