Abstracts
Résumé
La participation excessive aux jeux de hasard et d’argent peut conduire à des conséquences importantes pour les joueurs. Le télécounseling représente une nouvelle modalité d’intervention auprès des joueurs problématiques et a fait l’objet d’un nombre limité d’évaluations scientifiques. La présente étude évalue a posteriori un programme de télécounseling auprès de joueurs problématiques. Le programme, à partir de données compilées provenant de 84 dossiers de joueurs, a fait l’objet d’analyses quant à (1) sa concordance avec le programme cognitivo-comportemental de Ladouceur et coll. (2000) duquel il s’inspire ; (2) l’intégrité de son administration ; (3) son effet sur la motivation au changement et (4) la satisfaction des joueurs. Les résultats révèlent que 47,3 % du contenu du programme de télécounseling s’inspire du programme de traitement cognitivo-comportemental pour les problèmes de jeu. L’intégrité de l’administration du programme révèle que 24,3 % des joueurs ayant complété le programme ont reçu l’ensemble des éléments jugés essentiels à l’atteinte des objectifs. Les résultats révèlent une augmentation statistiquement significative du sentiment que le problème de jeu est résolu ou sous contrôle, une absence d’effet statistiquement significatif sur l’envie de jouer et un taux élevé de satisfaction à l’égard du programme. À la lumière de ces résultats, le télécounseling auprès des joueurs problématiques semble constituer une méthode d’intervention satisfaisante. Les futurs programmes de télécounseling devraient, avant leur mise en place, s’inscrire dans une démarche évaluative et méthodologique rigoureuse afin de s’assurer de leur efficacité.
Mots-clés :
- télécounseling,
- jeu pathologique,
- traitement,
- efficacité,
- problèmes de jeu
Abstract
Excessive gambling can lead to serious consequences for gamblers. Telecounseling represents a new form of intervention for problem gamblers that has a limited number of scientific assessments. This study retrospectively evaluates a telecounseling program for problem gamblers. The program, with data compiled from records of 84 gamblers, has been analyzed with respect to (1) its consistency with the cognitive-behavioral program of Ladouceur et al. (2000) from which it is based, (2) the integrity of its administration, (3) its effect on motivation to change, and (4) gamblers’ satisfaction. The results reveal that 47.3% of the telecounseling’s components are inspired of the cognitive-behavioral treatment for problem gambling. The program integrity analysis reveals that 24.3% of completers received all the elements considered essential to reach the objectives of the program. Gamblers’ feeling that their gambling problem is resolved or under control increases significantly after the program, while no significant effect was observed on the urges to gamble. Gamblers also show a high level of satisfaction with the program. These results indicate that telecounseling seems to be worthy of further investigation. Future telecounseling programs should plan for a methodical evaluation of the intervention to ensure their effectiveness.
Keywords:
- telecounseling,
- pathological gambling,
- treatment,
- efficiency,
- problem gambling
Resumen
La participación excesiva en los juegos de azar y de dinero puede tener consecuencias importantes para los jugadores. La consultoría psicológica a distancia constituye una nueva modalidad de intervención con jugadores problemáticos y ha sido objeto de una cantidad limitada de evaluaciones científicas. El presente estudio evalúa a posteriori un programa de consultoría psicológica a distancia para jugadores problemáticos. El programa, establecido a partir de datos provenientes de 84 casos de jugadores, fue analizado con respecto a los siguientes puntos : 1) su concordancia con el programa cognitivo-comportamental de Ladouceur y col. (2000), en el que se inspira ; 2) la integridad de su administración ; 3) su efecto sobre la motivación al cambio y 4) la satisfacción de los jugadores. Los resultados revelan que el 47,3% del contenido del programa de consultoría psicológica a distancia se inspira en el programa cognitivo-comportamental para los problemas de juego. La integridad de la administración del programa revela que 24,3% de los jugadores que lo completaron recibieron el conjunto de los elementos juzgados esenciales para el logro de los objetivos. Los resultados muestran un aumento estadísticamente significativo del sentimiento de que el problema de juego está resuelto o bajo control, una ausencia de efecto sobre el deseo de jugar que es estadísticamente significativa y un porcentaje de satisfacción elevado con respecto al programa. A la luz de estos resultados, la consultoría psicológica a distancia para jugadores problemáticos parece constituir un método de intervención satisfactorio. Los programas futuros de consultoría psicológica a distancia deberían aplicar un enfoque evaluativo y metodológico riguroso antes de su puesta en práctica a fin de asegurar su eficacia.
Palabras clave:
- asistencia psicológica a distancia,
- juego patológico,
- tratamiento,
- eficacia,
- problemas de juego
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Appendices
Remerciements
Cet article découle du mémoire doctoral d’Émilie Fortin-Gagnon, D.psy. Les questions de recherche soulevées dans cet article résultent d’un projet plus vaste financé par le ministère de la Santé et des Services sociaux du Québec (MSSS) et par le Fonds de recherche du Québec - Société et culture (FRQ-SC) : Évaluation des impacts de la ligne téléphonique Jeux : aide et référence et de services qui y sont rattachés : 2e Concours. Les auteurs tiennent à remercier tous les partenaires, particulièrement l’équipe de Jeu : aide et référence pour leur apport indispensable à la réalisation de l’étude.
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