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      “When the Fun Stops, Stop”: An analysis of the provenance, framing and evidence of a ‘responsible gambling’ campaign

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          Abstract

          When the Fun Stops, Stop, is a prominent ‘responsible gambling’ campaign in the UK, originally funded and delivered by the industry-initiated and funded Senet Group. Since the Senet Group’s dissolution in 2020, the campaign has been overseen by the Betting and Gambling Council (BGC), the main gambling industry trade body. There has been no prior analysis of the activities, ideas and framing adopted by the Senet Group, who claimed to be acting as an industry ‘watchdog’ and oversaw what they characterised as a major public education campaign. We collated written and image-based material related to the Senet Group and its When the Fun Stops, Stop campaign from multiple sources. Guided by Entman’s four functions of framing, we analysed the Senet Group’s framing of the issues it sought to address, particularly harmful gambling, as well as its causes, and the solutions, focusing on the group’s main activity: the delivery of the When the Fun Stops, Stop campaign. We also critically appraised an evaluation of the campaign funded by the Senet Group, using the findings to interrogate the stated claims about the campaign’s effectiveness. The analysis showed that the Senet Group’s framing of the problem, its causes, and proposed responses resemble those adopted by other industries and industry-funded groups. This involves portraying any harms caused by their products as limited to an atypical minority, rejecting upstream determinants of harm, and promoting individually-targeted voluntary measures, all contrary to the evidence of what works in health promotion, and what would characterise a public health approach. Neither the existing evidence base nor the evidence presented by the Senet Group support their claims about the campaign’s effectiveness. These findings add to concerns about industry-funded campaigns in other areas. To minimise conflicts of interest, interventions intended to address gambling-related harms, such as public education campaigns, should be evidence-based and developed, implemented and evaluated completely independent of the industry and industry-funded organisations.

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          Most cited references70

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          Framing: Toward Clarification of a Fractured Paradigm

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            Development of a critical appraisal tool to assess the quality of cross-sectional studies (AXIS)

            Objectives The aim of this study was to develop a critical appraisal (CA) tool that addressed study design and reporting quality as well as the risk of bias in cross-sectional studies (CSSs). In addition, the aim was to produce a help document to guide the non-expert user through the tool. Design An initial scoping review of the published literature and key epidemiological texts was undertaken prior to the formation of a Delphi panel to establish key components for a CA tool for CSSs. A consensus of 80% was required from the Delphi panel for any component to be included in the final tool. Results An initial list of 39 components was identified through examination of existing resources. An international Delphi panel of 18 medical and veterinary experts was established. After 3 rounds of the Delphi process, the Appraisal tool for Cross-Sectional Studies (AXIS tool) was developed by consensus and consisted of 20 components. A detailed explanatory document was also developed with the tool, giving expanded explanation of each question and providing simple interpretations and examples of the epidemiological concepts being examined in each question to aid non-expert users. Conclusions CA of the literature is a vital step in evidence synthesis and therefore evidence-based decision-making in a number of different disciplines. The AXIS tool is therefore unique and was developed in a way that it can be used across disciplines to aid the inclusion of CSSs in systematic reviews, guidelines and clinical decision-making.
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              Profits and pandemics: prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries.

              The 2011 UN high-level meeting on non-communicable diseases (NCDs) called for multisectoral action including with the private sector and industry. However, through the sale and promotion of tobacco, alcohol, and ultra-processed food and drink (unhealthy commodities), transnational corporations are major drivers of global epidemics of NCDs. What role then should these industries have in NCD prevention and control? We emphasise the rise in sales of these unhealthy commodities in low-income and middle-income countries, and consider the common strategies that the transnational corporations use to undermine NCD prevention and control. We assess the effectiveness of self-regulation, public-private partnerships, and public regulation models of interaction with these industries and conclude that unhealthy commodity industries should have no role in the formation of national or international NCD policy. Despite the common reliance on industry self-regulation and public-private partnerships, there is no evidence of their effectiveness or safety. Public regulation and market intervention are the only evidence-based mechanisms to prevent harm caused by the unhealthy commodity industries. Copyright © 2013 Elsevier Ltd. All rights reserved.
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                Author and article information

