Cognitive Rehabilitation and Exposure Therapy for Geriatric Hoarding

Part of paid clinical trials in San Diego, California.

Sponsor
University of California, San Diego
Study ID
NCT05254015
Status
Enrolling By Invitation

Conditions

  • Hoarding Disorder
  • Obsessive-Compulsive Disorder

Eligibility Criteria

Sex
ALL
Age
50 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST) — BEHAVIORAL
    Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST) includes cognitive rehabilitation of executive functioning and exposure therapy for discarding/not acquiring.
  • Case Management — BEHAVIORAL
    Case management includes linking to resources, monitoring health, and safety hazards.

Study Details

Hoarding disorder (HD) is a chronic, progressive, and debilitating psychiatric condition that leads to devastating personal and public consequences, particularly for older adults. This confirmatory efficacy trial will advance our knowledge of the mechanisms of action in the treatment of HD as well as reduce symptom severity, disability, and community consequences.

Key Dates

Start date
Nov 21, 2022
Status verified
Apr 2023
Primary completion
Feb 28, 2027
Completion
Feb 28, 2027

Study Design

Enrollment
150 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST)
    Compensatory Cognitive Training (CCT) Modules (7 sessions). Compensatory Cognitive Training is a manualized, low-tech, cognitive training intervention designed to target cognitive impairments common in people with psychiatric illnesses. The CCT modules specifically selected for CREST map onto known areas of HD neurocognitive impairments and include training in prospective memory, prioritizing, problem solving, planning, and cognitive flexibility. Exposure to Discarding and Acquiring Modules (19 sessions). Symptoms of acquiring and saving are themselves avoidance behaviors to avoid internal distress related to negative thoughts and emotions. ET utilizes in vivo exposure exercises taking place in the home to enhance generalization of their new skills. Fear hierarchies typically start with a space that has low clutter volume or there is less of an urge to save a particular type of item in that environment.
  • Active Comparator: Case Management (CM)
    Case Management (CM). CM consists of a set of well-established strategies commonly used in community service settings to address serious and complex problems in particularly vulnerable and often marginalized populations such as those with HD.

Primary Outcome Measure

Change in Saving Inventory-Revised (SI-R) [ Time Frame: through study completion, an average of 1 year ]

Locations (1)

FacilityCityStateZIPSite coordinators
Guava HallSan DiegoCalifornia92161-

Find similar trials in San Diego, CA

By research site
Guava Hall· San Diego, CA

Related Studies