{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T15:15:17Z","timestamp":1783264517533,"version":"3.54.6"},"reference-count":73,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T00:00:00Z","timestamp":1781395200000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Gambling harm is a significant public health issue affecting individuals, families and communities. In Australia, gambling is deeply embedded within everyday life, supported by the widespread availability of gambling products and industry marketing. This saturation has normalised gambling, obscuring its risks and creating barriers to recognising harm and seeking help. While clinical treatment pathways remain important, many individuals recover outside of formal services. There is increasing recognition that understanding and supporting recovery requires centring lived experience perspectives and adopting a broader public health and social determinants approach. This study sought to document gambling harm recovery journeys through lived experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative participatory study used photo elicitation and in\u2010depth interviews with 13 adults in Victoria, Australia, who self\u2010identified as being in recovery from gambling harm. Participants were asked to capture photographs and reflect on key aspects of their recovery journey, including help and support seeking, facilitators and barriers to recovery and social and environmental influences. Reflexive thematic analysis was conducted collaboratively by researchers and lived experience experts to identify shared patterns of meaning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three key themes were developed: rebuilding identity and connection in recovery, navigating structural barriers and everyday triggers, and living with grief, loss, and ongoing vulnerability. Recovery pathways were nonlinear and shaped by individual, socio\u2010cultural, environmental and commercial determinants. Participants described stigma, the pervasive presence of gambling marketing, and ineffective regulatory protections as significant barriers to recovery. Facilitators of recovery included peer support, reconnecting with meaningful activities and developing strategies to avoid gambling environments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings reinforce the need to move beyond individual\u2010focused harm prevestrategies towards systemic reforms that address the commercial and environmental determinants of gambling harm that impact recovery efforts. Strengthened regulation, expanded access to peer\u2010led and community\u2010based supports, and greater integration of lived experience into policy and service design are critical for supporting recovery. Participatory methods offer valuable opportunities to capture the complexity of recovery journeys and inform public health responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Lived Experience Contribution<\/jats:title>\n                    <jats:p>People with lived experience of gambling harm were employed as researchers on this study. They contributed to the study design, data collection and interpretation, co\u2010authoring of the academic article and dissemination of the findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70719","type":"journal-article","created":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T07:36:02Z","timestamp":1781422562000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018I Battle With This Gambling Addiction Every Day\u2019. Learning From Lived Experiences of Recovery to Guide Gambling Harm Prevention Strategies"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2671-3511","authenticated-orcid":false,"given":"Simone","family":"McCarthy","sequence":"first","affiliation":[{"name":"Faculty of Health, Institute for Health Transformation Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4259-6186","authenticated-orcid":false,"given":"Hannah","family":"Pitt","sequence":"additional","affiliation":[{"name":"Faculty of Health, Institute for Health Transformation Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Fung","sequence":"additional","affiliation":[{"name":"Faculty of Health, Institute for Health Transformation Deakin University  Geelong Australia"},{"name":"Gambling Harm Lived Experience Experts  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Potter","sequence":"additional","affiliation":[{"name":"Faculty of Health, Institute for Health Transformation Deakin University  Geelong Australia"},{"name":"Gambling Harm Lived Experience Experts  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5646-6366","authenticated-orcid":false,"given":"Grace","family":"Arnot","sequence":"additional","affiliation":[{"name":"Faculty of Health, Institute for Health Transformation Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Thomas","sequence":"additional","affiliation":[{"name":"Faculty of Health, Institute for Health Transformation Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,14]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"New Zealand Legislation. Gambling Act Wellington New Zealand: Parliamentary Council Office; 2003 https:\/\/www.legislation.govt.nz\/act\/public\/2003\/0051\/latest\/DLM207497.html."},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/16066359.2022.2113071"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1556\/2006.2020.00024"},{"key":"e_1_2_12_5_1","unstructured":"M.Browne C.Tulloch V.Rawat et al. The Social Costs of Gambling to Victoria 2023 Melbourne: State Government of Victoria; 2025 https:\/\/www.justice.vic.gov.au\/safer-communities\/gambling\/social-costs-of-gambling-to-victoria-2023."},{"key":"e_1_2_12_6_1","unstructured":"The Economist. The House Wins: Who Gambles the Most?: The Economist; 2014 http:\/\/www.economist.com\/blogs\/graphicdetail\/2014\/02\/daily-chart-0."},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.13298"},{"key":"e_1_2_12_8_1","volume-title":"Australian Gambling Statistics: 39th Edition","year":"2024"},{"key":"e_1_2_12_9_1","unstructured":"Productivity Commission. Gambling report no. 50. Canberra Australia: Productivity Commission; 2010."},{"key":"e_1_2_12_10_1","volume-title":"Australia: Victorian Responsible Gambling Foundation","author":"Browne M.","year":"2016"},{"key":"e_1_2_12_11_1","unstructured":"A.ArmstrongandM.CarrollGambling Activity in Australia: Findings From Wave 15 of the Household Income and Labour Dynamics in Australia (HILDA) Survey. Australia: Australian Institute of Family Studies 2017."},{"key":"e_1_2_12_12_1","volume-title":"New Zealand 2012 National Gambling Study: Gambling Harm and Problem Gambling. Report Number 2. 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You Win Some You Lose More. Online Gambling and Its Impacts on Those Experiencing Gambling Harm Canberra Australia: Commonwealth of Australia; 2023 https:\/\/parlinfo.aph.gov.au\/parlInfo\/download\/committees\/reportrep\/RB000159\/toc_pdf\/Youwinsome youlosemore.pdf."},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/16066359.2018.1474206"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/09687637.2021.1973963"},{"key":"e_1_2_12_34_1","volume-title":"Determinants of Gambling Normalisation: Causes, Consequences and Public Health Responses","author":"Thomas S.","year":"2018"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1192\/apt.bp.107.004671"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1556\/2006.2024.00008"},{"key":"e_1_2_12_37_1","first-page":"102","volume-title":"Harm Reduction for Gambling","author":"Hodgins D. 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