{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:31:39Z","timestamp":1786692699475,"version":"build-2736575974"},"reference-count":44,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Importance:<\/jats:bold>\n                    People experiencing addiction often face difficulties completing their activities of daily living (ADLs). Little research exists on how problem gambling (PG)\u2014a serious public health issue\u2014intersects with ADLs.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To explore how PG shapes a person\u2019s ADLs.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design:<\/jats:bold>\n                    This was a qualitative study that used narrative inquiry. We conducted 12 qualitative interviews with people experiencing PG and administered the Problem Gambling Severity Index and a sociodemographic questionnaire.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Setting:<\/jats:bold>\n                    Virtual interviews via Zoom for Healthcare.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Participants:<\/jats:bold>\n                    Canadian adults (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 12) ages 23\u201332 yr. The majority identified as male, Black, college or university educated, and employed, with an income of \u2265CAD$40,000. They self-identified as experiencing PG; were actively gambling, either online or land based; were of legal age to gamble; were able to participate in an English interview; and had access to email. Convenience and purposive sampling were used.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Outcomes and Measures:<\/jats:bold>\n                    No outcomes are reported because of the exploratory nature of the study.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Four main themes, each with its own set of subthemes, emerged in the analysis: (1) the activity of gambling, (2) social influence, (3) gambling overtakes all ADLs, and (4) mental health.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions and Relevance:<\/jats:bold>\n                    Occupational therapists are well positioned to help clients with addictive behaviors. This study has the potential to inform occupational therapy practitioners who work with people experiencing PG.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Positionality Statement:<\/jats:bold>\n                    The two primary researchers (Jazmin Carranza and Noelle Fossella) have limited personal and academic experience with PG. Their educational backgrounds include a master of science in occupational therapy (Carranza and Fossella) and bachelor\u2019s of science, with honors, in psychology (Fossella), biology (Carranza), and neuroscience (Carranza). All authors recognize the potential biases our life experiences may bring to our research, and we have endeavored to provide a true representation of the information the participants shared with us.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Plain-Language Summary:<\/jats:bold>\n                    This study was conducted to better understand how the experience of problem gambling\u2014a recognized public health issue\u2014can change people\u2019s daily routines and activities. Findings from the experiences shared by participants indicate that problem gambling has a notable effect on the activities in which people participate and on how they engage in these activities. Social networks and mental health also were described as being affected by the experience of problem gambling. These results suggest that the potential exists for occupational therapists to use their expertise to help people with gambling problems engage in activities that are meaningful to them.\n                  <\/jats:p>","DOI":"10.5014\/ajot.2025.050884","type":"journal-article","created":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T12:26:52Z","timestamp":1733920012000},"page":"122-132","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["How Problem Gambling Shapes Activities of Daily Living: A Narrative Inquiry"],"prefix":"10.1177","volume":"79","author":[{"given":"Jazmin","family":"Carranza","sequence":"first","affiliation":[{"name":"Jazmin Carranza, MScOT, HBSc, is Occupational Therapist, Toronto Western Hospital, Toronto, Ontario, Canada. At the time of this research, Carranza was MScOT Student, Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelle","family":"Fossella","sequence":"additional","affiliation":[{"name":"Noelle Fossella, MScOT, HBSc, is Occupational Therapist, Scarborough Health Network, Scarborough, Ontario, Canada. At the time of this research, Fossella was MScOT Student, Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"McLuhan","sequence":"additional","affiliation":[{"name":"Arthur McLuhan, PhD, is Senior Research Associate, MAP Centre for Urban Health Solutions, St. Michael\u2019s Hospital, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flora I.","family":"Matheson","sequence":"additional","affiliation":[{"name":"Flora I. Matheson, PhD, MA, BA, is Scientist III, MAP Centre for Urban Health Solutions, St. Michael\u2019s Hospital, Toronto, Ontario, Canada, and Associate Professor, Dalla Lana School of Public Health and Centre for Criminology &amp; Sociolegal Studies, University of Toronto, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"key":"e_1_3_2_2_1","first-page":"7412410010","article-title":"Occupational therapy practice framework: Domain and process","volume":"74","author":"American Occupational Therapy Association","year":"2020","unstructured":"American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process (4th ed.). 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