CTI-HD: Critical Time Intervention for Individuals With Hoarding Disorder

• Sponsor: New York State Psychiatric Institute (Other)
• Overall Status: Completed
• CT.gov ID: NCT02367430
• Collaborator: (none)
• Enrollment: 14
• Arm: 1
• Actual Duration (Months): 29.9

Study Details

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.

Condition or Disease	Intervention/Treatment	Phase
Hoarding Disorder	Behavioral: Critical Time Intervention With Buried in Treasures included	N/A

Study Design

• Study Type: Interventional
• Actual Enrollment: 14 participants
• Allocation: N/A
• Intervention Model: Single Group Assignment
• Masking: None (Open Label)
• Primary Purpose: Treatment
• Official Title: Critical Time Intervention for Individuals With Hoarding Disorder
• Actual Study Start Date: Jan 1, 2013
• Actual Primary Completion Date: Jul 1, 2015
• Actual Study Completion Date: Jul 1, 2015

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Critical Time Intervention for Hoarding Disorder Patients with Hoarding Disorder received CTI Model	Behavioral: Critical Time Intervention With Buried in Treasures included; Critical Time Intervention and BIT Workshop

Outcome Measures

Primary Outcome Measures

1. 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.

2. 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.

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts 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

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
• Principal Investigator: Carolyn I Rodriguez, MD, PhD, Stanford University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Carolyn I. Rodriguez, Associate Chair for Inclusion and Diversity in the Department of Psychiatry, Stanford University
• ClinicalTrials.gov Identifier: NCT02367430
• Other Study ID Numbers: 6681
• First Posted: Feb 20, 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	The study did not include a wash out or run in. Not applicable.

Arm/Group Title	Critical Time Intervention for Hoarding Disorder
Arm/Group Description	Patients with Hoarding Disorder received CTI Model Critical Time Intervention With Buried in Treasures included: Critical Time Intervention and BIT Workshop
Period Title: Overall Study
STARTED	14
COMPLETED	11
NOT COMPLETED	3

Baseline Characteristics

Arm/Group Title	Critical Time Intervention for Hoarding Disorder
Arm/Group Description	Patients with Hoarding Disorder received CTI Model Critical Time Intervention With Buried in Treasures included: Critical Time Intervention and BIT Workshop
Overall Participants	14
Age (Count of Participants)
<=18 years	0 0%
Between 18 and 65 years	11 78.6%
>=65 years	3 21.4%
Sex: Female, Male (Count of Participants)
Female	10 71.4%
Male	4 28.6%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino	1 7.1%
Not Hispanic or Latino	13 92.9%
Unknown or Not Reported	0 0%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native	0 0%
Asian	1 7.1%
Native Hawaiian or Other Pacific Islander	0 0%
Black or African American	5 35.7%
White	8 57.1%
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	Baseline, 3 months, 6 months and 9 months

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Critical Time Intervention for Hoarding Disorder
Arm/Group Description	Patients with Hoarding Disorder received CTI Model Critical Time Intervention With Buried in Treasures included: Critical Time Intervention and BIT Workshop
Measure Participants	14
Baseline	67.5 (2.5)
3 months	57.2 (4.1)
6 months	54.8 (5.2)
9 months	51.3 (4.6)

2. Primary Outcome

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

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Critical Time Intervention for Hoarding Disorder
Arm/Group Description	Patients with Hoarding Disorder received CTI Model Critical Time Intervention With Buried in Treasures included: Critical Time Intervention and BIT Workshop
Measure Participants	14
Baseline	6 (2)
3 months	5 (2)
6 months	5 (2)
9 months	5 (2)

Adverse Events

Time Frame	9 months
Adverse Event Reporting Description	No adverse events were reported by participants
Arm/Group Title	Critical Time Intervention for Hoarding Disorder
Arm/Group Description	Patients with Hoarding Disorder received CTI Model Critical Time Intervention With Buried in Treasures included: Critical Time Intervention and BIT Workshop
All Cause Mortality
	Critical Time Intervention for Hoarding Disorder
	Affected / at Risk (%)	# Events
Total	0/14 (0%)
Serious Adverse Events
	Critical Time Intervention for Hoarding Disorder
	Affected / at Risk (%)	# Events
Total	0/14 (0%)
Other (Not Including Serious) Adverse Events
	Critical Time Intervention for Hoarding Disorder
	Affected / at Risk (%)	# Events
Total	0/14 (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.