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Evaluation of a School-Based Gambling Prevention Program for Adolescents: Efficacy of Using the Theory of Planned Behaviour

Renée A. St-Pierre, Jeffrey L. Derevensky, Caroline E. Temcheff, Rina Gupta, Alexa Martin-Story


The theory of planned behaviour (TPB) and the concept of negative anticipated emotions (NAEs) have attracted research attention in the formulation of effective preventive interventions. This approach has identified several key constructs of the TPB (i.e., intentions, attitudes, subjective norms, perceptions of behavioural control) and NAEs as valid predictors of gambling behaviours and problems. However, no empirical investigation has used these constructs in the design or evaluation of a preventive intervention for adolescent problem gambling. The current research aimed to assess the efficacy of targeting NAEs and key TPB constructs in a prevention video for modifying gambling beliefs, intentions, and behaviours. A sample of 280 high school students were randomly assigned to either an intervention or a control condition. Participants were assessed at pre-intervention, post-intervention, and 3-month follow-up. Results reveal that the video was not effective in producing desired changes in NAEs, the key constructs of the TPB, or the frequency of gambling behaviour. The findings suggest that the video, delivered as a universal preventive intervention, may be insufficient for modifying NAEs and other TPB key constructs, or for changing gambling behaviours.

Pour la formulation d’interventions préventives efficaces, l’attention de chercheurs s’est portée sur la théorie du comportement planifié et le concept d’émotions négatives anticipées. Cette approche a permis de relever plusieurs constructions clés de la théorie du comportement planifié (soit, les intentions, attitudes, normes subjectives, perceptions du contrôle comportemental) et des émotions négatives anticipées comme indicateurs valides de comportements et de problèmes liés au jeu. Cependant, aucune étude empirique n’a utilisé ces constructions dans la conception ou l’évaluation d’une intervention préventive pour le jeu des adolescents. La recherche actuelle visait donc à évaluer dans quelle mesure il était efficace de cibler les émotions négatives anticipées et les constructions clés du comportement planifié dans une vidéo de prévention afin de modifier les croyances, les intentions et les comportements du jeu. Un échantillon de 280 élèves du secondaire a été affecté au hasard à une condition d’intervention ou de contrôle. Les participants ont été évalués avant et après l’intervention et au suivi, trois mois plus tard. Les résultats révèlent que la vidéo n’a pas été efficace pour produire les changements souhaités dans le cas des émotions négatives anticipées, les constructions clés du comportement planifié ou la fréquence du comportement du jeu. Les résultats permettent de conclure que la vidéo présentée comme intervention préventive universelle ne suffit pas à modifier les émotions négatives anticipées ni d’autres constructions clés du comportement planifié ou des comportements de jeu.

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Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211. doi:10.1016/0749-5978(91)90020-t

Ajzen, I. (2002). Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. Journal of Applied Social Psychology, 32, 665–683. doi:10.1111/j.1559-1816.2002.tb00236.x

Bagozzi, R. P., Dholakia, U. M., & Basuroy, S. (2003). How effortful decisions get enacted: The motivating role of decision processes, desires, and anticipated emotions. Journal of Behavioral Decision Making, 16, 273–295. doi:10.1002/bdm.446

Baumeister, R. F., Vohs, K. D., DeWall, N., & Zhang, L. (2007). How emotion shapes behavior: Feedback, anticipation, and reflection, rather than direct causation. Personality and Social Psychology Review, 11, 167–203. doi:10.1177/1088868307301033

Blinn-Pike, L., Worthy, S. L., & Jonkman, J. N. (2010). Adolescent gambling: A review of an emerging field of research. Journal of Adolescent Health, 47, 223–236. doi:10.1016/j.jadohealth.2010.05.003

Breitenbecher, K. H., & Scarce, M. (2001). An evaluation of the effectiveness of a sexual assault education program focusing on psychological barriers to resistance. Journal of Interpersonal Violence, 16, 387–407. doi:10.1177/088626001016005001

