ClinicalTrials.gg
CompletedNCT02843308BITSUpdated Nov 21, 2025Results posted

Enhancing Treatment of Hoarding Disorder With Personalized In-Home Sorting and Decluttering Practice

An interventional study of Facilitated group therapy with behavioral practice; 18 weeks in Hoarding Disorder, Hoarding and Clutter, sponsored by Stanford University. Completed at 1 site in United States. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-11-21.

Sponsored by Stanford University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
41
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The proposed study aims to investigate the efficacy of adding in-home decluttering practice to Buried in Treasures Workshop (BIT) facilitated group treatment for hoarding disorder.

Read the detailed description

Patients participate in Buried in Treasures Workshop (BIT) that has been shown to improve symptoms of hoarding disorder. The investigators hypothesize that adding in-home decluttering practice to the BIT workshop will decrease hoarding symptoms and level of clutter over time.

02

Conditions studied

  • Hoarding Disorder
  • Hoarding
  • Clutter

Keywords

  • hoarding disorder
  • hoarding
  • clutter
03

In context

Hoarding Disorder

32 studies on the registry are indexed under Hoarding Disorder; 5 are open to participants now.

This study's enrollment of 41 is above the median of 37 across 28 interventional studies indexed under Hoarding Disorder.

Browse Hoarding Disorder studies →

Lead sponsor

Stanford University is the lead sponsor of 2,168 studies on the registry; 431 are open to participants now.

Of its 267 completed or terminated interventional studies of FDA-regulated products, 207 (78%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria for Individuals with Hoarding Disorder:

  1. Age 18 to 70 years
  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

Exclusion Criteria for Individuals with Hoarding Disorder:

  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
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
41 participants (actual)

Study arms

  • Experimental
    Immediate Treatment

    Facilitated group therapy with behavioral practice; 18 weeks

    Behavioral: Facilitated group therapy with behavioral practice; 18 weeks

  • Experimental
    Delayed Treatment

    Facilitated group therapy with behavioral practice; 18 weeks (after a 18-20 week delay)

    Behavioral: Facilitated group therapy with behavioral practice; 18 weeks

Interventions

  • BehavioralFacilitated group therapy with behavioral practice; 18 weeks

    Facilitated group therapy for hoarding disorder with behavioral practice

06

What researchers measure

Primary outcomes

  1. Number of Patients Who Met and Exceeded Response Criteria of the Saving Inventory-Revised (SI-R)

    The SI-R is a 23-item questionnaire with 3 sub-scales for difficulty discarding, excessive clutter, and compulsive acquisition. The total score ranges from 0 to 92. The greater the score, the more severe the hoarding symptoms. Total score higher than 41 shows significant difficulty with clutter. For the acquisition subscale, items 2 (reverse score), 9, 11, 14, 16, 18 and 21 are summed together. The subscale ranges from 0 to 28 and score greater than 13 indicates difficulty with excessive acquisition. For the difficulty discarding subscale, items 4(reverse score), 6, 7, 13, 17, 19, 23 are summed together. The subscale ranges from 0 to 28 and score greater than 13 indicates difficulty with discarding. For the clutter subscale, items 1, 3, 5, 8, 10, 12, 15, 20, 22 are summed together. The subscale ranges from 0 to 36 and score greater than 15 indicates difficulty with accumulated clutter. Response was defined as at least a 14 point change (pre-post) in the total score.

    Time frame: Change from baseline (pre-treatment) to week 18 (post-treatment) the Immediate Treatment Arm/Group and change from baseline (pre-treatment at 18 weeks) to 36 weeks (post-treatment) for the Delayed Treatment Arm/Group

07

Results

Posted Nov 21, 2025
Limitations and caveats
Several limitations deserve consideration (see paper Wheaton et al., 2024). Although this is the first trial of BIT+ to include a control group, the group was limited to waiting list (which controlled for the passage of time) and did not include another credible treatment comparator. As a result, other potential confounding variables such as placebo effects and attention from the research team were not controlled.

