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The structural addictive characteristics of gambling products are instrumental in the development and persistence of excessive gambling and are important targets for prevention. However, these concepts are unintuitive and difficult to explain. The PICTOGRRED (Pictograms for gambling risk reduction) study aimed to develop pictograms illustrating these main characteristics and assess their impact on lay people’s identification of addictiveness of gambling products.Design: A three-step study: (1) Delphi consensus method; (2) development of 10 pictograms; and (3) study in the general population to assess the impact of exposure to the pictograms versus controls.Setting: The online Delphi recruited experts from 13 countries. The …
