A Pilot Study of Contingency Management for Hoarding Disorder
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 13
- 试验地点
- 1
- 主要终点
- Hoarding Rating Scale (HRS)
研究概览
简要总结
Aim 1: To test the efficacy of contingency management for patients with hoarding disorder (HD).
Hypothesis 1. Participants completing CM will show significant pre- to post-treatment decreases in severity of hoarding symptoms and clinician-rated impairment, and significant increases in quality of life.
Exploratory analyses will examine whether effect sizes compare with those of prior trials of cognitive-behavioral therapy (CBT) for HD conducted within our clinic, whether problem severity at follow-up is predicted by hoarding severity measured immediately after treatment completion, and whether readiness for change improves with treatment.
详细描述
The primary aim of the current study is a preliminary investigation of the efficacy of contingency management (CM) in the treatment of hoarding disorder (HD). CM is a highly efficacious treatment that has been used to treat issues such as substance use disorders, medication/ medical regimen nonadherence, and schizophrenia. While the current best-practice treatment for HD (cognitive behavioral therapy; CBT) is efficacious in that it results in significant symptom reduction, many patients continue to have high levels of functional impairment and distressing symptoms after treatment completion. We strongly feel that CM is able to address many of the issues that arise in the context of CBT for hoarding and we feel that the addition of CM to as CBT will result in significant pre- to post-treatment decreases in severity of hoarding symptoms and impairment, and significant increases in quality of life.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed with Primary Hoarding Disorder,
- •currently participating in the Hoarding Disorder treatment group at the HH Anxiety Disorders Center
排除标准
- •Not clinically appropriate for a group treatment format (i.e., active suicidality or aggressive behavior, psychosis, current physiological substance dependence, or personality issues that would be expected to substantially interfere with the group milieu; cognitively intact).
- •Participants will also be excluded if they have previously completed CBT for HD.
- •In addition, participants in the CM portion of the treatment will be required to live within one hour travel time of the treatment facility to allow for home visits with the independent rater.
研究组 & 干预措施
Contingency Management
Receives contingency payments each month based on decluttering scores
干预措施: Contingency Management (Behavioral)
结局指标
主要结局
Hoarding Rating Scale (HRS)
时间窗: Change from week 1 (pre) to week 16 (post)
A brief 5-item interview to rate clutter, difficulty discarding, acquisition, distress, and impairment. Each item is rated on a likert scale from 1 to 8, with higher scores reflective of higher symptom severity.
Clutter Image Rating Scale
时间窗: Change from week 1 (pre) to week 16 (post)
A pictorial measure of clutter severity containing nine photographs depicting increasing levels of clutter. CIR Scores can range from 1 to 9, with picture 1 indicating an absence of clutter and 9 indicative of the highest level of clutter. Each available room will be rated.
次要结局
- Readiness Ruler(Change from week 1 (pre) to week 16 (post))
- The World Health Organization Quality of Life Scale (WHOQOL-BREF)(Change from week 1 (pre) to week 16 (post))