ArticleHarm reduction journal2025
What do they say they are doing? a mixed-methods analysis of Swedish gambling operators' duty of care action plans.
Article in Harm reduction journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Structural gaps in referral and treatment pathways for gambling-related harm: a systematic review of health system responses using the antecedents-decision-outcomes framework.Frontiers in public health · 2026Pooled it
- Predicting problem gambling among online sports and race bettors: Assessing the value of machine learning using behavioural and self-reported data.Journal of behavioral addictions · 2026Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccountability for gambling-related harms remains a contested issue, with debates centering on who should be responsible and how interventions should be structured. While Responsible Gambling (RG) frameworks have traditionally emphasized individual responsibility through voluntary tools, growing concerns have led regulators to introduce more robust, operator-focused duty of care requirements. This study analyzes Action Plans (APs) submitted by 52 licensed Swedish gambling operators to examine how duty of care obligations are interpreted and implemented.
methodThe study employed a mixed-methods approach to analyze the APs, combining qualitative and quantitative methods. The process involved a conceptual literature review, the development of a purpose-built critique instrument, rubric-based scoring, and thematic content analysis. Each AP was individually coded and scored using a five-point Likert scale (i.e., 0 - 4) across key duty of care themes. This approach enabled a comprehensive evaluation of how operators interpret, articulate, and operationalize duty of care responsibilities within the Swedish gambling regulatory framework.
resultsThe overall alignment scores were generally low, with a median of 1.94 and 50% of documents falling within a moderately spread range of 1.15 to 2.75; only 10% scored above 3.25. While operators performed relatively well in monitoring and risk identification (mean = 2.67), their lower scores in proactive engagement (mean = 1.62) point to a reactive, response-driven focus rather than a preventive strategy. Additionally, a prevailing narrative across the APs frames harmful gambling as affecting only a vulnerable group, thereby subtly justifying minimal and narrowly targeted interventions.
conclusionsThe findings highlight the influence of RG frameworks, with many operators emphasizing individual responsibility rather than systemic harm reduction. In addition, there is a need for clearer, more robust guidelines, as higher compliance was linked to well-defined requirements. Instrumental templates, such as the critique tool developed in this study, can support designing measurable requirements and evaluating their implementation. Finally, duty of care directives can play a dual role: establishing harm reduction specifications and reshaping the narratives that define gambling. Framing them as both regulatory tools and narrative-making platforms can provide policymakers with a powerful means to reorient the discourse around gambling and enhance harm reduction outcomes.
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