Hoarding Disorder
Conditions
Brief summary
The purpose of this study is to investigate whether a well-established case management model called Critical Time Intervention (CTI) can help individuals with hoarding disorder who are concerned about the risk of eviction. Each individual with hoarding disorder will be assigned to work with a CTI Specialist for 9 months, who will provide referrals for mental health treatment, legal consultations, and registration for entitlements. All participants will be offered a facilitated group intervention called the Buried in Treasures Workshop. The CTI Specialist will also facilitate reconnecting the individual with supportive family/friends and will monitor and support the de-cluttering of the patient's home.
Interventions
BEHAVIORALCritical Time Intervention With Buried in Treasures included
Critical Time Intervention and BIT Workshop
Sponsors
New York State Psychiatric Institute
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* primary Hoarding Disorder * age 18 or over * Individuals concerned with the threat of eviction due to clutter * Patient must be physically healthy * Willing and able to understand and complete consent procedure * English speaking
Exclusion criteria
* Not primary Hoarding Disorder * Severly depressed patients; Hamilton depression rating scale greater than 30 or judged clinically to be at risk of suicide with Columbia Suicide Severity Rating Scale
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Savings Inventory-Revised | Baseline, 3 months, 6 months and 9 months | The Saving Inventory-Revised scale (SI-R) is a 23-item questionnaire with 3 factor-analytically defined sub-scales for difficulty discarding, excessive clutter, and compulsive acquisition. The total score (sum of 23 items) ranges from 0 to 92. Total score higher than 41 shows significant difficulty with clutter. For the acquisition subscale we sum items 2 (reverse score), 9, 11, 14, 16, 18 and 21. The subscale ranges from 0 to 28 and score greater than 13 indicates difficulty with excessive acquisition. For the difficulty discarding subscale we sum items 4(reverse score), 6, 7, 13, 17, 19, 23. The subscale ranges from 0 to 28 and score greater than 13 indicates difficulty with discarding. For the clutter subscale we sum items 1, 3, 5, 8, 10, 12, 15, 20, 22. The subscale ranges from 0 to 36 and score greater than 15 indicates difficulty with accumulated clutter. |
| Clutter Image Rating Scale | Baseline, 3 months, 6 months and 9 months | Clutter Image Rating ScaleL Three sets of photographs, each containing nine photos of a single room with varying levels of clutter. A selection is made as to which photograph best resembles their own home. This scale assesses the clutter levels in the bedroom, living room and kitchen. The scale for each room ranges from 1 to 9. Clutter that reaches the level 4 indicates significant difficulty with clutter that affects the person's life. |
Participant flow
Pre-assignment details
The study did not include a wash out or run in. Not applicable.
Participants by arm
| Arm | Count |
|---|---|
| Critical Time Intervention for Hoarding Disorder Patients with Hoarding Disorder received CTI Model
Critical Time Intervention With Buried in Treasures included: Critical Time Intervention and BIT Workshop | 14 |
| Total | 14 |
Baseline characteristics
| Characteristic | Critical Time Intervention for Hoarding Disorder |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 3 Participants |
| Age, Categorical Between 18 and 65 years | 11 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 13 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 1 Participants |
| Race (NIH/OMB) Black or African American | 5 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) White | 8 Participants |
| Sex: Female, Male Female | 10 Participants |
| Sex: Female, Male Male | 4 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 14 |
| other Total, other adverse events | 0 / 14 |
| serious Total, serious adverse events | 0 / 14 |
Outcome results
Primary
Clutter Image Rating Scale
Clutter Image Rating ScaleL Three sets of photographs, each containing nine photos of a single room with varying levels of clutter. A selection is made as to which photograph best resembles their own home. This scale assesses the clutter levels in the bedroom, living room and kitchen. The scale for each room ranges from 1 to 9. Clutter that reaches the level 4 indicates significant difficulty with clutter that affects the person's life.
Time frame: Baseline, 3 months, 6 months and 9 months
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Critical Time Intervention for Hoarding Disorder | Clutter Image Rating Scale | Baseline | 6 units on a scale | Standard Deviation 2 |
| Critical Time Intervention for Hoarding Disorder | Clutter Image Rating Scale | 3 months | 5 units on a scale | Standard Deviation 2 |
| Critical Time Intervention for Hoarding Disorder | Clutter Image Rating Scale | 6 months | 5 units on a scale | Standard Deviation 2 |
| Critical Time Intervention for Hoarding Disorder | Clutter Image Rating Scale | 9 months | 5 units on a scale | Standard Deviation 2 |
Primary
Savings Inventory-Revised
The Saving Inventory-Revised scale (SI-R) is a 23-item questionnaire with 3 factor-analytically defined sub-scales for difficulty discarding, excessive clutter, and compulsive acquisition. The total score (sum of 23 items) ranges from 0 to 92. Total score higher than 41 shows significant difficulty with clutter. For the acquisition subscale we sum items 2 (reverse score), 9, 11, 14, 16, 18 and 21. The subscale ranges from 0 to 28 and score greater than 13 indicates difficulty with excessive acquisition. For the difficulty discarding subscale we sum items 4(reverse score), 6, 7, 13, 17, 19, 23. The subscale ranges from 0 to 28 and score greater than 13 indicates difficulty with discarding. For the clutter subscale we sum items 1, 3, 5, 8, 10, 12, 15, 20, 22. The subscale ranges from 0 to 36 and score greater than 15 indicates difficulty with accumulated clutter.
Time frame: Baseline, 3 months, 6 months and 9 months
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Critical Time Intervention for Hoarding Disorder | Savings Inventory-Revised | Baseline | 67.5 units on a scale | Standard Deviation 2.5 |
| Critical Time Intervention for Hoarding Disorder | Savings Inventory-Revised | 3 months | 57.2 units on a scale | Standard Deviation 4.1 |
| Critical Time Intervention for Hoarding Disorder | Savings Inventory-Revised | 6 months | 54.8 units on a scale | Standard Deviation 5.2 |
| Critical Time Intervention for Hoarding Disorder | Savings Inventory-Revised | 9 months | 51.3 units on a scale | Standard Deviation 4.6 |