                Contributors
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: MethodologyRole: VisualizationRole: Writing – original draftRole: Writing – review & editing
                Role: ConceptualizationRole: Formal analysisRole: MethodologyRole: Writing – original draftRole: Writing – review & editing
                Role: Formal analysisRole: Writing – original draftRole: Writing – review & editing
                Role: Formal analysisRole: Writing – original draftRole: Writing – review & editing
                Role: Formal analysisRole: Writing – review & editing
                Role: ConceptualizationRole: Formal analysisRole: MethodologyRole: Writing – original draftRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS One
                plos
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                26 August 2021
                2021
                : 16
                : 8
                : e0255145
                Affiliations
                [1 ] Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom
                [2 ] SPECTRUM Consortium, London, United Kingdom
                [3 ] School of Public Health, Boston University, Boston, MA, United States of America
                [4 ] Faculty of Health, Institute for Health Transformation, School of Health and Soc. Dev., Deakin University, Geelong, Australia
                University of Toronto, CANADA
                Author notes

                Competing Interests: In the past 5 years, ST has received funding for gambling research from the Australian Research Council Discovery Grant Scheme, the Victorian Responsible Gambling Foundation (which is funded via hypothecated taxes from gambling), Gambling with Lives, the Office of Gaming and Racing New South Wales, and Deakin University, Australia. She has received funding for conference travel from the European Union, Beat the Odds Wales, and SNSUS. This does not alter our adherence to PLOS ONE policies on sharing data and materials. All other authors report no competing interests.

                Author information
                https://orcid.org/0000-0003-2210-2289
                Article
                PONE-D-20-38871
                10.1371/journal.pone.0255145
                8389453
                34437561
                89425251-48ba-45ae-8c98-09ce09f75642
                © 2021 van Schalkwyk et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 10 December 2020
                : 17 June 2021
                Page count
                Figures: 1, Tables: 1, Pages: 19
                Funding
                Funded by: harkness fellowship
                Award Recipient :
                Funded by: SPECTRUM Consortium
                Award Recipient :
                Funded by: SPECTRUM Consortium
                Award Recipient :
                Funded by: SPECTRUM Consortium
                Award Recipient :
                Funded by: funder-id http://dx.doi.org/10.13039/501100000272, National Institute for Health Research;
                Award ID: NIHR300156
                Award Recipient :
                NM was supported by a Harkness Fellowship funded by the Commonwealth Fund. The views presented here are those of the authors and should not be attributed to The Commonwealth Fund or its directors, officers, or staff. CK, NM and MP are supported by the SPECTRUM Consortium, which is funded by the UK Prevention Research Partnership (MR/S037519/1), an initiative funded by UK Research and Innovation Councils, the Department of Health and Social Care (England) and the UK devolved administrations, and leading health research charities. MvS is funded by the National Institute for Health Research (NIHR) Doctoral Fellowship (NIHR3000156) and the research is also partially supported by the NIHR Applied Research Collaboration North Thames. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.
                Categories
                Research Article
                Biology and Life Sciences
                Psychology
                Behavior
                Recreation
                Gambling
                Social Sciences
                Psychology
                Behavior
                Recreation
                Gambling
                Biology and Life Sciences
                Psychology
                Addiction
                Gambling Addiction
                Social Sciences
                Psychology
                Addiction
                Gambling Addiction
                Medicine and Health Sciences
                Mental Health and Psychiatry
                Gambling Addiction
                Medicine and Health Sciences
                Public and Occupational Health
                Social Sciences
                Sociology
                Communications
                Marketing
                Advertising
                Medicine and Health Sciences
                Epidemiology
                Medical Risk Factors
                Biology and Life Sciences
                Nutrition
                Diet
                Alcohol Consumption
                Medicine and Health Sciences
                Nutrition
                Diet
                Alcohol Consumption
                Biology and Life Sciences
                Psychology
                Behavior
                Recreation
                Sports
                Social Sciences
                Psychology
                Behavior
                Recreation
                Sports
                Biology and Life Sciences
                Sports Science
                Sports
                Social Sciences
                Political Science
                Public Policy
                Custom metadata
                The entire analysis was conducted using publicly available data. Since completion of the analysis the Senet Group website have been shut down and all assets have been transferred to the Betting and Gaming Council ( https://bettingandgamingcouncil.com/). The relevant email contact for the BGC is info@ 123456BettingandGamingCouncil.com . We had no special privileges to conduct our analysis as all the data we accessed was in the public domain via the Senet Group website.

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