Buckley, L., Sheehan, M., & Shochet, I. (2010). Short-term evaluation of a school-based adolescent injury prevention program: Determining positive effects or iatrogenic outcomes. Journal of Early Adolescence, 30, 834–853. doi:10.1177/0272431609361201

Calado, F., Alexandre, J., & Griffiths, M. D. (2017). Prevalence of adolescent problem gambling: A systematic review of recent research. Journal of Gambling Studies, 33, 397–424. doi:10.1007/s10899-016-9627-5

Caron, F., Godin, G., Otis, J., & Lambert, L. D. (2004). Evaluation of a theoretically based AIDS/STD peer education program on postponing sexual intercourse and on condom use among adolescents attending high school. Health Education Research, 19, 185–197. doi:10.1093/her/cyg017

Conner, M., Sandberg, T., McMillan, B., & Higgins, A. (2006). Role of anticipated regret, intentions and intention stability in adolescent smoking initiation. British Journal of Health Psychology, 11, 85–101. doi:10.1348/135910705x40997

Cook, S., Turner, N. E., Ballon, B., Paglia-Boak, A., Murray, R., Adlaf, E. M., . . . Mann, R. E. (2015). Problem gambling among Ontario students: Associations with substance abuse, mental health problems, suicide attempts, and delinquent behaviours. Journal of Gambling Studies, 31, 1121–1134. doi:10.1007/s10899-014-9483-0

Cuijpers, P., Jonkers, R., De Weerdt, I., & De Jong, A. (2002). The effects of drug abuse prevention at school: The ‘Healthy School and Drugs’ project. Addiction, 97, 67–73. doi:10.1046/j.1360-0443.2002.00038.x

Cummings, W. T., & Corney, W. (1987). A conceptual model of gambling behavior: Fishbein's Theory of Reasoned Action. Journal of Gambling Studies, 3, 190–201. doi:10.1007/bf01367440

Delfabbro, P., King, D., & Griffiths, M. D. (2014). From adolescent to adult gambling: An analysis of longitudinal gambling patterns in South Australia. Journal of Gambling Studies, 30, 547–563. doi:10.1007/s10899-013-9384-7

Delfabbro, P. H., Winefield, A. H., & Anderson, S. (2009). Once a gambler – always a gambler? A longitudinal analysis of gambling patterns in young people making the transition from adolescence to adulthood. International Gambling Studies, 9, 151–163. doi:10.1080/14459790902755001

Dunlop, S. M., Wakefield, M., & Kashima, Y. (2010). Pathways to persuasion: Cognitive and experiential responses to health-promoting mass media messages. Communication Research, 37, 133–164. doi:10.1177/0093650209351912

Dussault, F., Brendgen, M., Vitaro, F., Wanner, B., & Tremblay, R. E. (2011). Longitudinal links between impulsivity, gambling problems and depressive symptoms: A transactional model from adolescence to early adulthood. Journal of Child Psychology and Psychiatry, 52, 130-138. doi:10.1111/j.1469-7610.2010.02313.x

Evans, R. I. (2003). Some theoretical models and constructs generic to substance abuse prevention programs for adolescents: Possible relevance and limitations for problem gambling. Journal of Gambling Studies, 19, 287–302. doi:10.1023/a:1024207504890

Fishbein, M., & Ajzen, I. (2010). Predicting and changing behavior: The reasoned action approach. New York, NY: Psychology Press.

Fisher, S. (2000). Developing the DSM-IV-MR-J criteria to identify adolescent problem gambling in non-clinical populations. Journal of Gambling Studies, 16, 253–273. doi:10.1023/A:1009437115789

Gibbons, F. X., Houlihan, A. E., & Gerrard, M. (2009). Reason and reaction: The utility of a dual‐focus, dual‐processing perspective on promotion and prevention of adolescent health risk behaviour. British Journal of Health Psychology, 14, 231–248. doi:10.1348/135910708X376640

