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Journal articles on the topic 'Loose Seton Technique'
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1
Yang, B. L., Q. Lin, H. J. Chen, et al. "Perianal necrotizing fasciitis treated with a loose-seton technique." Colorectal Disease 14, no. 7 (2012): e422-e424. http://dx.doi.org/10.1111/j.1463-1318.2012.02979.x.
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M, George Pinedo, Gino Caselli M, Gonzalo Urrejola S, et al. "Modified loose-seton technique for the treatment of complex anal fistulas." Colorectal Disease 12, no. 10Online (2010): e310-e313. http://dx.doi.org/10.1111/j.1463-1318.2010.02195.x.
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Kołodziejczak, Małgorzata, and Przemysław Ciesielski. "The place of conventional anal fistula surgeries among modern surgical techniques included in the current anal fistula treatment algorithm." Nowa Medycyna 23, no. 4 (2016): 0. http://dx.doi.org/10.5604/12335991.1232439.
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The high percentage of complications after anal fistula surgery have resulted inattempts to seek new surgical solutions, which involve both improving the existing conventional surgical methods, as well as the introduction of modern surgical techniques. Classical surgical methods, such as fistulotomy, fistulectomy and Hippocrates’ procedure (loose or cutting setons) still have their place in the modernfistula treatment algorithm, however, some of the indications have changed (e.g. Hippocrates’ technique) and even new indications have been introduced. The noveltiesare represented e.g. by the use of a loose seton as a preparatory stage in innovativesurgical techniques, such as laser obliteration, injecting stem cells into the fistula tractor ligation of intersphincteric fistula tract (LIFT). Advancement flaps were replacedby LIFT and laser techniques due to similar indications, higher efficacy and lowerinvasiveness of the latter ones. On the other hand, the LIFT procedure was replacedby laser obliteration in the treatment of non branching trans-sphincteric fistulasas a less invasive and equally effective method. Although techniques for closing thefistula tract with a plug or adhesives are still considered as minimally invasive, theyare unfortunately associated with high recurrence rates. Recently a new solutionhas appeared. It is known as BioLIFT and combines LIFT with the anal fistula plug.The estimated effectiveness of this procedure is 68.8%.
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Duran, Y., IF Polat, H. Gokce, et al. "Interventional treatment of Anal Fistula: A Retrospective Analysis." World Journal of Advanced Research and Reviews 10, no. 2 (2021): 225–28. https://doi.org/10.5281/zenodo.5030851.
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Introduction: Anal fistula is a benign anorectal disease. Infection of Hermann and Desfosses anal glands is responsible for the formation of abscesses and/or fistulas. The main treatment is surgery but recurrence and sometimes incontinence are frequently observed. So to choose surgical methods of anal fistula treatment is very important. Aim: The aim of this retrospective study was to evaluate the reliability and feasibility of Video-assisted anal fistula treatment (VAAFT) at the anal fistula surgery. Materials and Methods: A retrospective analysis was performed on data collected during a 11-year period (2008-2019) from 52 patients who underwent fistulotomy with loose seton technique. The male to female ratio was 3:1 and the mean patient age was 48.34 years. Results: Mortality, recurrence, complications rate were 0%. Though the patients were scheduled as day-surgery cases, the average duration of hospital stay was 1.18 days. Quality of life index (QOLI) for these patients were often be improved by treating their fistula. Conclusion: The appropriate treatment for anal fistula is dependent upon the anatomy and the location of the fistula tract. Detection of the inner mouth is the touchstone in the treatment of anal fistula. It could be determined location of inner mouth of the anal fistula easily with transparent anoscope guideline. VAAFT seems to be a safe and effective technique for treating perianal fistula without recurrence and anal incontinence.
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Buchanan, G. N., H. A. Owen, J. Torkington, P. J. Lunniss, R. J. Nicholls, and C. R. G. Cohen. "Long-term outcome following loose-seton technique for external sphincter preservation in complex anal fistula." British Journal of Surgery 91, no. 4 (2004): 476–80. http://dx.doi.org/10.1002/bjs.4466.
