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Augmenting Buried in Treasures Workshop (BIT) With In-home Decluttering Practice for Individuals With Hoarding Disorder

Primary Purpose

Hoarding Disorder

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
BIT+in-home decluterring
In-Home Decluttering
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:

  • 18 years or older at consent
  • Primary hoarding disorder, Saving Inventory Revised greater than or equal to 40.
  • Clutter Image Rating Scale greater than or equal to 3 and less than or equal to 7.
  • Low risk for eviction
  • English speaking
  • Will and able to understand and complete consent procedures

Exclusion Criteria:

  • Hoarding disorder not primary
  • Severely depressed individuals; Hamilton Depressions Rating Scale greater than 30 or judged clinically to be at risk of suicide with Columbia Suicide Severity Scale
  • Unable or unwilling to allow study staff into home for home assessment OR a Clutter Image Rating Score of less than 2 or greater than 7.
  • At risk for eviction
  • Animal Hoarding or squalor of any kind

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Experimental: BIT+In-home Decluttering

    Arm Description

    Patients who have not received the BIT workshop through our previous study (IRB 6681) will receive BIT+in-home decluttering practice.

    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
    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 26, 2015
    Last Updated
    February 4, 2020
    Sponsor
    New York State Psychiatric Institute
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02377986
    Brief Title
    Augmenting Buried in Treasures Workshop (BIT) With In-home Decluttering Practice for Individuals With Hoarding Disorder
    Official Title
    Augmenting Buried in Treasures Workshop (BIT) With In-home Decluttering Practice for Individuals With Hoarding Disorder
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2020
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2015 (undefined)
    Primary Completion Date
    August 2015 (Actual)
    Study Completion Date
    August 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
    Patients participate in Buried in Treasures Workshop (BIT) that has been shown to improve symptoms of hoarding disorder. To target levels of clutter, the investigators are testing an intervention to add in-home decluttering practice to the BIT workshop.

    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
    5 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Experimental: BIT+In-home Decluttering
    Arm Type
    Experimental
    Arm Description
    Patients who have not received the BIT workshop through our previous study (IRB 6681) will receive BIT+in-home decluttering practice.
    Intervention Type
    Behavioral
    Intervention Name(s)
    BIT+in-home decluterring
    Intervention Description
    BIT Workshop + In-home decluttering practice
    Intervention Type
    Behavioral
    Intervention Name(s)
    In-Home Decluttering
    Intervention Description
    In-home decluttering practice
    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
    Change from baseline at 0, 12 weeks and 18 weeks after treatment start
    Title
    Clutter Image Rating Scale
    Description
    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
    Change from baseline at 0, 12 weeks and 18 weeks after treatment start

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: 18 years or older at consent Primary hoarding disorder, Saving Inventory Revised greater than or equal to 40. Clutter Image Rating Scale greater than or equal to 3 and less than or equal to 7. Low risk for eviction English speaking Will and able to understand and complete consent procedures Exclusion Criteria: Hoarding disorder not primary Severely depressed individuals; Hamilton Depressions Rating Scale greater than 30 or judged clinically to be at risk of suicide with Columbia Suicide Severity Scale Unable or unwilling to allow study staff into home for home assessment OR a Clutter Image Rating Score of less than 2 or greater than 7. At risk for eviction Animal Hoarding or squalor of any kind
    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

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    30419524
    Citation
    Linkovski O, Zwerling J, Cordell E, Sonnenfeld D, Willis H, La Lima CN, Baker C, Ghazzaoui R, Girson R, Sanchez C, Wright B, Alford M, Varias A, Filippou-Frye M, Shen H, Jo B, Shuer L, Frost RO, Rodriguez CI. Augmenting Buried in Treasures with in-home uncluttering practice: Pilot study in hoarding disorder. J Psychiatr Res. 2018 Dec;107:145-150. doi: 10.1016/j.jpsychires.2018.10.001. Epub 2018 Oct 5.
    Results Reference
    result

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