NCT04239729

Brief Summary

This study will help to determine if acceptance and commitment therapy delivered as a web-based intervention is a useful treatment for hoarding disorder and evaluate whether or not web-based treatment for hoarding is credible and acceptable. It may also help identify novel processes of change in hoarding treatment such as psychological inflexibility, mindfulness, and self-stigma.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
80

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 13, 2020

Completed
14 days until next milestone

First Posted

Study publicly available on registry

January 27, 2020

Completed
21 days until next milestone

Study Start

First participant enrolled

February 17, 2020

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 27, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 27, 2020

Completed
Last Updated

April 27, 2021

Status Verified

April 1, 2021

Enrollment Period

9 months

First QC Date

January 13, 2020

Last Update Submit

April 26, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Saving Inventory-Revised (SI-R; Frost et al., 2004)

    A self-report measure of hoarding symptoms

    Posttreatment (8 weeks after baseline)

Secondary Outcomes (24)

  • Sheehan Disability Scale (Sheehan, Harnett-Sheehan, & Raj, 1996)

    Posttreatment (8 weeks after baseline) and follow-up (12 weeks after baseline)

  • Clinical Global Impression - Improvement (CGI-I; Guy, 1976).

    Posttreatment (8 weeks after baseline) and follow-up (12 weeks after baseline)

  • General Health Questionnaire-12 (GHQ-12; Goldberg, 1978)

    Posttreatment (8 weeks after baseline) and follow-up (12 weeks after baseline)

  • Stigma of hoarding items (Chasson et al., 2018)

    Posttreatment (8 weeks after baseline) and follow-up (12 weeks after baseline)

  • Acceptance and Action Questionnaire for Hoarding (AAQH; Krafft et al., in press)

    Posttreatment (8 weeks after baseline) and follow-up (12 weeks after baseline)

  • +19 more secondary outcomes

Study Arms (2)

ACT Website and Coaching Condition

EXPERIMENTAL

Participants will be asked to complete 16 brief self-help website sessions, each taking around 15-20 minutes to finish, twice a week for eight weeks. Website exercises and examples primarily focus on hoarding, although some examples also discuss related mental health concerns such as anxiety, low mood, health behaviors, etc. The sessions use multimedia and are interactive. Participants assigned to the website condition will also receive coaching. The purpose of coaching will be to help participants engage with the website and adhere to the intervention. Coaching will consist of an initial phone call of 10-15 minutes followed by weekly email contact during the 8-week treatment period. Coaches will be graduate students trained in clinical psychology.

Behavioral: ACT Website and Coaching

Waitlist Condition

NO INTERVENTION

Participants assigned to the waitlist will be asked to wait 12 weeks without intervention (access to the website or coaching). They will receive access to the website after 12 weeks, but supportive coaching will not be provided to waitlist participants.

Interventions

The ACT website includes sixteen sessions and is designed to teach a series of skills from ACT applied to hoarding. The intervention also includes brief supportive coaching (an initial phone call and weekly support over email).

ACT Website and Coaching Condition

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years old or older
  • Living in the USA
  • Seeking help for clutter and/or hoarding
  • Interested in testing a self-help website
  • Scoring at or above the clinical cutoff of 41 on the Saving Inventory-Revised

You may not qualify if:

  • years or younger
  • Living outside the USA
  • Not seeking help for clutter and/or hoarding
  • Not interested in testing a self-help website
  • Scoring below 41 on the Saving Inventory-Revised

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Utah State University

Logan, Utah, 84322, United States

Location

Related Publications (11)

  • Frost RO, Steketee G, Grisham J. Measurement of compulsive hoarding: saving inventory-revised. Behav Res Ther. 2004 Oct;42(10):1163-82. doi: 10.1016/j.brat.2003.07.006.

    PMID: 15350856BACKGROUND
  • Sheehan DV, Harnett-Sheehan K, Raj BA. The measurement of disability. Int Clin Psychopharmacol. 1996 Jun;11 Suppl 3:89-95. doi: 10.1097/00004850-199606003-00015.

    PMID: 8923116BACKGROUND
  • Guy, W. (1976). Clinical Global Impressions ECDEU Assessment Manual for Psychopharmacology, Revised (DHEW Publ. No. ADM 76-338). Rockville, MD: National Institute of Mental Health.

    BACKGROUND
  • Goldberg, D. (1978). Manual of the GHQ. Windsor: NFER.

    BACKGROUND
  • Chasson, G. S., Guy, A. A., Bates, S., & Corrigan, P. W. (2018). They aren't like me, they are bad, and they are to blame: A theoretically-informed study of stigma of hoarding disorder and obsessive-compulsive disorder. Journal of Obsessive-Compulsive and Related Disorders, 16, 56-65. http://doi.org/10.1016/j.jocrd.2017.12.006

    BACKGROUND
  • Krafft, J., Ong, C. W., Twohig, M. P., & Levin, M. E. (In press). Assessing psychological inflexibility in hoarding: The Acceptance and Action Questionnaire for Hoarding (AAQH). Journal of Contextual Behavioral Science.http://doi.org/10.1016/j.jcbs.2018.08.003

    BACKGROUND
  • Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L. Using self-report assessment methods to explore facets of mindfulness. Assessment. 2006 Mar;13(1):27-45. doi: 10.1177/1073191105283504.

    PMID: 16443717BACKGROUND
  • Smout, M., Davies, M., Burns, N., & Christie, A. (2014). Development of the Valuing Questionnaire (VQ). Journal of Contextual Behavioral Science, 3, 164-172. http://doi.org/10.1016/j.jcbs.2014.06.001

    BACKGROUND
  • Devilly GJ, Borkovec TD. Psychometric properties of the credibility/expectancy questionnaire. J Behav Ther Exp Psychiatry. 2000 Jun;31(2):73-86. doi: 10.1016/s0005-7916(00)00012-4.

    PMID: 11132119BACKGROUND
  • Tullis, T., & Albert, W. (2008). Measuring the user experience. San Francisco, CA: Morgan Kaufmann.

    BACKGROUND
  • Kelley, M. L., Heffer, R. W., Gresham, F. M., & Elliott, S. N. (1989). Development of a modified treatment evaluation inventory. Journal of Psychopathology and Behavioral Assessment, 11, 235-247.

    BACKGROUND

MeSH Terms

Conditions

Hoarding Disorder

Condition Hierarchy (Ancestors)

Obsessive-Compulsive DisorderAnxiety DisordersMental Disorders

Study Officials

  • Michael E Levin, PhD

    Utah State University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Participants will be randomly assigned with equal likelihood to receive the website and coaching immediately or to wait for 12 weeks before using the website.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 13, 2020

First Posted

January 27, 2020

Study Start

February 17, 2020

Primary Completion

November 27, 2020

Study Completion

November 27, 2020

Last Updated

April 27, 2021

Record last verified: 2021-04

Locations