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Change 4 Better (C4B)

Recruiting

Change 4 Better (C4B): A Smartphone App to Address Problem Gambling

Who can join

Ages 18 and older · All sexes

Full eligibility 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.

About the study

The purpose of this research study is to determine the effectiveness of the Change4Better (C4B) mobile app at reducing the severity of problem gambling as compared to standard treatment as usual (TAU).

What is being tested

Sponsor: Yale University · Participants: 128 · Started: May 1, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06963931

Locations in the U.S.

ColoradoKindbridge Behavioral Health, Denver
ConnecticutCommuniCare, New Haven
Connecticut Renaissance, Norwalk
United Community & Family Services, Norwich
Wheeler Community Healthcare, Plainville
MCCA, Waterbury

From ClinicalTrials.gov, data retrieved Oct 2, 2026. Each study sets its own eligibility; the study team decides who can join.