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Table 1 Domains and intervention elements for the programme

From: Manaaki – a cognitive behavioral therapy mobile health app to support people experiencing gambling problems: a randomized control trial protocol

Modules

Conceptual Framework

Underpinning Intent

Key Intervention Elements

Knowing Myself (and my gambling)

Developing self-awareness and insight [44]

Designed to provide personalised feedback, goal setting, and understanding of gambling motivations, triggers, and/or consequences

Personalised feedback on gambling symptom severity and gambling behaviour

Reflecting on their goal of quitting or cutting back reasons for gambling

My gambling triggers

My negative gambling consequences

My reasons for gambling

Getting Ready (to make changes)

Targeting thoughts and feelings and activating behaviours [46]

Designed to enhance readiness and confidence to gamble less, helping to shape thoughts and values to help make change

Am I ready to gamble less?

Knowing my values

Knowing my strengths

The benefits of gambling less

My confidence

Deciding on my goal for change

Taking Control (right now)

Targeting practical behaviours and identification of situational and contextual triggers

Designed to identify strategies that can be used to “contain” the gambling in the short-term, directs to other useful tools such as venue exclusions

My previous strategies to gambles less

Limiting access to venues

Limiting access to money

Guidelines for gambling safely

Resisting social pressures

Taking Actions (that last)

Activating personal strengths and resources and enhancing belief for successful change [47, 48]

Designed to identify strategies and skills that can be used to ensure longer-term success in gambling less

My budget

My enjoyable activities

Learning to relax

The tricks that keep me gambling

My gambling thinking traps

Gamblers fallacy, Chasing, Illusion of control, Near misses

Managing Urges (to cope with real situations)

Reframing thoughts and reflecting on your future self [47, 48]

Designed to cope with gambling urges and cravings

Previous attempts to manage my gambling urges

The three ‘Ds’: delay, distract and discuss

My brief relaxation strategies

My brief imagery strategies

How I rationalise my gambling

Urge surfing

My urge management reminders

Change for GOOD (and building a new future)

Relapse prevention [49]

Designed to prevent gambling relapse in the future

Identifying my high-risk situation and my thoughts and feelings

My seemingly irrelevant decisions

My willpower breakdown

My decision consequences

Learning from my lapses