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Sheikh, Md Shahadot Hossain, Md Ibrahim Siddique, Mohammed Tanvir Jalal, et al. "Seton in Treating ComplexAnorectal Fistula-Our Experience." Journal of Surgical Sciences 17, no. 1 (2019): 14–17. http://dx.doi.org/10.3329/jss.v17i1.43698.
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Background : Complex anorectal fistula may be endowed by the level at which the primary tract crosses the sphincters, the presence of secondary extensions or the difficulties faced in the treatment. Existing different treatment modalities like local advancement flap, LIFT procedure, fistulotomy and use of seton. Surgeons are afraid of incontinence in treating complex anorectal fistula. The aim of treatment of anal fistula is to cure the disease avoiding faecal incontinence. Among different procedures, Seton, a thread of foreign material, passed through the fistulous track and encircling sphincter mass thereby severing the muscle gradually without allowing it to spring apart and replacing the cut by the line of fibrosis thus avoiding incontinence, is an acceptable method practiced world wide. The purpose of the study is to evaluate and share our experience with others about the result of using seton in the treatment of complex anal fistula in our setting.
 Method: Between January 2003 and December 2008, I have taken the 1st 100 patients underwent surgery for complex anal fistula in Colorectal Surgery Unit of Bangabandhu Sheikh Mujib Medial University, Dhaka. It involved initial identification and partial laying open of the fistulous tract. A tight seton is placed around the external sphincter and is not removed until the internal orifice has migrated towards the perianal skin.
 Results: Out of 100 patients with mean age 43 years (range 19-65 years) 6 female and rest male underwent the procedure of seton. The median follow-up was 28.6 (24-36) months. The mean time of wound healing was 9.5 weeks (range 6-15). Recurrence occurred in two patient (2%). Continence disorders of flatus and loose stool were noted in 14 patients (14%). The duration with the seton in place was 56 days (range 20-190).
 Conclusion: The technique shows excellent results in the treatment of complex anal fistulous with preservation of faecal continence.
 Journal of Surgical Sciences (2013) Vol. 17 (1) : 14-17
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Hidalgo-Grau, L. A., N. Ruiz-Edo, O. Estrada-Ferrer, et al. "Ligation of Intersphincteric Fistula Tract (LIFT) for the Treatment of Anal Fistula: A Prospective Observational Study." Journal of Coloproctology 43, no. 01 (2023): 024–29. http://dx.doi.org/10.1055/s-0043-1764195.
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Abstract Background The ligation of intersphincteric fistula fract (LIFT) technique avoids postoperative anal continence disturbances and preserves quality of life. Methods A total of 70 patients with anal fistula (AF) were treated in the Day Surgery Unit. The LIFT technique was the primary treatment in 63 patients. The other had previously undergone placement of a loose seton (two-step approach). The mean follow-up was 66.8 months. Statistical analysis was performed using contingency tables, the chi-square test, and the Student T-test. Results The use of LIFT was successful in 40 patients (57.1%). However, 6 patients (8.6%) presented persistence of postoperative intersphincteric fistula, being successfully treated by fistulotomy. There were no differences in this technique's success rate between high and low AF (p = 0.45). The success rate of one-step LIFT, however, was significantly higher (p = 0.03). No disturbances of continence were observed. Conclusions The LIFT technique has a role in the treatment of AF, is suitable for ambulatory surgery, and has a low complications rate. A two-step approach is not always needed.
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Zbar, A. "Long-term outcome following loose-seton technique for external sphincter preservation in complex anal fistula(Br J Surg 2004; 91: 476-480)." British Journal of Surgery 91, no. 8 (2004): 1073. http://dx.doi.org/10.1002/bjs.4784.
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Grolich, Tomáas, Tomás Skricka, Oldøich Robek, Zdenìk Kala, Beata Hemmelová, and Radoslav Hrivnák. "Role of video assisted anal fistula treatment in our management of fistula-in-ano." Acta chirurgica Iugoslavica 61, no. 2 (2014): 83–85. http://dx.doi.org/10.2298/aci1402083g.
