Evidence map›Paper›PMID 36788494›Full record

ArticleBMC public health2023

'We are not the ones to blame'. Gamblers' and providers' appraisal of self-exclusion in Germany.

Ludwig Kraus, Andreas Bickl, Lucia Sedlacek, Larissa Schwarzkopf, Jenny Cisneros Örnberg, Johanna K Loy

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. 'I Battle With This Gambling Addiction Every Day'. Learning From Lived Experiences of Recovery to Guide Gambling Harm Prevention Strategies.Health expectations : an international journal of public participation in health care and health policy · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Ludwig KrausIFT Institut für Therapieforschung, Centre for Mental Health and Addiction Research, Leopoldstraße 175, 80804, Munich, Germany. ludwig.kraus@su.se.
Andreas BicklIFT Institut für Therapieforschung, Centre for Mental Health and Addiction Research, Leopoldstraße 175, 80804, Munich, Germany.
Lucia SedlacekIFT Institut für Therapieforschung, Centre for Mental Health and Addiction Research, Leopoldstraße 175, 80804, Munich, Germany.
Larissa SchwarzkopfIFT Institut für Therapieforschung, Centre for Mental Health and Addiction Research, Leopoldstraße 175, 80804, Munich, Germany.
Jenny Cisneros ÖrnbergDepartment of Public Health Sciences, Centre for Social Research on Alcohol and Drugs, Stockholm University, Stockholm, Sweden.
Johanna K LoyIFT Institut für Therapieforschung, Centre for Mental Health and Addiction Research, Leopoldstraße 175, 80804, Munich, Germany.
IFT Institut für Therapieforschung · DEEötvös Loránd University · HUStockholm University · SE

Funding

Responding to and Reducing Gambling Problems - Studies in Help-seeking, Measurement, Comorbidity and Policy Impacts' financed by the Swedish Research Council for Health, Working Life and Welfare (Forte) 2016-07091
6 · The paper itself

Abstract

backgroundGiven low utilization by individuals experiencing gambling problems the potential of self-exclusion (SE) might be not fully exploited in Germany. This paper aims to gain insight into different actors' perceptions and reflections on the problems and difficulties in the process of self-exclusion to delineate which specific attitudes hamper a successful implementation of SE.

methods13 individual and four group interviews with individuals experiencing gambling problems and governmental or commercial gambling providers were examined. A Grounded Theory Approach was used to portray the opinions of these different actors on existing regulations of SE and to delineate potentially diverging interests between the distinct groups.

resultsThe interviewees agreed on the usefulness of SE and consented that it is important to early recognize individuals experiencing gambling problems. They also considered the present practice insufficient but for different reasons. Individuals experiencing gambling problems and providers particularly disagreed on addressing individuals experiencing gambling problems. While individuals experiencing gambling problems stated that they had hardly ever been approached, providers argued that help offers were mostly rejected. Especially commercial providers also regarded insufficient German language skills and rapid fluctuation of guests as strong barriers to approaching individuals experiencing gambling problems. Interviewees from governmental venues furthermore suspected that commercial providers took addressing individuals experiencing gambling problems less seriously.

conclusionOur results emphasize the dilemma of conflicting interests in both individuals experiencing gambling problems and providers. Rather than acting against the economic interests of employers, venue staff blame individuals experiencing gambling problems for lack of problem recognition. Conversely, individuals experiencing gambling problems blame the providers for not offering help. To address individuals experiencing gambling problems appropriate staff training is required, and SE regulations need to be controlled by an independent body rather than by the providers themselves.

Indexed as

GamblingCognitionGermanyGovernmentHumansConflict of interestGamblingInterviewsLegal regulationsSelf-exclusion

Identifiers

PMID36788494
PMCPMC9926676
OpenAlexW4320727993

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.