Evidence map›Paper›PMID 39888656›Full record

ArticleJMIR human factors2025

Exploring the Users' Perspective of the Nationwide Self-Exclusion Service for Gambling Disorder, "Spelpaus": Qualitative Interview Study.

Johanna Tjernberg, Sara Helgesson, Anders Håkansson, Helena Hansson

Abstract read
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Article in JMIR human factors, 2025. 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
–field-weighted citation impact
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

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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.

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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

4 authors.

Johanna TjernbergDepartment of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.ORCID 0009-0007-6704-4015
Sara HelgessonDepartment of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.ORCID 0009-0002-2751-6130
Anders HåkanssonDepartment of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.ORCID 0000-0002-5800-8975
Helena HanssonDepartment of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.ORCID 0009-0003-8685-7514

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProblem gambling and gambling disorder cause severe social, psychiatric, and financial consequences, and voluntary self-exclusion is a common harm reduction tool used by individuals with gambling problems.

objectiveThe aim of this study was to explore users' experience of a novel nationwide, multioperator gambling self-exclusion service, "Spelpaus," in Sweden and to inform stakeholders and policy makers in order to improve harm reduction tools against gambling problems.

methodsSemistructured interviews were conducted with 15 individuals who reported self-perceived gambling problems and who had experience of having used the self-exclusion service Spelpaus in Sweden. Interviews were transcribed and analyzed through qualitative content analysis.

resultsWe identified 3 categories and 8 subcategories. The categories were (1) reasons for the decision to self-exclude, (2) positive experiences, and (3) suggestions for improvement. The subcategories identified a number of reasons for self-exclusion, such as financial reasons and family reasons, and positive experiences described as a relief from gambling; in addition, important suggestions for improvement were cited, such as a more gradual return to gambling post-self-exclusion, better ways to address loopholes in the system, and transfer from self-exclusion to treatment.

conclusionsVoluntary self-exclusion from gambling, using a nationwide multioperator service, remains an appreciated harm-reducing tool. However, transfer from self-exclusion to treatment should be facilitated by policy making, and loopholes allowing for breaching of the self-exclusion need to be counteracted.

Indexed as

GamblingAdultFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSwedenbehavioral addictiongambling addictiongambling disorderharm reductionhuman factorslived experiencequalitative studyself-exclusionSpelpaususabilityvoluntary self-exclusion

Identifiers

PMID39888656
PMCPMC11829171

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