Actions to address CDoH at the local authority level
Actions to address CDoH at the local authority level

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Lancet Model:

Showing 171-180 of 301 items.
Workplace-based interventions on alcohol education and harm prevention

Area of Interest:
Alcohol
Lancet Model:
Level:  Level 4: Environments
Drivers:  N/A
Practices:  Scientific practices
Mechanism:
Cognitive
Effect:
0 (No Effect)
Scopes:
Global, Europe, UK

Details:

Types of identified workplace-based interventions: Screening and brief advice programmes; peer-referral programmes; mail-outs of information; staff training.

What we know: Workplace-based interventions are largely ineffective for reducing alcohol consumption and alcohol related-harm (Anderson et al., 2018).

Age of sale restrictions on alcohol

Area of Interest:
Alcohol
Lancet Model:
Level:  Level 4: Environments
Drivers:  N/A
Practices:  Marketing practices
Mechanism:
Physical environment
Effect:
+ (Beneficial effect)
Scopes:
Global, Europe, UK

Details:

What we know: Age of sale restrictions on alcohol are effective for reducing alcohol-related traffic crashes and consumption among young people as well as for protecting against future long-term negative outcomes related to alcohol and drug dependence, adverse birth outcomes, suicide and homicide (see De Jong and Blanchette 2014 in Siegfried and Parry, 2019).

Wholesale price cap on alcohol products

Area of Interest:
Alcohol
Lancet Model:
Level:  Level 3: Sectoral public policies
Drivers:  N/A
Practices:  Financial practices
Mechanism:
Financial
Effect:
N/A (Effect not discussed/reported)
References:
Scopes:
UK

Details:

Definition: Wholesale price caps restrict the price at which manufacturers can sell their products to retailers.

Dram shop liability for subsequent alcohol-related harm

Area of Interest:
Alcohol
Lancet Model:
Level:  Level 4: Environments
Drivers:  N/A
Practices:  Political practices
Mechanism:
Financial
Effect:
N/A (Effect not discussed/reported)
References:
Scopes:
Global, Europe

Details:

Further explanation: A dram shop liability policy would hold the owner/server(s) at a bar, restaurant or other location where a patron, adult or underage, consumed their last alcoholic beverage responsible for the harms subsequently inflicted by the patron on others.

Removal of large note acceptors in gambling outlets

Area of Interest:
Gambling
Lancet Model:
Level:  Level 4: Environments
Drivers:  Norms
Practices:  N/A
Mechanism:
Physical environment
Effect:
+/-0* (Suggestive but inconclusive)
References:
Scopes:
Global, Europe, UK

Details:

What we know: Restricting and/or removing large note acceptors was effective for reducing gambling expenditure, time spent playing EGMs, size of bet and frequency of visits in one study reporting that measured the effects of changing from $100 to $20 bill acceptors and instituting a $20 balance limit (Tanner et al., 2017).

Removal of ATMs at gambling outlets

Area of Interest:
Gambling
Lancet Model:
Level:  Level 4: Environments
Drivers:  N/A
Practices:  N/A
Mechanism:
Physical environment
Effect:
+/-0* (Suggestive but inconclusive)
References:
Scopes:
Global, Europe, UK

Details:

What we know: Removing ATMs from gambling venues was associated with reduced gambling expenditure on EGMs and less time spent at hotel and club gambling venues in one study (see Thomas et al., 2013) cited in the review by Tanner et al., 2017.

Electronic gaming machine (EGM) caps within gambling outlets

Area of Interest:
Gambling
Lancet Model:
Level:  Level 4: Environments
Drivers:  N/A
Practices:  Marketing practices
Mechanism:
Physical environment
Effect:
0 (No Effect)
References:
Scopes:
Global

Details:

What we know: There is limited research into the effectiveness of EGM caps, but two studies within the Tanner et al., (2017) review found that profits at gambling venues were unchanged by caps.

School-based education programmes for gambling 

Area of Interest:
Gambling
Lancet Model:
Level:  Level 4: Environments
Drivers:  N/A
Practices:  Scientific practices
Mechanism:
Cognitive
Effect:
+/- (Mixed effect)
References:
Scopes:
Global, Europe, UK

Details:

What we know: Mixed effects were reported for school-based education initiatives on gambling. While education initiatives showed effectiveness in reducing misconceptions about gambling and increasing knowledge about gambling and harms in the short term, less is known about long-term effects (Blank et al., 2021). There were five of nine studies that showed positive effects on gambling behaviour, but again follow-up was short and definitions of gambling-related harm and measures of behaviour varied (Blank et al., 2021).

Pop-up and on-screen messages on electronic gambling machines (EGMs)

Area of Interest:
Gambling
Lancet Model:
Level:  Levels 5/6: Final routes to health and equity impacts
Drivers:  N/A
Practices:  N/A
Mechanism:
Cognitive
Effect:
+ (Beneficial effect)
References:
Scopes:
Global, Europe, UK

Details:

Types of identified pop-up messages: Provision of factual information/beliefs about gambling (e.g., odds of winning); self-appraisal to encourage gamblers to focus on their own gambling behaviour); reminders of session length; reminders of expenditure or monetary limits.

What we know: Pop-up messages on EGMs may reduce gambling-related harm but the effectiveness depends on the format and content (Blank et al., 2021). Factual pop-up messages were shown to increase knowledge about gambling, played less, spent less and had a greater likelihood of setting spending limits (Tanner et al., 2017). Self-appraisal messages in some cases appeared to be more influential than informative messages on participants' awareness of time during gambling, length of sessions and likelihood of taking a break from gambling (Tanner et al., 2017). Pop-up reminders of mandatory monetary limits also appeared to be associated with greater limit adherence (Tanner et al., 2017).

Limit setting, cash-out, and/or winning regulations on electronic gambling machines (EGMs)

Area of Interest:
Gambling
Lancet Model:
Level:  Levels 5/6: Final routes to health and equity impacts
Drivers:  N/A
Practices:  N/A
Mechanism:
Cognitive
Effect:
+/- (Mixed effect)
References:
Scopes:
Global, Europe, UK

Details:

What we know: Mandatory monetary limit setting appeared to be effective when accompanied by a pop-up reminder message (Tanner et al., 2017). Mandatory cash-outs did not seem to effect time spent gambling (Tanner et al., 2017). A lab-based study suggested that jackpot expiry (i.e., after a certain amount of time, individuals are no longer eligible for the jackpot if they continue to gamble) was potentially protective against gambling losses, with those told that they were no longer eligible for the jackpot betting at a slower rate and having fewer monetary losses (Tanner et al., 2017).