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Background: Video-assisted anal fistula treatment is a new method used for treatment of complex perianal fistula with maximal sparing of sphincter muscles and prevention of false route. Authors inform about their experience and operative results. Aims: Our aim was to verify feasibility of the method, help in internal opening identification and define its position in our management of perianal fistulas. Methods: Patients with chronic fistula-in-ano of IBD and non-IBD benign etiology were enrolled. Anoscopy with fistuloscopy was attempted in all patients followed by loose seton drainage or other procedure. Results: Fistuloscopy was attempted in 30 patients, finished in 93% and internal opening was found in 67%. No procedure-related morbidity was observed. Conclusion: Fistuloscopy alone is feasible for diagnosing type of IBD and non-IBD fistulas. VAAFT technique and instruments were helpful for identification of an internal opening in most cases. As such it has established role in our management of fistula-in-ano.
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Garg, P. "Tube in tract technique: a simple alternative to a loose draining seton in the management of complex fistula-in-ano - a video vignette." Colorectal Disease 18, no. 1 (2016): 107. http://dx.doi.org/10.1111/codi.13143.
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TARIM, İsmail Alper, Murat DEREBEY, Can AKGUN, Vahit MUTLU, Fatih ATALAY, and Ayfer KAMALI POLAT. "The success of laser ablation of fistula tract (laft) technique in anal fistula treatment: Early results of a tertiary center." Journal of Experimental and Clinical Medicine 38, no. 2 (2021): 192–96. http://dx.doi.org/10.52142/omujecm.38.2.25.
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Laser Ablation of the Fistula Tract (LAFT) is a newly defined technique for anal fistula treatment. Our aim in this study is to evaluate the effectiveness of the LAFT technique and to discuss the precise indications and limitations of the technique by sharing our own truths and mistakes over our early results. All patients with anal fistulas who were treated LAFT tecnique by same team from April 2019 until March 2020 at the our center, were evaluated in this study, retrospectively. While the patients who failed LAFT were included in the "Reccurrence after LAFT" group, the patients with successful LAFT were included in the "Healing" group. Differences between the groups were investigated. LAFT technique was applied to 19 patients in the specified period. Twelve (63%) of the cases were male and 7 (37%) were female, and the mean age was 45±14.5. The mean postoperative follow-up time was 13±3.4 months. Eleven cases had undergone surgery at least once with the diagnosis of anal fistula. Loose seton was applied in only 4 (25%) cases. It was observed that only 7 (37%) patients recovered with the LAFT technique (Table 1). LAFT was found to be more successful in patients who had never been operated before (p = 0.048, Table 2). In conclusion, LAFT technique is more successful in primary anal fistula cases and this technique should definitely be among the surgical options for anal fistula treatment.
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Eitan, Arieh, Marina Koliada, and Amitai Bickel. "The Use of the Loose Seton Technique as a Definitive Treatment for Recurrent and Persistent High Trans-Sphincteric Anal Fistulas: A Long-Term Outcome." Journal of Gastrointestinal Surgery 13, no. 6 (2009): 1116–19. http://dx.doi.org/10.1007/s11605-009-0826-6.
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Duran Y, Polat IF, Gokce H, et al. "Interventional treatment of Anal Fistula: A Retrospective Analysis." World Journal of Advanced Research and Reviews 10, no. 2 (2021): 225–28. http://dx.doi.org/10.30574/wjarr.2021.10.2.0171.
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Introduction: Anal fistula is a benign anorectal disease. Infection of Hermann and Desfosses anal glands is responsible for the formation of abscesses and/or fistulas. The main treatment is surgery but recurrence and sometimes incontinence are frequently observed. So to choose surgical methods of anal fistula treatment is very important. Aim: The aim of this retrospective study was to evaluate the reliability and feasibility of Video-assisted anal fistula treatment (VAAFT) at the anal fistula surgery. Materials and Methods: A retrospective analysis was performed on data collected during a 11-year period (2008-2019) from 52 patients who underwent fistulotomy with loose seton technique. The male to female ratio was 3:1 and the mean patient age was 48.34 years. Results: Mortality, recurrence, complications rate were 0%. Though the patients were scheduled as day-surgery cases, the average duration of hospital stay was 1.18 days. Quality of life index (QOLI) for these patients were often be improved by treating their fistula. Conclusion: The appropriate treatment for anal fistula is dependent upon the anatomy and the location of the fistula tract. Detection of the inner mouth is the touchstone in the treatment of anal fistula. It could be determined location of inner mouth of the anal fistula easily with transparent anoscope guideline. VAAFT seems to be a safe and effective technique for treating perianal fistula without recurrence and anal incontinence.
