Mobile app to help reduce problem gambling
Official title: Change 4 Better (C4B): A Smartphone App to Address Problem Gambling
Run by Yale University · NCT06963931 · Data updated 2026-11-12
This study is testing whether a mobile app can help people with gambling problems feel better when used alongside regular treatment.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 128 (estimated) |
| Sponsor | Yale University Academic / other |
| Locations | 6 sites (Denver, Colorado and 5 other locations) |
| Status | Recruiting |
| Started | May 1, 2025 |
| Main results expected | December 2027 |
| Study ends | December 2027 |
| Registry record updated | May 22, 2026 |
| Trial ID | NCT06963931 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older who meet the DSM-5 criteria for gambling disorder and are seeking or currently enrolled in outpatient treatment.
✕Probably not a fit
Patients with severe cognitive impairment, untreated psychosis, active suicidal ideation, or those requiring medical detoxification for substance dependence may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This research evaluates the effectiveness of the Change4Better (C4B) mobile app in reducing problem gambling severity compared to standard treatment. The study involves a 6-month randomized clinical trial for individuals with gambling disorders, who are either enrolled in or seeking outpatient treatment. Participants will be randomly assigned to receive either standard treatment as usual or standard treatment plus access to the C4B app, which is based on cognitive behavioral therapy principles. The app will be managed by the Yale research team and is designed to be used alongside traditional treatment methods.
Why it matters
Potential benefit: If successful, this approach could provide a valuable tool for individuals struggling with problem gambling, enhancing their treatment outcomes.
How similar studies have gone: Other studies have shown promise in using mobile apps for behavioral health interventions, suggesting potential success for this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. 18 years of age or older; 2. able to speak, read and write in English; 3. report gambling in the past 2 months (60 days); 4. meet DSM-5 criteria for gambling disorder within past 12 months as determined by the Structured Clinical Interview for Pathological Gambling - DSM-5 version (SCI-PG-DSM); 5. at least mild gambling severity as measured by GSAS (Total \>8) 6. seeking or currently enrolled in treatment for gambling; if seeking treatment, must be deemed appropriate for outpatient level of care by treatment facility clinical team 7. own a smartphone with internet access. Exclusion Criteria: 1. unwilling or unable to provide informed consent due to severe cognitive impairment or inability to read; 2. deemed to have current untreated psychosis or mania; 3. active suicidal ideation; 4. physical dependence on opioids and/or alcohol requiring medical detoxification.
Where it's running
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Kindbridge Behavioral Health
Denver, Colorado, United States Recruiting -
CommuniCare
New Haven, Connecticut, United States Recruiting -
Connecticut Renaissance
Norwalk, Connecticut, United States Recruiting -
United Community & Family Services
Norwich, Connecticut, United States Recruiting -
Wheeler Community Healthcare
Plainville, Connecticut, United States Recruiting -
Mcca
Waterbury, Connecticut, United States Recruiting
Study contacts
- Principal investigator: Brian Kiluk, PhD — Yale Universaity
- Study coordinator: Elizabeth Doohan
- Email: elizabeth.doohan@yale.edu
- Phone: 203-506-8043
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.