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Critical Time Intervention for Individuals With Hoarding Disorder (CTI-HD)

Primary Purpose

Hoarding Disorder

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Critical Time Intervention With Buried in Treasures included
Sponsored by
New York State Psychiatric Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hoarding Disorder

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Critical Time Intervention for Hoarding Disorder

    Arm Description

    Patients with Hoarding Disorder received CTI Model

    Outcomes

    Primary Outcome Measures

    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.
    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.

    Secondary Outcome Measures

    Full Information

    First Posted
    February 13, 2015
    Last Updated
    February 4, 2020
    Sponsor
    New York State Psychiatric Institute
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02367430
    Brief Title
    Critical Time Intervention for Individuals With Hoarding Disorder
    Acronym
    CTI-HD
    Official Title
    Critical Time Intervention for Individuals With Hoarding Disorder
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2020
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2013 (Actual)
    Primary Completion Date
    July 2015 (Actual)
    Study Completion Date
    July 2015 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    New York State Psychiatric Institute

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    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.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hoarding Disorder

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    14 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Critical Time Intervention for Hoarding Disorder
    Arm Type
    Experimental
    Arm Description
    Patients with Hoarding Disorder received CTI Model
    Intervention Type
    Behavioral
    Intervention Name(s)
    Critical Time Intervention With Buried in Treasures included
    Intervention Description
    Critical Time Intervention and BIT Workshop
    Primary Outcome Measure Information:
    Title
    Savings Inventory-Revised
    Description
    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
    Title
    Clutter Image Rating Scale
    Description
    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

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    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
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    H Blair Simpson, MD, PhD
    Organizational Affiliation
    Columbia-NYSPI-RFMH
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Carolyn I Rodriguez, MD, PhD
    Organizational Affiliation
    Stanford University
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    31910750
    Citation
    Millen AM, Levinson A, Linkovski O, Shuer L, Thaler T, Nick GA, Johns GK, Vargas SM, Rottier KA, Joyner E, Girson RB, Zwerling J, Sonnenfeld D, Shapiro AM, Tannen A, Conover S, Essock S, Herman D, Simpson HB, Rodriguez CI. Pilot Study Evaluating Critical Time Intervention for Individuals With Hoarding Disorder at Risk for Eviction. Psychiatr Serv. 2020 Apr 1;71(4):405-408. doi: 10.1176/appi.ps.201900447. Epub 2020 Jan 8.
    Results Reference
    result

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    Critical Time Intervention for Individuals With Hoarding Disorder

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