Gillespie, M. A. M., Derevensky, J., & Gupta, R. (2007). The utility of outcome expectancies in the prediction of adolescent gambling behaviour. Journal of Gambling Issues, 19, 69–85. doi:10.4309/jgi.2007.19.4

Green, M. C. (2006). Narratives and cancer communication. Journal of Communication, 56, S163–S183. doi:10.1111/j.1460-2466.2006.00288.x

Guo, J.-L., Lee, T.-C., Liao, J.-Y., & Huang, C.-M. (2015). Prevention of illicit drug use through a school-based program: Results of a longitudinal, cluster-randomized controlled trial. Journal of Adolescent Health, 56, 314–322. doi:10.1016/j.jadohealth.2014.12.003

Gupta, R., & Derevensky, J. L. (1996). The relationship between gambling and video game playing in children and adolescents. Journal of Gambling Studies, 12, 375–394. doi:10.1007/BF01539183

Hansen, M., & Rossow, I. (2008). Adolescent gambling and problem gambling: Does the total consumption model apply? Journal of Gambling Studies, 24, 135–149. doi:10.1007/s10899-007-9082-4

Hinyard, L. J., & Kreuter, M. W. (2007). Using narrative communication as a tool for health behavior change: A conceptual, theoretical, and empirical overview. Health Education & Behavior, 34, 777–792. doi:10.1177/1090198106291963

International Centre for Youth Gambling Problems and High-Risk Behaviors. (Producer). (2006). Clean Break: A gambling prevention docudrama [DVD]. Available from

Jemmott, J. B., III, Jemmott, L. S., Braverman, P. K., & Fong, G. T. (2005). HIV/STD risk reduction interventions for African American and Latino adolescent girls at an adolescent medicine clinic: A randomized controlled trial. Archives of Pediatrics and Adolescent Medicine, 159, 440–449. doi:10.1001/archpedi.159.5.440

Jemmott, J. B., III, Jemmott, L. S., Fong, G. T., & McCaffree, K. (1999). Reducing HIV risk-associated sexual behavior among African American adolescents: Testing the generality of intervention effects. American Journal of Community Psychology, 27, 161–187. doi:10.1007/bf02503158

Kline, R. B. (2004). Beyond significance testing: Reforming data analysis methods in behavioral research. Washington, DC: American Psychological Association.

Kreuter, M., Green, M., Cappella, J., Slater, M., Wise, M., Storey, D., . . . Woolley, S. (2007). Narrative communication in cancer prevention and control: A framework to guide research and application. Annals of Behavioral Medicine, 33, 221–235. doi:10.1007/bf02879904

Lakens, D. (2013). Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs. Frontiers in Psychology, 4(863). doi:10.3389/fpsyg.2013.00863

Ladouceur, R., Goulet, A., & Vitaro, F. (2013). Prevention programmes for youth gambling: a review of the empirical evidence. International Gambling Studies, 13, 141–159. doi:10.1080/14459795.2012.740496

Li, S., Zhou, K., Sun, Y., Rao, L.-L., Zheng, R., & Liang, Z.-Y. (2010). Anticipated regret, risk perception, or both: Which is most likely responsible for our intention to gamble? Journal of Gambling Studies, 26, 105–116. doi:10.1007/s10899-009-9149-5

Martin, R. J., Nelson, S., Usdan, S., & Turner, L. (2011). Predicting college student gambling frequency using the theory of planned behavior: Does the theory work differently for disordered and non-disordered gamblers? Analysis of Gambling Behavior, 5, 45–58.

