Evidence map›Paper›PMID 41469674›Full record

Trial reportHarm reduction journal2025

Long-term efficacy of an optimized online gambling self-exclusion procedure with extended suspension of commercial solicitations: a randomized controlled trial.

Cora von Hammerstein, Amine Benyamina, Amandine Luquiens

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Harm reduction journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05413564 (Impact of a Self-Exclusion Procedure Optimized by an Extension of the Suspension of Commercial Solicitations), which is not on this map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

NCT05413564 nacompletednot on this map

Impact of a Self-Exclusion Procedure Optimized by an Extension of the Suspension of Commercial Solicitations

TypeinterventionalSponsorCentre Hospitalier Universitaire de NīmesRan2022 to 2024Enrolled2,554ConditionsGambling DisorderArmsoptimized self-exclusion procedure by extending the suspension of commercial solicitations for a total of 9 months
3 · Its place in the literature

Who cites it

0 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

3 authors.

Cora von HammersteinDepartment of Psychiatry and Addiction Medicine, Fernand Widal Hospital APHP, Paris, France. cora.vonhammerstein@aphp.fr.
Amine BenyaminaDepartment of Psychiatry and Addictology, APHP, Paul Brousse Hospital, Villejuif, France.
Amandine LuquiensUniversité Montpellier, Department of Addiction, CHU Nîmes, Nîmes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost individuals self-excluding from gambling have lost control over their gambling behavior. Commercial solicitations are prohibited during the self-exclusion period, but resume immediately afterwards. The self-exclusion system appears insufficient, particularly for short self-exclusions and among the heaviest gamblers. We assessed the impact of extending suspension of commercial solicitations on gambling intensity.

methodsIn this parallel randomized study, we included 2548 French online gamblers who self-excluded for up to 3 months from May-November 2022. They were assigned 1:1 to optimized self-exclusion with extended commercial solicitations ban for 9 months or standard procedure. The primary outcome was the change in total loss over the past 4 weeks at Month 9. We also assessed total deposit, total stakes, compulsivity, number and duration of gaming sessions and subsequent self-exclusions at 6, 9, 12 and 18 months.

resultsParticipants were randomized to the optimized group (n = 1265) or standard group (n = 1283). The results didn't show a significant difference in the reduction in total losses. The optimized group showed significantly reduced 4-week total deposits versus standard group at 6 months (455.68 euros vs. 319.65 euros, p = 0.017), 9 months (451.92 euros vs. 343.21 euros, p = 0.040), and 12 months (484.27 euros vs. 370.02 euros, p = 0.025). Significance was lost at 18 months (492.61 euros vs. 404.73 euros, p = 0.087).

conclusionsAn extended 9-month ban on direct commercial solicitations after self-exclusion significantly reduces gambling deposits during, and 3 months after, the ban. This supports the effectiveness of improving self-exclusion procedure. Future research should explore longer bans and indirect commercial solicitations.

trial registrationNCT05413564.

Indexed as

GamblingAdultFemaleFranceHumansInternetMaleMiddle AgedYoung AdultBehavioral interventionCommercial solicitationsProblem gamblingResponsible gamblingSelf-exclusion

Identifiers

PMID41469674
PMCPMC12754951

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Registered trials

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.