Enhancing Treatment of Hoarding Disorder With Personalized In-Home Sorting and Decluttering Practice

Stanford University41 enrolled

Overview

The proposed study aims to investigate the efficacy of adding in-home decluttering practice to Buried in Treasures Workshop (BIT) facilitated group treatment for hoarding disorder.

Patients participate in Buried in Treasures Workshop (BIT) that has been shown to improve symptoms of hoarding disorder. The investigators hypothesize that adding in-home decluttering practice to the BIT workshop will decrease hoarding symptoms and level of clutter over time.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Hoarding Disorder Hoarding Clutter

Interventions

Facilitated group therapy with behavioral practice; 18 weeksBEHAVIORAL

Facilitated group therapy for hoarding disorder with behavioral practice

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria for Individuals with Hoarding Disorder: 1. Age 18 to 70 years 2. Either gender and all ethno-racial groups 3. Physically healthy male or non-pregnant female. 4. Hoarding Disorder primary condition 5. Willing and able to understand and complete consent and study procedures 6. English speaking Exclusion Criteria for Individuals with Hoarding Disorder: 1. Current or past history of bipolar, psychotic or eating disorders, substance dependence, or substance abuse in the last year. 2. Clinically at risk of suicide with Columbia Suicide Severity Rating Scale (C-SSRS) Suicidal Ideation Subscale of 4 or higher (i.e. suicidal intent without specific plan) 3. Major medical or neurological conditions that increase the risk of participation or that would prevent completing assigned behavioral practice tasks. 4. Unable or unwilling to allow study staff into home for home assessment 5. Currently at high risk for eviction 6. Animal hoarding or squalor

Locations (1)

Stanford University

Stanford, California, United States

Outcomes

Primary Outcomes

Number of Patients Who Met and Exceeded Response Criteria of the Saving Inventory-Revised (SI-R)

The SI-R is a 23-item questionnaire with 3 sub-scales for difficulty discarding, excessive clutter, and compulsive acquisition. The total score ranges from 0 to 92. The greater the score, the more severe the hoarding symptoms. Total score higher than 41 shows significant difficulty with clutter. For the acquisition subscale, items 2 (reverse score), 9, 11, 14, 16, 18 and 21 are summed together. The subscale ranges from 0 to 28 and score greater than 13 indicates difficulty with excessive acquisition. For the difficulty discarding subscale, items 4(reverse score), 6, 7, 13, 17, 19, 23 are summed together. The subscale ranges from 0 to 28 and score greater than 13 indicates difficulty with discarding. For the clutter subscale, items 1, 3, 5, 8, 10, 12, 15, 20, 22 are summed together. The subscale ranges from 0 to 36 and score greater than 15 indicates difficulty with accumulated clutter. Response was defined as at least a 14 point change (pre-post) in the total score.

Time frame: Change from baseline (pre-treatment) to week 18 (post-treatment) the Immediate Treatment Arm/Group and change from baseline (pre-treatment at 18 weeks) to 36 weeks (post-treatment) for the Delayed Treatment Arm/Group

Data from ClinicalTrials.gov

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