Context matters: A meta-ethnography investigating barriers and facilitators for the effective implementation of gambling harm prevention and reduction policies.

ABSTRACT: This meta-ethnography investigates how contextual factors influence the implementation and effectiveness of gambling harm prevention and reduction interventions. Despite growing recognition of gambling as a public health concern, many interventions focus on individual responsibility and lack evidence of effectiveness. This study synthesizes qualitative research to examine how social, institutional, and cultural contexts shape seven intervention types: educational campaigns, exclusion programs, availability regulations, spending limits, advertising restrictions, behavioral feedback, and behavioral interruptions. A systematic literature search was conducted across multiple databases (Medline, PsycINFO, SocINDEX, Applied Social Sciences Index and Abstracts, Worldwide Political Science Abstrac

SUBMITTER: Selin J 

PROVIDER: S-EPMC12935266 | biostudies-literature | 2026

REPOSITORIES: biostudies-literature