Martin, R. J., Usdan, S., Nelson, S., Umstattd, M. R., LaPlante, D., Perko, M., & Shaffer, H. (2010). Using the theory of planned behavior to predict gambling behavior. Psychology of Addictive Behaviors, 24, 89–97. doi:10.1037/a0018452

McBride, N., Farringdon, F., Midford, R., Meuleners, L., & Phillips, M. (2004). Harm minimization in school drug education: Final results of the School Health and Alcohol Harm Reduction Project (SHAHRP). Addiction, 99, 278–291. doi:10.1111/j.1360-0443.2003.00620.x

Midford, R. (2009). Drug prevention programmes for young people: Where have we been and where should we be going? Addiction, 105, 1688–1695. doi:10.1111/j.1360-0443.2009.02790.x

Moore, S. M., & Ohtsuka, K. (1997). Gambling activities of young Australians: Developing a model of behaviour. Journal of Gambling Studies, 13, 207–236. doi:10.1023/a:1024979232287

Nation, M., Crusto, C., Wandersman, A., Kumpfer, K. L., Seybolt, D., Morrissey-Kane, E., & Davino, K. (2003). What works in prevention: Principles of effective prevention programs. American Psychologist, 58, 449–456. doi:10.1037/0003-066X.58.6-7.449

Ogden, J. (2012). Health psychology: A textbook (5th ed.). New York, NY: McGraw-Hill.

Osborne, J. W. (2013). Best practices in data cleaning: A complete guide to everything you need to do before and after collecting your data. Thousand Oaks, CA: Sage.

Petraglia, J. (2007). Narrative intervention in behavior and public health. Journal of Health Communication, 12, 493–505. doi:10.1080/10810730701441371

Poulter, D. R., & McKenna, F. P. (2010). Evaluating the effectiveness of a road safety education intervention for pre-drivers: An application of the theory of planned behaviour. British Journal of Educational Psychology, 80, 163–181. doi:10.1348/014466509X468421

Rahman, A. S., Pilver, C. E., Desai, R. A., Steinberg, M. A., Rugle, L., Krishnan-Sarin, S., & Potenza, M. N. (2012). The relationship between age of gambling onset and adolescent problematic gambling severity. Journal of Psychiatric Research, 46, 675–683. doi:10.1016/j.jpsychires.2012.02.007

Richard, R., de Vries, N. K., & van der Pligt, J. (1998). Anticipated regret and precautionary sexual behavior. Journal of Applied Social Psychology, 28, 1411–1428. doi:10.1111/j.1559-1816.1998.tb01684.x

Risen, J. L., & Gilovich, T. (2007). Another look at why people are reluctant to exchange lottery tickets. Journal of Personality and Social Psychology, 93, 12–22. doi:10.1037/0022-3514.93.1.12

Sheeran, P., & Orbell, S. (1999). Augmenting the theory of planned behavior: Roles for anticipated regret and descriptive norms. Journal of Applied Social Psychology, 29, 2107–2142. doi:10.1111/j.1559-1816.1999.tb02298.x

Slutske, W. S., Deutsch, A. R., Richmond-Rakerd, L. S., Chernyavskiy, P., Statham, D. J., & Martin, N. G. (2014). Test of a potential causal influence of earlier age of gambling initiation on gambling involvement and disorder: A multilevel discordant twin design. Psychology of Addictive Behaviors, 28, 1177–1189. doi:10.1037/a0035356

St-Pierre, R. A., Derevensky, J. L., Temcheff, C. E., & Gupta, R. (2015). Adolescent gambling and problem gambling: Examination of an extended theory of planned behaviour. International Gambling Studies, 15, 506–525. doi:10.1080/14459795.2015.1079640

St-Pierre, R. A., Temcheff, C. E., Derevensky, J. L., & Gupta, R. (2015). Theory of planned behaviour in school-based adolescent problem gambling prevention: A conceptual framework. Journal of Primary Prevention, 36, 361–385. doi:10.1007/s10935-015-0404-5

Temcheff, C. E., Déry, M., St-Pierre, R. A., Laventure, M., & Lemelin, J.-P. (2016). Precocious initiation into smoking, alcohol use and gambling among children with conduct problems. Canadian Journal of Psychiatry, 61, 50–58. doi: 10.1177/0706743715620402

Temcheff, C. E., St-Pierre, R. A., Derevensky, J. L., & Gupta, R. (2014, September). Using an extended model of the theory of planned behaviour to understand adolescent gambling. Poster session presented at the European Association for the Study of Gambling (EASG) 10th European conference on Gambling Studies and Policy Issues, Helsinki, Finland.

