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Cognitive Rehabilitation and Exposure Therapy for Hoarding Disorder (CREST Trial)

N/A

Waitlist Available

Led By Catherine Ayers, PhD

Research Sponsored by University of California, San Diego

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

DSM-5 diagnosis of HD

Adults age 50 and older

Must not have

Current use of benzodiazepine medication

Current or history of any neurodegenerative disease

Timeline

Screening 3 weeks

Treatment Varies

Follow Up through study completion, an average of 1 year

Awards & highlights

No Placebo-Only Group

Summary

This trial will help us understand how to better treat hoarding disorder and reduce its negative consequences for those affected, especially older adults.

Who is the study for?

This trial is for adults aged 50 or older who have been diagnosed with Hoarding Disorder (HD) as their primary condition and are stable on medications. They must understand and agree to participate voluntarily. People with current psychosis, substance use disorders, benzodiazepine use, suicidality, neurodegenerative diseases, or those already in exposure therapy cannot join.

What is being tested?

The study tests Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST) combined with Case Management against HD symptoms in older adults. It aims to understand how these treatments work and reduce the severity of hoarding behaviors as well as associated disability.

What are the potential side effects?

While specific side effects are not listed for this psychological intervention, participants may experience increased anxiety or emotional distress during exposure tasks designed to confront hoarding behavior.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

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I have been diagnosed with Huntington's disease.

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I am 50 years old or older.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

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I am currently taking benzodiazepine medication.

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I have or had a disease that affects my brain or nerves.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ through study completion, an average of 1 year

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~through study completion, an average of 1 year

This trial's timeline: 3 weeks for screening, Varies for treatment, and through study completion, an average of 1 year for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Change in Saving Inventory-Revised (SI-R)

Change in Self-report Clutter Image Rating (CIR)

Secondary study objectives

PROMIS-43 Profile v2.

UCSD Performance-Based Skills Assessment (UPSA-2)

UCSD SORT Test (U-SORT)

Other study objectives

Behavior Rating Inventory of Executive Function- Adult Version (BRIEF-A)

Behavioral Avoidance Task (BAT)

DKEFS

+2 more

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups

Experimental Treatment

Active Control

Group I: Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST)Experimental Treatment1 Intervention

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.

Group II: Case Management (CM)Active Control1 Intervention

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.

0 / 4Eligibility criteria met