dc.contributor.advisor |
Rodda, Simone |
|
dc.contributor.author |
Aucamp, Anna Louisa |
|
dc.date.accessioned |
2021-05-25T03:26:57Z |
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dc.date.available |
2021-05-25T03:26:57Z |
|
dc.date.issued |
2021 |
en |
dc.identifier.uri |
https://hdl.handle.net/2292/55146 |
|
dc.description |
Full Text is available to authenticated members of The University of Auckland only. |
en |
dc.description.abstract |
Background: Gambling-related harm is a major public health issue in Aotearoa, New Zealand but expert treatment services are under-subscribed. E-mental health could be a way to expand the stepped care model and increase access to services and expert clinicians. A blended approach that involves e-mental health and expert support could also be a way of increasing client engagement and retention. This thesis sought to determine the needs and preferences for gambling specific e-mental health in New Zealand with a focus on self-help screening and internet delivered CBT (i-CBT). Methods: A series of iterative and interconnected activities were undertaken. A needs analysis was conducted with 47 gambling providers and consumers in New Zealand. The needs analysis delivered a survey via Qualtrics to understand service provider and consumer experiences and preferences towards e-mental health and preferences for the configuration of two e-mental health tools. The second activity involved a co-design Hui that brought together gambling experts from across New Zealand to finalise the configuration of the two new e-mental health tools. Thematic analysis was used to code extensive notes taken during the co-design Hui. Results: The needs analysis found high agreement that e-mental health tools were helpful, valuable and relatively easy to use. The main benefits were increased access and reduced barriers to treatment. The main disadvantages were perceived loss of face-to-face time/resources. In terms of the self-help screener, participants reported a preference for it to be around 10 minutes in duration with support delivered by email, chat, and phone or face-to-face. Implementation issues included technical and clinical training, mentoring and supervision as well as cultural competence. In terms of a blended approach for i-CBT, participants reported it was feasible and the preferred duration of i-CBT was around 30 minutes per week. Findings from the co-design Hui suggested most support for a partial blend whereby clinicians and counsellors selected intervention content at each episode of care. Conclusions: Gambling treatment services in New Zealand are ready and willing to introduce a blended model into face-to-face services. This study found support for both a self-help screening tool and blended i-CBT as part of treatment as usual. The findings from this study will inform a new co-designed e-mental health programme for gambling harm reduction. |
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dc.publisher |
ResearchSpace@Auckland |
en |
dc.relation.ispartof |
Masters Thesis - University of Auckland |
en |
dc.relation.isreferencedby |
UoA |
en |
dc.rights |
Restricted Item. Full Text is available to authenticated members of The University of Auckland only. |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. |
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dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.rights.uri |
http://creativecommons.org/licenses/by-nc-sa/3.0/nz/ |
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dc.title |
An evaluation of stakeholder needs for gambling E-mental health services in Aotearoa New Zealand |
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dc.type |
Thesis |
en |
thesis.degree.discipline |
Health Science |
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thesis.degree.grantor |
The University of Auckland |
en |
thesis.degree.level |
Masters |
en |
dc.date.updated |
2021-05-15T02:39:58Z |
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dc.rights.holder |
Copyright: the author |
en |
dc.identifier.wikidata |
Q112954734 |
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