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Fung, AKY, GV Card, NP Ross, SR Yule, and EH Aly. "Operative strategy for fistula-in-ano without division of the anal sphincter." Annals of The Royal College of Surgeons of England 95, no. 7 (2013): 461–67. http://dx.doi.org/10.1308/003588413x13629960048956.
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Introduction The treatment of perianal fistulas is diverse because no single technique is universally effective. Fistulotomy remains the most effective way of eradicating the pathology but it renders the patient at some risk of faecal incontinence, which many patients are reluctant to take. There are no data in the literature to indicate the healing rate of perianal fistulas when using an operative strategy that routinely avoids division of any part of the anal sphincter. The aim of this paper is to present the long-term results with an operative strategy that aims to avoid division of any part of the anal sphincter complex when treating all types of perianal fistulas, thereby minimising/eliminating the risk of postoperative incontinence. Methods We report 54 consecutive cases of anal fistula that presented electively and as an emergency. Patients with known or subsequently diagnosed inflammatory bowel disease or malignancy were excluded from the study. Result Overall, 46 patients (37 male and 9 female) with a median age at presentation of 42 years (range: 19–73 years) were treated by lay-open of the subcutaneous tract of the perianal fistula and insertion of a loose seton for the part of the fistula tract related to the sphincter complex. The types of fistula treated were intersphincteric (89%), transsphincteric (4%) and high suprasphincteric (7%). The median length of time that the seton was left in place was 7 months (range: 1.5–24 months). The healing rate was 86% with a recurrence rate of 19% and a median follow-up duration of 42 months. Conclusions Patients who are reluctant to take any risk of faecal incontinence could be treated using an operative strategy that routinely avoids division of any part of the anal sphincter complex as this has a recurrence rate that compares well with other treatment modalities.
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ABBAS, TAYYAB, ABID NAZIR, and WASEEM SADIQ. "MANAGEMENT OF FISTULA IN ANO." Professional Medical Journal 16, no. 01 (2009): 29–33. http://dx.doi.org/10.29309/tpmj/2009.16.01.2968.
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Aim: The aim of this study was to compare the efficacy and morbidity of two surgical procedures, firm cutting seton andloose seton / fistulotomy in the management of suprasphincteric and high trans-sphincteric fistula in ano. Setting: Jinnah Hospital / AllamaIqbal Medical college, Lahore. Period: June 1999 to January 2008. Methods: This is a prospective, randomized study of 50 consecutivepatients (25 in each group) suffering from suprasphincteric and high trans-sphincteric fistula in ano. Patients were randomly allocated oneof the two methods of treatment. In firm cutting seton, seton was repeatedly tightened with the interval of 15 days till the thread came outwhereas loose seton / fistulotomy was a two staged surgical procedure. Follow up was made for 12months to record the fistula recurrence,anal incontinence, duration of complete wound healing and number of hospitalizations. Comparison was made using standard statisticalmethods. Chi-square and Fisher's Exact test was applied for comparison. Results: There was no significant statistical difference betweenthe groups in age, sex and type of fistula. Patient treated with loose seton / fistulotomy required more than one hospitalization, more offwork and more expenditures as compared to firm cutting seton method. The rate of anal incontinence was more in patients treated withloose seton / fistulotomy. Recurrence rate was almost the same in both groups. Conclusion: Both techniques are equally effective ineradication of fistula but the rate of postoperative anal incontinence and duration of complete healing of the wound is more in patients treatedwith loose seton / fistulotomy.
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"Loose Seton Technique in the Management of Complex High Anal Fistula: Enhancing Outcomes with Magnetic Resonance Imaging." International Journal of Biomedicine 14, no. 2 (2024): 282–85. http://dx.doi.org/10.21103/article14(2)_oa7.
