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Completed

NCT Number: NCT03828461

Hoarding Disorder Treatment With Virtual Reality

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.

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Key information

Conditions

Hoarding Disorder Anxiety Disorders Behavior Clutter Communication Disorders Hoarding Language Disorders Mental Disorders Nervous System Diseases Neurobehavioral Manifestations Neurologic Manifestations Obsessive-Compulsive Disorder Pathological Conditions, Signs and Symptoms Signs and Symptoms Speech Disorders

Age range

56 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Stanford Psychiatry Department

Stanford, California, 94305, United States

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age greater than 55
  • Either gender and all ethno-racial groups
  • Physically healthy male or non-pregnant female.
  • Hoarding Disorder primary condition
  • Willing and able to understand and complete consent and study procedures
  • English speaking
  • Participant should have the technology to host Zoom calls

Exclusion criteria

  • Current or past history of bipolar, psychotic or eating disorders, substance dependence, or substance abuse in the last year.
  • 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)
  • Major medical or neurological conditions that increase the risk of participation or that would prevent completing assigned behavioral practice tasks.
  • Unable or unwilling to allow study staff into home for home assessment
  • Currently at high risk for eviction
  • Animal hoarding or squalor

Treatment and study plan

Facilitated group therapy with behavioral practice; 16 weeks

Behavioral

Facilitated group therapy for hoarding disorder with behavioral practice

Primary outcomes

  1. Change in Hoarding Symptom Severity as Measured by Saving Inventory-Revised (SI-R)

    Time frame: 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 outcomes

  1. Change in the Severity of Clutter Level as Measured by Clutter Image Rating Scale

    Time frame: 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.

Sponsors and collaborators

Lead sponsor

Stanford University

Other

Collaborators

  • National Institute on Aging (NIA)

Registry information

Official study title

Enhancing Evidence-Based Treatment of Hoarding Disorder With Virtual Reality

Acronym: HDVR

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Feb 4, 2019
Registry last updated
Apr 1, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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