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Despite the size and scope of responsible gambling (RG) programs in the U.S., relatively few studies have evaluated these programs. Using survey data from 4795 subscribers to a casino loyalty program, we examined respondents' awareness of and engagement with the GameSense RG program, and gambling beliefs and behaviors. We compared how differences in the implementation structure and visibility of the GameSense program (i.e., state-regulated with a standalone, branded GameSense center vs. corporate-integrated as part of loyalty program desks) was associated with GameSense awareness and engagement, perceptions of gambling operator RG practices, three Positive Play subscales (i.e., behavior, personal responsibility, and gambling literacy), understanding of gambling concepts, and use of RG strategies. More respondents who had visited the property with a state-regulated, branded center were aware of GameSense (36.5%), compared to respondents who visited other properties (7.4%). Perceptions of the operator's RG practices were generally high for all respondents. Multivariate analyses revealed no relationship between GameSense awareness and gambling belief or behavior outcomes, yet showed that respondents who picked up a GameSense brochure used slightly more RG strategies. Our findings suggest that the visibility of an RG program might influence program awareness and engagement but not certain RG-related behavioral outcomes.
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http://dx.doi.org/10.1007/s10899-021-10013-6 | DOI Listing |
BMC Womens Health
September 2025
Society for Family Health-Nigeria, Abuja, Nigeria.
Background: Interventions aimed to increase healthcare provider empathy and capacity to deliver person-centered care have been shown to improve healthcare seeking and outcomes. In the context of self-injectable contraception, empathetic counseling and coaching may be promising approaches for addressing "fear of the needle" among clients interested in using subcutaneous depot medroxyprogesterone (DMPA-SC). In Nigeria, the Delivering Innovation in Self-Care (DISC) project developed and evaluated an empathy-based in-service training and supportive supervision intervention for public sector family (FP) planning providers implemented in conjunction with community-based mobilization.
View Article and Find Full Text PDFBMC Public Health
September 2025
Department of Medicine, Huddinge, Karolinska Institutet, 141 83, Huddinge, Sweden.
Background: Preschools are important environments in shaping young children's lifestyle behaviours, including movement (physical activity, screen time, and sleep) and eating behaviours. Few studies have investigated how teachers and principals can be supported in promoting healthy lifestyle behaviours in the preschool setting and whether a digital support tool could be a way forward. This study aimed to explore preschool teachers' and principals' perceptions, needs, and prerequisites for promoting healthy lifestyle behaviours, as well as their preferences for a potential digital support.
View Article and Find Full Text PDFPLoS One
September 2025
Washington Department of Fish and Wildlife, Olympia, Washington, United States of America.
Natural resource management agencies commonly conduct outreach and engagement with the public, with the goals of raising awareness, educating constituents, encouraging compliance with rules, and supporting future participation in management processes. In Washington, USA, significant effort was invested over more than a decade to inform and engage recreational anglers and divers, and the broader public, in recovery efforts related to rockfish species (Sebastes spp.) listed for protection under the Endangered Species Act (ESA).
View Article and Find Full Text PDFPLoS One
September 2025
School of Social Sciences and Global Studies, The Open University, Milton Keynes, United Kingdom.
Background: There is evidence that cerebral palsy (CP) could be linked to stigma and discrimination, however current evidence is limited to small qualitative studies. The goal of this co-designed survey was to elicit information on experiences of stigma and discrimination amongst a larger sample of adults in the UK and Ireland.
Methods: Quantitative questions about sources of stigma and qualitative questions designed to elicit information on experiences of stigma were shared via an online survey.
JAMA Netw Open
September 2025
Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Importance: Long COVID (ie, post-COVID-19 condition) is a substantial public health concern, and its association with health-related social needs, such as food insecurity, remains poorly understood. Identifying modifiable risk factors like food insecurity and interventions like food assistance programs is critical for reducing the health burden of long COVID.
Objective: To investigate the association of food insecurity with long COVID and to assess the modifying factors of Supplemental Nutrition Assistance Program (SNAP) participation and employment status.