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Background: Complex high anal fistulas challenge treatment efforts, necessitating innovative approaches that balance healing with sphincter preservation. Methods and Results: In a prospective study at Tikrit Teaching Hospital, 39 patients with complex high anal fistulas underwent treatment with loose silicone setons, guided by preoperative MRI mapping. The efficacy of this method was evaluated through follow-up visits at 1, 3, and 6 months, focusing on fistula healing, recurrence rates, continence preservation (assessed by the Wexner Continence Score), and patient satisfaction. Complete healing was achieved in 31 patients (79.5%), with a recurrence rate of 7.7%. There was a significant improvement in continence, with the mean Wexner score reducing from 3.5 to 1.2 (P<0.001). Moreover, 85% of patients expressed satisfaction with their treatment outcomes. Conclusion: The combined use of loose silicone setons and MRI mapping presents an effective, satisfactory method for managing complex high anal fistulas. This technique ensures high healing rates, significantly preserves sphincter function, and achieves high patient satisfaction.
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Giovanni, Salamina. "Simple and Complex Anal Fistulas: Indications for Treatment in a General Surgery Department." MAR Clinical Case Reports 5, no. 8 (2024). https://doi.org/10.5281/zenodo.14126925.
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<strong><em>Abstract</em></strong> <em>In this paper, we selected a series of 80 consecutive patients from 2001 to 2019 suffering from simple and complex anal fistulas treated with fistulotomy with a combined loose and cutting seton technique.</em> <em>We considered the rates of healing, recurrence and postoperative incontinence. The results are satisfactory and comparable to those of other series of dedicated coloproctologists. </em> <em>We aim to demonstrate, mainly by using clinical and objective examination under anaesthesia, directly at the time of surgery, as even in a Department of General Surgery not-dedicated to Colo-rectal Surgery, such as ours, particularly complex anal fistulas can be treated with results comparable to those of Specialized Units.</em> <em>Keywords: Anal, Fistula- in-ano, Seton, Surgery for transphincteric fistula.</em>
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Eray, İsmail Cem, Burak Yavuz, Ishak Aydin, Serdar Gumus, Ugur Topal, and Kubilay Dalci. "Modified fistulotomy with internal orifice distalization for optimized perianal fistula management: Pressure zone transition." World Journal of Gastrointestinal Surgery 17, no. 6 (2025). https://doi.org/10.4240/wjgs.v17.i6.106531.
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BACKGROUND Both the etiology and treatment of perianal fistulas present challenges, and there is no standard surgical approach. AIM To present the results of a modified fistulotomy technique that was implemented in a tertiary coloproctology reference center. METHODS Seventy-two patients who underwent surgical intervention for perianal fistula between August 2019 and January 2023 were treated using a modified fistulotomy technique. In this approach, the fistula tract was excised from the external opening up to the external sphincter fibers. The internal orifice was widened, and the septic focus within the inter sphincteric space was curetted. Partial internal sphincterotomy was performed up to the inter sphincteric plane. The anoderm from the internal orifice to the inter sphincteric space was closed with absorbable suture material, and a loose seton was placed at the level of the external sphincter. RESULTS The 72 patients who underwent modified fistulotomy were 77.8% male and 22.2% female, with a mean age of 42.2 ± 11.5 years. The median follow-up period was 19 months. Preoperatively, 93.1% of patients had high trans sphincteric fistulas, and 6.9% were females with anterior low trans sphincteric fistulas. In all cases, setons were placed during surgery using vascular tape. A total of 12.5% of patients experienced incontinence, involving gas (6.9%) or soiling (5.6%). There were no reports of solid or liquid incontinences. Complete healing was achieved in 83.3% of the patients, with a recurrence rate of 4.2% and a non-healing rate of 12.5%. CONCLUSION Our preliminary analysis suggests that this modified fistulotomy technique that targets distalization of the internal orifice is a promising alternative management strategy for perianal fistulas.
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Shan, Jiaying, Jin Wang, Dongdong Lu, Xudong Yu, Lihua Zheng, and Yaosheng Zhang. "Simplified dressing change after surgery for high anal fistula: A prospective, single centre randomized controlled study on loose combined cutting seton (LCCS) technique." International Wound Journal, September 14, 2023. http://dx.doi.org/10.1111/iwj.14401.
