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

• Sponsor: New York State Psychiatric Institute (Other)
• Overall Status: Completed
• CT.gov ID: NCT02377986
• Collaborator: (none)
• Enrollment: 5
• Arm: 1
• Duration (Months): 5.9

Study Details

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.

Condition or Disease	Intervention/Treatment	Phase
Hoarding Disorder	Behavioral: BIT+in-home decluterring; Behavioral: In-Home Decluttering	N/A

Study Design

• Study Type: Interventional
• Actual Enrollment: 5 participants
• Allocation: N/A
• Intervention Model: Single Group Assignment
• Masking: None (Open Label)
• Primary Purpose: Treatment
• Official Title: Augmenting Buried in Treasures Workshop (BIT) With In-home Decluttering Practice for Individuals With Hoarding Disorder
• Study Start Date: Feb 1, 2015
• Actual Primary Completion Date: Aug 1, 2015
• Actual Study Completion Date: Aug 1, 2015

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Experimental: BIT+In-home Decluttering Patients who have not received the BIT workshop through our previous study (IRB 6681) will receive BIT+in-home decluttering practice.	Behavioral: BIT+in-home decluterring; BIT Workshop + In-home decluttering practice; Behavioral: In-Home Decluttering; In-home decluttering practice

Outcome Measures

Primary Outcome Measures

1. Savings Inventory Revised [Change from baseline at 0, 12 weeks and 18 weeks after treatment start]

   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.

2. Clutter Image Rating Scale [Change from baseline at 0, 12 weeks and 18 weeks after treatment start]

   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.

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

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

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

• New York State Psychiatric Institute

Investigators

• Principal Investigator: H Blair Simpson, MD, PhD, Columbia-NYSPI-RFMH

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Carolyn I. Rodriguez, Associate Chair for Inclusion and Diversity, Department of Psychiatry, Stanford University
• ClinicalTrials.gov Identifier: NCT02377986
• Other Study ID Numbers: 7073
• First Posted: Mar 4, 2015
• Last Update Posted: Feb 11, 2020
• Last Verified: Feb 1, 2020

• Additional relevant MeSH terms: Hoarding Disorder

Study Results

Participant Flow

Pre-assignment Detail	Not applicable. Participants did not have a wash out or run-in.

Arm/Group Title	Experimental: BIT+In-home Decluttering
Arm/Group Description	Patients who have not received the BIT workshop through our previous study (IRB 6681) will receive BIT+in-home decluttering practice. BIT+in-home decluterring: BIT Workshop + In-home decluttering practice In-Home Decluttering: In-home decluttering practice
Period Title: Overall Study
STARTED	5
COMPLETED	5
NOT COMPLETED	0

Baseline Characteristics

Arm/Group Title	Experimental: BIT+In-home Decluttering
Arm/Group Description	Patients who have not received the BIT workshop through our previous study (IRB 6681) will receive BIT+in-home decluttering practice. BIT+in-home decluterring: BIT Workshop + In-home decluttering practice In-Home Decluttering: In-home decluttering practice
Overall Participants	5
Age (Count of Participants)
<=18 years	0 0%
Between 18 and 65 years	4 80%
>=65 years	1 20%
Sex: Female, Male (Count of Participants)
Female	5 100%
Male	0 0%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native	0 0%
Asian	0 0%
Native Hawaiian or Other Pacific Islander	0 0%
Black or African American	1 20%
White	4 80%
More than one race	0 0%
Unknown or Not Reported	0 0%

Outcome Measures

1. Primary Outcome

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

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Experimental: BIT+In-home Decluttering
Arm/Group Description	Patients who have not received the BIT workshop through our previous study (IRB 6681) will receive BIT+in-home decluttering practice. BIT+in-home decluterring: BIT Workshop + In-home decluttering practice In-Home Decluttering: In-home decluttering practice
Measure Participants	5
Baseline	71
12 weeks	55
18 weeks	53

2. Primary Outcome

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

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Experimental: BIT+In-home Decluttering
Arm/Group Description	Patients who have not received the BIT workshop through our previous study (IRB 6681) will receive BIT+in-home decluttering practice. BIT+in-home decluterring: BIT Workshop + In-home decluttering practice In-Home Decluttering: In-home decluttering practice
Measure Participants	5
Baseline	4.7
12 weeks	4.7
18 weeks	2.7

Adverse Events

Time Frame	18 weeks
Adverse Event Reporting Description	No adverse events reported by participants
Arm/Group Title	Experimental: BIT+In-home Decluttering
Arm/Group Description	Patients who have not received the BIT workshop through our previous study (IRB 6681) will receive BIT+in-home decluttering practice. BIT+in-home decluterring: BIT Workshop + In-home decluttering practice In-Home Decluttering: In-home decluttering practice
All Cause Mortality
	Experimental: BIT+In-home Decluttering
	Affected / at Risk (%)	# Events
Total	0/5 (0%)
Serious Adverse Events
	Experimental: BIT+In-home Decluttering
	Affected / at Risk (%)	# Events
Total	0/5 (0%)
Other (Not Including Serious) Adverse Events
	Experimental: BIT+In-home Decluttering
	Affected / at Risk (%)	# Events
Total	0/5 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

All Principal Investigators ARE employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.