To be included in the final thematic framework, themes had to be (a) represented across multiple studies, (b) supported by data or author interpretation, and (c) directly relevant to the aims of the REA. While we did not calculate formal intercoder reliability coefficients—given the interpretive, rather than statistical, focus of our synthesis—we ensured rigor through multiple coding rounds and collaborative theme development. In addition to inclusion and exclusion criteria, we conducted a basic quality assessment of each full-text study to ensure the rigor of our review. Searches consisted of article titles, abstracts, and keywords to identify studies that related to the effectiveness of RG messages (i.e., studies relating to RG messages and common synonyms such as safer gambling and positive play).

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The second major theme that emerged from the REA was the effectiveness of RG messages in moderating gambling behavior. Within each identified theme, findings were synthesized narratively to explore points of convergence and divergence across studies, as well as contextual factors (e.g., message framing, delivery mode, population characteristics) that might explain variations in outcomes. Two members of the research team independently reviewed each full-text article and generated initial codes that captured key findings, patterns, and author interpretations related to RG message content, preferences, and effectiveness.

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