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AbstractBackgroundDressing change is the most important part of postoperative wound care. The aim of this study was to evaluate whether a more effective, simple and less painful method of dressing change for anal fistulas could be found without the need for debridement and packing. Data related to postoperative recovery were recorded at postoperative days 3, 7, 14, 21 and 180.MethodsIn this experiment, 76 subjects diagnosed with high anal fistula were randomly divided into a simplified dressing change (SDC) group and a traditional debridement dressing change(TDDC) group according to a ratio of 1:1.ResultsThe SDC group had significantly fewer pain scores, bleeding rates, dressing change times, inpatient days and lower average inpatient costs than the TDDC group. There were no significant differences in wound healing time, area and depth and Wexner score between the two groups.ConclusionsStudies have shown that the use of simplified dressing changes does not affect cure or recurrence rates, but significantly reduces dressing change times and pain during changes, reducing patient inpatient length of stay and costs.
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Kołodziejczak, Małgorzata, Przemysław Ciesielski, Maja Gorajska-Sieńko, and Magdalena Szczotko. "Fistulotomy followed by anal sphincter reconstruction – indications, benefits and pitfalls of the method." Nowa Medycyna 27, no. 3 (2020). http://dx.doi.org/10.25121/nm.2020.27.3.99.
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Fistula-in-ano is a disease which has challenged surgeons for centuries because of high postoperative complication rates including recurrences, and symptoms of postoperative gas and stool incontinence. The paper addresses the surgical method of fistula excision followed by sphincter reconstruction. The procedure is not new, but it has gained popularity in recent years. The primary indications for its use include complex high anal fistulas, posterior transsphincteric fistulas in patients with good baseline continence, and fistulas of “borderline” height, involving approximately 50% of the external sphincter mass. In cases of high and/or complex fistulas, the first stage of management is typically loose seton drainage to reduce the risk of infection. Prior to surgical intervention, it is important to assess the patient’s preoperative continence status. The paper presents the surgical technique of the intervention, outlines possible complications, and reviews the literature reporting the experiences of other authors who use the method. Fistulotomy followed by sphincter reconstruction is a bold surgical approach. It requires extensive experience in performing colorectal surgical procedures, and it is suitable for a selected group of patients. On account of possible complications including impaired postoperative gas and stool continence, the patient should receive appropriate information before surgery, and sign the surgical consent form. Fistulotomy followed by sphincter reconstruction is a good therapeutic option in patients with recurrent high anal fistulas unsuccessfully treated by other methods.
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Li, Yu-bo, Ju-hua Chen, Meng-di Wang, et al. "Transanal Opening of Intersphincteric Space for Fistula-in-Ano." American Surgeon, January 30, 2021, 000313482198904. http://dx.doi.org/10.1177/0003134821989048.
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Background The role of the intersphincteric space in the pathogenesis of fistula-in-ano is being increasingly recognized. Submucosal and intersphincteric rectal abscesses have been surgically managed by laying open and draining the intersphincteric space as well as by the modified ligation of intersphincteric fistula tract (LIFT) procedure. In 2017, the transanal opening of intersphincteric space (TROPIS) technique was reported for the treatment of high, complex anal fistulae. Aim We aim to investigate the advantages of performing the TROPIS procedure in patients with fistula-in-ano. Methods This was a prospective cohort study investigating the outcomes in patients who had undergone a procedure using the TROPIS technique for the treatment of fistula-in-ano. Preoperative magnetic resonance imaging scans and electronic colonoscopies were performed on all patients. A clinical database evaluating the following variables was constructed: age, gender, body mass index (BMI), previous fistula surgery, type of fistula, postoperative complications, duration of follow-up, success rate, and incontinence scores pre- and postoperatively. Results The TROPIS procedure was performed on 41 patients with fistula-in-ano with a follow-up time of 6-23 months. The characteristics of the patients were as follows: 36 males, 6 females, mean age 38.6±13.2 years, and mean BMI 23.5±3.9 kg·m−2. All patients (41) had transsphincteric fistulae, and 90.2% (37) had high fistula. Of the 41 patients, 22% (9) had recurrent fistulae, 29.27% (12) had horseshoe fistulae, 7.3% (3) had supralevator fistulae, and 14.6% (6) had an associated abscess. The fistula healed completely in 85.3% (35) of patients and failed to heal in 14.7% (6) of patients, and the healing of high fistula was 86.5% (32). Of those patients who had not healed completely, 2 were found to have contracted iatrogenic infections due to foreign residues and underwent surgery with the passing of a loose seton. The additional 4 patients who had not healed underwent a fistulotomy and healed completely thereafter. There were no significant changes in incontinence scores. The incontinence scores were .15 ± .36 preoperatively and .22 ± .47 3 months postoperatively (t = −1.438, P = .16). Conclusions The TROPIS technique is a novel sphincter-preserving procedure, which can be effectively used in treating fistula-in-ano.
