Clutter, Hoarding, Hoarding Disorder
Conditions
Keywords
hoarding disorder, hoarding, clutter
Brief summary
This study explores whether a facilitated peer support group called Buried in Treasures (BIT) and a virtual reality decluttering practice can help individuals with clutter challenges.
Detailed description
Individuals with clutter challenges participate in Buried in Treasures Workshop (BIT) that has been shown to improve symptoms of hoarding disorder. The investigators hypothesize that adding virtual reality decluttering practice to the BIT workshop will decrease hoarding symptoms and level of clutter over time.
Interventions
BEHAVIORALFacilitated group therapy with behavioral practice; 16 weeks
Facilitated group therapy for hoarding disorder with behavioral practice
Sponsors
National Institute on Aging (NIA)
Stanford University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
56 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Age greater than 55 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 7. Participant should have the technology to host Zoom calls
Exclusion criteria
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Hoarding Symptom Severity as Measured by Saving Inventory-Revised (SI-R) | Change from baseline to 16 weeks after treatment | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in the Severity of Clutter Level as Measured by Clutter Image Rating Scale | Change from baseline to 16 weeks after treatment | Clutter Imaging Rating (CIR) Scale consists of three sets of photographs of a room, each containing nine photos with varying levels of clutter. This scale assesses the clutter levels in the bedroom, living room and kitchen. Patients were asked to select the picture that most accurately reflects the amount of clutter in your room. Scores on range from 1 (least cluttered) to 9 (most cluttered). A mean composite score ranging from 1 to 9 was calculated across the three rooms for each individual. A cut-off score of 4 or higher indicate significant clutter. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| BITS + VR Facilitated group therapy with behavioral practice; 16 weeks
Facilitated group therapy with behavioral practice; 16 weeks: Facilitated group therapy for hoarding disorder with behavioral practice | 9 |
| Total | 9 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Lost to Follow-up | 1 |
| Overall Study | Withdrawal by Subject | 3 |
Baseline characteristics
| Characteristic | BITS + VR |
|---|---|
| Age, Continuous | 64 years STANDARD_DEVIATION 4.6 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 9 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 | 0 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 | 5 Participants |
| Sex: Female, Male Male | 4 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 9 |
| other Total, other adverse events | 7 / 9 |
| serious Total, serious adverse events | 0 / 9 |
Outcome results
Primary
Change in Hoarding Symptom Severity as Measured by Saving Inventory-Revised (SI-R)
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: Change from baseline to 16 weeks after treatment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| BITS + VR | Change in Hoarding Symptom Severity as Measured by Saving Inventory-Revised (SI-R) | 14.2 score on a scale | Standard Deviation 7.7 |
Secondary
Change in the Severity of Clutter Level as Measured by Clutter Image Rating Scale
Clutter Imaging Rating (CIR) Scale consists of three sets of photographs of a room, each containing nine photos with varying levels of clutter. This scale assesses the clutter levels in the bedroom, living room and kitchen. Patients were asked to select the picture that most accurately reflects the amount of clutter in your room. Scores on range from 1 (least cluttered) to 9 (most cluttered). A mean composite score ranging from 1 to 9 was calculated across the three rooms for each individual. A cut-off score of 4 or higher indicate significant clutter.
Time frame: Change from baseline to 16 weeks after treatment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| BITS + VR | Change in the Severity of Clutter Level as Measured by Clutter Image Rating Scale | 0.77 score on a scale | Standard Deviation 0.58 |