Table 1

Programme contents

ModuleSummary content
1. Psychoeducation about gambling problems
  • Information about the programme and technical platform

  • Gambling problems in general, signs of gambling, and the biopsychosocial model

  • Goals, and how the gambling problem started

2. Functional analysis and gambling free activities
  • Functional analysis with exercises

  • Gambling urges

  • Alternatives to gambling

  • Reinforcing non-gambling behaviour

3. Rewards and behavioural activation for both the CSO and problem gambler
  • Helping CSOs reconnect with their values

  • Behavioural activation and rewarding themselves

  • Strategies that make the CSO feel worse

  • Reconnecting with the gambler; doing things together

4. Psychoeducation about motivation and protecting the CSO’s economy
  • CSO's motivation to support the IP

  • Motivation and gambling; ‘stages of change’

  • How to talk about gambling and avoiding resistance; ‘asking for permission’

  • Protecting the CSO's economy

  • Lending money and enabling

5. Common behaviours that inadvertently enable gambling
  • Enabling

  • Natural negative consequences

6. Communication training and principles from MI
  • Rolling with the punches

  • Effective communication; ‘soft disclosures’

  • Active listening and reflections

7. Problem-solving
  • Problem-solving with exercises

  • Interactive log to perform the steps in problem-solving

8. Inviting the gambler into treatment
  • Identifying when motivation is high

  • Different treatment options

  • Examples of how to use communication skills

  • Support during treatment

  • Relapses

9. Repetition and evaluation
  • Repetition, evaluation, and creating an action plan

  • CSO, concerned significant other; IP, identified patient; MI, motivational interviewing.