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Diehr, Aaron J., Marilyn Rule, Tavis Glassman, Quri R. Daniels-Witt, and Fatoumata Saidou. "A coordinated health communication campaign addressing casino and sports gambling among undergraduate students." Journal of Gambling Issues, no. 37 (December 31, 2017). http://dx.doi.org/10.4309/jgi.2018.37.4.
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Research has outlined many negative effects of disordered gambling. While gambling disorder exists among all US sociodemographic groups, college students are particularly vulnerable. This study describes a health communication approach commonly studied in the intervention of college behaviors such as risky alcohol/substance use and sexual activity. Specifically, two health communication messages targeting casino and sports betting disordered gambling were distributed at a Midwestern US public research university, and central intercept techniques were utilized to collect quantitative and qualitative data assessing student reception. Results revealed females preferred the casino message more than males (U = 4696.50, p < .05) and stated more often that the advertisement would appeal to friends (U = 4745.50, p < .05). Individuals who lost more money than they intended to lose 1–2 times understood the message more than those persons who never gambled (U = 946.50, p < .05) and those persons who never lost more than planned (U = 249.50, p < .05). Students who first gambled at ages 16–18 liked the casino message less than those students who first gambled at 13–15 (U = 208.00, p < .05) and the students who had never gambled (U = 1656.00, p < .05). For the sports betting message, the only significant association was between students’ understanding of the advertisement and race/ethnicity (c2(5) = 14.095, p < .05). Based on our findings, we suggest a health communication approach might be effective to raise awareness about gambling disorder among college students. We recommend researchers develop targeted materials with support of college administrators to deter disordered gambling.RésuméLa recherche a mis en relief de nombreux effets négatifs du jeu pathologique. Bien qu’on retrouve des problèmes de jeu dans tous les groupes sociodémographiques américains, les étudiants constituent une classe particulièrement vulnérable. Cette étude décrit une approche de communication sur la santé qui est couramment étudiée pour effectuer des interventions sur les comportements à risque observés dans les collèges et universités, tels que la consommation d’alcool ou de drogues et l’activité sexuelle. Plus précisément, on a distribué deux messages sur la santé ciblant les jeux de hasard et les jeux de paris sportifs dans une université de recherche publique du Midwest américain, et on a eu recours à des techniques centrales d’interview pour recueillir des données quantitatives et qualitatives évaluant la réception des messages par les étudiants. Les résultats ont révélé que les femmes ont préféré les messages du casino davantage que les hommes (U = 4696,50, p <0,05) et ont plus souvent dit que l’annonce intéresserait les amis (U = 4745,50, p <0,05). Les personnes qui ont perdu au jeu une à deux fois de plus que prévu ont davantage saisi le message que ceux qui n’ont jamais joué (U = 946,50, p <0,05) et que ceux qui n’ont jamais perdu plus que prévu (U = 249,50, p <0,05). Les étudiants qui ont joué pour la première fois entre 16 et 18 ans ont moins aimé le message du casino que les étudiants qui ont joué la première fois entre 13 et 15 ans (U = 208, p <0,05) et que les étudiants qui n’avaient jamais joué (U = 1656, p <0,05). Pour le message sur les paris sportifs, la seule association significative était celle entre la compréhension de l’annonce par les étudiants et la race/l’origine ethnique, c2 (5) = 14,095, p < 0,05. Selon nos constatations, nous sommes d’avis qu’une approche de communication sur la santé pourrait être efficace pour sensibiliser les étudiants aux problèmes du jeu. Nous recommandons donc aux chercheurs de concevoir du matériel ciblé, avec le soutien des administrateurs de collèges et d’universités, pour dissuader les comportements de jeu pathologique.
