Hoarding Disorder Treatment With Virtual Reality

Hoarding Disorder Clinical Trial

— HDVR  

Official title:

Enhancing Evidence-Based Treatment of Hoarding Disorder With Virtual Reality

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03828461
• Other study ID #: 41899
• Secondary ID: 1P30AG059307
• Status: Completed
• Phase: N/A
• Start date: July 1, 2020
• Est. completion date: December 17, 2021

Study information

• Verified date: March 2024
• Source: Stanford University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 13
• Est. completion date: December 17, 2021
• Est. primary completion date: December 17, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 56 Years and older

Eligibility

Inclusion Criteria:

1. Age greater than 55

2. Either gender and all ethno-racial groups

3. Physically healthy male or non-pregnant female.

4. Hoarding Disorder primary condition

5. Willing and able to understand and complete consent and study procedures

6. English speaking

7. Participant should have the technology to host Zoom calls

Exclusion Criteria:

1. Current or past history of bipolar, psychotic or eating disorders, substance dependence, or substance abuse in the last year.

2. 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)

3. Major medical or neurological conditions that increase the risk of participation or that would prevent completing assigned behavioral practice tasks.

4. Unable or unwilling to allow study staff into home for home assessment

5. Currently at high risk for eviction

6. Animal hoarding or squalor

Related Conditions & MeSH terms

• Clutter
• Hoarding
• Hoarding Disorder

Intervention

Behavioral:
• Facilitated group therapy with behavioral practice; 16 weeks
Facilitated group therapy for hoarding disorder with behavioral practice

Locations

Country	Name	City	State
United States	Stanford Psychiatry Department	Stanford	California

Sponsors (2)

Lead Sponsor	Collaborator
Stanford University	National Institute on Aging (NIA)

Country where clinical trial is conducted

United States, 

References & Publications (1)

Raila H, Avanesyan T, Valentine KE, Koo B, Huang C, Tsutsumi Y, Andreeff E, Qiu T, Munoz Rodriguez PA, Varias A, Filippou-Frye M, van Roessel P, Bullock K, Periyakoil VS, Rodriguez CI. Augmenting group hoarding disorder treatment with virtual reality discarding: A pilot study in older adults. J Psychiatr Res. 2023 Oct;166:25-31. doi: 10.1016/j.jpsychires.2023.08.002. Epub 2023 Aug 9. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Hoarding Symptom Severity as Measured by Saving Inventory-Revised (SI-R)	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.	Change from baseline to 16 weeks after treatment
Secondary	Change in the Severity of Clutter Level as Measured by Clutter Image Rating Scale	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.	Change from baseline to 16 weeks after treatment

External Links

•   Dr. Carolyn Rodriguez Faculty Page
•   Rodriguez Lab Website