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| Name | Class |
|---|---|
| Mohegan Sun Problem Gambling Treatment Fund | UNKNOWN |
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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).
This study is a 6-month randomized clinical trial for individuals with a gambling disorder enrolled in or seeking treatment for problem gambling at an outpatient treatment facilities affiliated with the Bettor Choice Gambling Treatment Programs in Connecticut or Kindbridge Behavioral Health with locations across the US. The purpose is to evaluate the feasibility and efficacy of a cognitive behavioral therapy-based mobile app (Change4Better; C4B), as an adjunct to treatment as usual (TAU) in community-based outpatient treatment programs. Eligible participants will be randomly assigned to receive either: (1) standard treatment as usual (TAU) or (2) TAU plus access to the Change4Better (C4B) mobile app. TAU will consist of standard services provided at outpatient clinics within the Bettor Choice Programs or Kindbridge Behavioral Health. Clinicians providing TAU within the Bettor Choice Programs or Kindbridge Behavioral Health will not be participants in the research trial, and they will not be asked to perform any additional duties outside of their typical services. Participants assigned to C4B will receive TAU plus access to the C4B mobile app, which they can access as often as desired using their own device. The C4B mobile app will be managed by the Yale research team.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Change4Better (C4B) app plus Treatment As Usual (TAU) | Experimental | Participants will work with a mobile app that teaches skills for managing gambling. They will learn skills that may help with cognitive distortions related to gambling - for example, how seemingly unrelated events might be related to gambling outcomes. Participants will be taught how to use the mobile app by a staff member and will be asked to spend about 8 hours using the program (approximately 30-45 minutes per module) at home and will be encouraged to complete over the course of 12 weeks. Monthly follow-up will occur for an additional 12 weeks at which time the mobile app will also be available to participants. |
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| Treatment As Usual (TAU) | No Intervention | Treatment As Usual (TAU) will consist of standard services provided at outpatient clinics within the Bettor Choice Programs or Kindbridge Behavioral Health. TAU will be tailored to the participants needs, and generally includes individual and/or group therapy sessions. Sessions will generally last for 1 hour one time per week for the first 12 weeks and include issues such as:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Change4Better (C4B) mobile app | Behavioral | The content of the C4B app is designed to teach key CBT strategies to address gambling behaviors. The content targets concerns that people with gambling problems often experience (gambling debts, cognitive distortions related to gambling - for example, how unrelated events might be related to gambling outcomes). We have designed the content such that people using the app can see the pattern of progress, identify mistakes and setbacks, and learn from common experiences of people with gambling disorder |
| Measure | Description | Time Frame |
|---|---|---|
| Change in gambling symptom severity | Change in gambling symptom severity as measured monthly by the Gambling Symptom Assessment Scale (G-SAS) from baseline to 6 months. Each item is scored on a 5-point scale from 0 (no symptoms) to 4 (extreme symptoms). The total score ranges from 0 to 48. | Baseline to 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| App engagement-Days Used | Measured by number of days participants used the app | Randomization through week 12 |
| App engagement- Topics completed | Measured by number of topics completed by participants |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Elizabeth Doohan | Contact | 203-506-8043 | elizabeth.doohan@yale.edu |
| Name | Affiliation | Role |
|---|---|---|
| Brian Kiluk, PhD | Yale Universaity | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kindbridge Behavioral Health | Recruiting | Denver | Colorado | 80237 | United States |
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| Randomization through week 12 |
| App engagement- Practice exercises | Measured by number of practice exercises completed | Randomization through week 12 |
| App engagement- Weekly usage | Measured by average number of minutes per week participants used the app | Randomization through week 12 |
| App engagement- Total time | Measured by total time participants spent in the app | Randomization through week 12 |
| CommuniCare | Recruiting | New Haven | Connecticut | 06511 | United States |
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| Connecticut Renaissance | Recruiting | Norwalk | Connecticut | 06852 | United States |
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| United Community & Family Services | Recruiting | Norwich | Connecticut | 06360 | United States |
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| Wheeler Community Healthcare | Recruiting | Plainville | Connecticut | 06062 | United States |
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| MCCA | Recruiting | Waterbury | Connecticut | 06710 | United States |
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