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Diehr, Aaron J., Marilyn Rule, Tavis Glassman, Quri R. Daniels-Witt, and Fatoumata Saidou. "A coordinated health communication campaign addressing casino and sports gambling among undergraduate students." Journal of Gambling Issues, no. 37 (December 8, 2017). http://dx.doi.org/10.4309/jgi.v0i37.3992.
Full textAbstract:
Research has outlined many negative effects of disordered gambling. While gambling disorder exists among all US sociodemographic groups, college students are particularly vulnerable. This study describes a health communication approach commonly studied in the intervention of college behaviors such as risky alcohol/substance use and sexual activity. Specifically, two health communication messages targeting casino and sports betting disordered gambling were distributed at a Midwestern US public research university, and central intercept techniques were utilized to collect quantitative and qualitative data assessing student reception. Results revealed females preferred the casino message more than males (U = 4696.50, p < .05) and stated more often that the advertisement would appeal to friends (U = 4745.50, p < .05). Individuals who lost more money than they intended to lose 1–2 times understood the message more than those persons who never gambled (U = 946.50, p < .05) and those persons who never lost more than planned (U = 249.50, p < .05). Students who first gambled at ages 16–18 liked the casino message less than those students who first gambled at 13–15 (U = 208.00, p < .05) and the students who had never gambled (U = 1656.00, p < .05). For the sports betting message, the only significant association was between students’ understanding of the advertisement and race/ethnicity (c2(5) = 14.095, p < .05). Based on our findings, we suggest a health communication approach might be effective to raise awareness about gambling disorder among college students. We recommend researchers develop targeted materials with support of college administrators to deter disordered gambling.RésuméLa recherche a mis en relief de nombreux effets négatifs du jeu pathologique. Bien qu’on retrouve des problèmes de jeu dans tous les groupes sociodémographiques américains, les étudiants constituent une classe particulièrement vulnérable. Cette étude décrit une approche de communication sur la santé qui est couramment étudiée pour effectuer des interventions sur les comportements à risque observés dans les collèges et universités, tels que la consommation d’alcool ou de drogues et l’activité sexuelle. Plus précisément, on a distribué deux messages sur la santé ciblant les jeux de hasard et les jeux de paris sportifs dans une université de recherche publique du Midwest américain, et on a eu recours à des techniques centrales d’interview pour recueillir des données quantitatives et qualitatives évaluant la réception des messages par les étudiants. Les résultats ont révélé que les femmes ont préféré les messages du casino davantage que les hommes (U = 4696,50, p <0,05) et ont plus souvent dit que l’annonce intéresserait les amis (U = 4745,50, p <0,05). Les personnes qui ont perdu au jeu une à deux fois de plus que prévu ont davantage saisi le message que ceux qui n’ont jamais joué (U = 946,50, p <0,05) et que ceux qui n’ont jamais perdu plus que prévu (U = 249,50, p <0,05). Les étudiants qui ont joué pour la première fois entre 16 et 18 ans ont moins aimé le message du casino que les étudiants qui ont joué la première fois entre 13 et 15 ans (U = 208, p <0,05) et que les étudiants qui n’avaient jamais joué (U = 1656, p <0,05). Pour le message sur les paris sportifs, la seule association significative était celle entre la compréhension de l’annonce par les étudiants et la race/l’origine ethnique, c2 (5) = 14,095, p < 0,05. Selon nos constatations, nous sommes d’avis qu’une approche de communication sur la santé pourrait être efficace pour sensibiliser les étudiants aux problèmes du jeu. Nous recommandons donc aux chercheurs de concevoir du matériel ciblé, avec le soutien des administrateurs de collèges et d’universités, pour dissuader les comportements de jeu pathologique.