Turner, N., Macdonald, J., Bartoshuk, M., & Zangeneh, M. (2008). The evaluation of a 1-h prevention program for youth gambling. International Journal of Mental Health and Addiction, 6, 238–243. doi:10.1007/s11469-007-9121-5

Turner, N. E., Macdonald, J., & Somerset, M. (2008). Life skills, mathematical reasoning and critical thinking: A curriculum for the prevention of problem gambling. Journal of Gambling Studies, 24, 367–380. doi:10.1007/s10899-007-9085-1

van der Pligt, J., & de Vries, N. K. (1998). Expectancy-value models of health behaviour: The role of salience and anticipated affect. Psychology & Health, 13, 289–305. doi:10.1080/08870449808406752

van Ginkel, J. R. (2014). SPSS syntax for applying rules for combining multivariate estimates in multiple imputation. Retrieved from =574efb2c48954c00c471f619&assetKey=AS%3A368186454233093%401464793899925

van Ginkel, J. R., & Kroonenberg, P. M. (2014). Analysis of variance of multiply imputed data. Multivariate Behavioral Research, 49, 78–91. doi:10.1080/00273171.2013.855890

Vitaro, F., Wanner, B., Ladouceur, R., Brendgen, M., & Tremblay, R. E. (2004). Trajectories of gambling during adolescence. Journal of Gambling Studies, 20, 47–69. doi:10.1023/B:JOGS.0000016703.84727.d3

Volberg, R. A., Gupta, R., Griffiths, M. D., Ólason, D. T., & Delfabbro, P. (2010). An international perspective on youth gambling prevalence studies. International Journal of Adolescent Medicine and Health, 22, 3–38.

Wanner, B., Vitaro, F., Carbonneau, R., & Tremblay, R. E. (2009). Cross-lagged links among gambling, substance use, and delinquency from midadolescence to young adulthood: Additive and moderating effects of common risk factors. Psychology of Addictive Behaviors, 23, 91–104. doi:10.1037/a0013182

Warren, J. R., Hecht, M. L., Wagstaff, D. A., Elek, E., Ndiaye, K., Dustman, P., & Marsiglia, F. F. (2006). Communicating prevention: The effects of the keepin’ it REAL classroom videotapes and televised PSAs on middle-school students’ substance use. Journal of Applied Communication Research, 34, 209–227. doi:10.1080/00909880600574153

Webb, T. L., Sniehotta, F. F., & Michie, S. (2010). Using theories of behaviour change to inform interventions for addictive behaviours. Addiction, 105, 1879–1892. doi:10.1111/ j.1360-0443.2010.03028.x

Weissberg, R. P., Kumpfer, K. L., & Seligman, M. E. P. (2003). Prevention that works for children and youth: An introduction. American Psychologist, 58, 425–432. doi:10.1037/0003-066X.58.6-7.425

Williams, R. J., West, B. L., & Simpson, R. I. (2012). Prevention of problem gambling: A comprehensive review of the evidence and identified best practices. Guelph, ON: Ontario Problem Gambling Research Centre.

Williams, R., Wood, R., & Currie, S. (2010). Stacked Deck: An effective, school-based program for the prevention of problem gambling. The Journal of Primary Prevention, 31, 109–125. doi:10.1007/s10935-010-0212-x

Wolfson, S., & Briggs, P. (2002). Locked into gambling: Anticipatory regret as a motivator for playing the National Lottery. Journal of Gambling Studies, 18, 1–17. doi:10.1023/a:1014548111740

Wu, A., & Tang, C. (2012). Problem gambling of Chinese college students: Application of the theory of planned behavior. Journal of Gambling Studies, 28, 315–324. doi: 10.1007/s10899-011-9250-4

Zeelenberg, M., & Pieters, R. (2004). Consequences of regret aversion in real life: The case of the Dutch postcode lottery. Organizational Behavior and Human Decision Processes, 93, 155–168. doi:10.1016/j.obhdp.

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