Clinical trial Recruiting at 6 sites Interventional Ages 18 and up

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 typeInterventional
Ages18 Years and up
SexAll
Enrollment128 (estimated)
SponsorYale University
Academic / other
Locations6 sites (Denver, Colorado and 5 other locations)
StatusRecruiting
StartedMay 1, 2025
Main results expectedDecember 2027
Study endsDecember 2027
Registry record updatedMay 22, 2026
Trial IDNCT06963931 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

  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.