Participant flow

Participant flow — Overall Study
MilestoneImmediate TreatmentDelayed Treatment
Started2120
Completed1819
Not completed31

Outcome measures

PrimaryNumber of Patients Who Met and Exceeded Response Criteria of the Saving Inventory-Revised (SI-R)

The SI-R is a 23-item questionnaire with 3 sub-scales for difficulty discarding, excessive clutter, and compulsive acquisition. The total score ranges from 0 to 92. The greater the score, the more severe the hoarding symptoms. Total score higher than 41 shows significant difficulty with clutter. For the acquisition subscale, items 2 (reverse score), 9, 11, 14, 16, 18 and 21 are summed together. The subscale ranges from 0 to 28 and score greater than 13 indicates difficulty with excessive acquisition. For the difficulty discarding subscale, items 4(reverse score), 6, 7, 13, 17, 19, 23 are summed together. The subscale ranges from 0 to 28 and score greater than 13 indicates difficulty with discarding. For the clutter subscale, items 1, 3, 5, 8, 10, 12, 15, 20, 22 are summed together. The subscale ranges from 0 to 36 and score greater than 15 indicates difficulty with accumulated clutter. Response was defined as at least a 14 point change (pre-post) in the total score.

Time frame:
Change from baseline (pre-treatment) to week 18 (post-treatment) the Immediate Treatment Arm/Group and change from baseline (pre-treatment at 18 weeks) to 36 weeks (post-treatment) for the Delayed Treatment Arm/Group
Reported as:
Count of participants · Participants
Number of Patients Who Met and Exceeded Response Criteria of the Saving Inventory-Revised (SI-R)
ParticipantsImmediate TreatmentDelayed Treatment
Number of Patients Who Met and Exceeded Response Criteria of the Saving Inventory-Revised (SI-R)913

Adverse events

Collected over Baseline (pre-treatment) up to 18 weeks for the Immediate Treatment Arm/Group and up to 36 weeks for the Delayed Treatment Arm/Group. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Immediate Treatment0/21 (0%)0/21 (0%)0/21 (0%)
Delayed Treatment0/20 (0%)0/20 (0%)0/20 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Immediate TreatmentDelayed TreatmentTotal
Mean54.29 ± 12.0658.45 ± 8.4156.37 ± 10.24
Sex: Female, Male
Sex: Female, Male(Participants)Immediate TreatmentDelayed TreatmentTotal
Female151227
Male6814
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Immediate TreatmentDelayed TreatmentTotal
Hispanic or Latino6612
Not Hispanic or Latino151429
Unknown or Not Reported000
08

Study locations

1 site
  • Stanford University
    Stanford, California 94305, United States
09

References and documents

Publications

  • Wheaton MG, Varias AD, Sandhu T, Munoz Rodriguez PA, Mukunda P, Filippou-Frye M, Millen A, Lombardi A, van Roessel P, Raila H, Anderson K, Linkovski O, Mahnke A, Sanchez C, McCarthy E, Wright B, Mibenge C, Rico Y, Righi S, Halsey C, Torio L, Asgari S, Qiu T, Garcia G, Jo B, Belofsky B, Shuer LJ, Frost RO, Rodriguez CI. Randomized waitlist-controlled trial of buried in treasures facilitated support groups and in-home uncluttering (BIT+) for hoarding disorder. J Psychiatr Res. 2024 Aug;176:58-67. doi: 10.1016/j.jpsychires.2024.05.055. Epub 2024 May 30. PubMed 38843580 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2016 to primary completion in Jun 2019, 33 months.

Results were first posted in Nov 2025, 6 years 4 months after primary completion.

Of 20 interventional studies with no phase under Hoarding Disorder, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 48. This study's 33 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 20, 2016
First posted
Jul 25, 2016
StartActual
Sep 1, 2016
Primary completionActual
Jun 30, 2019
CompletionActual
Apr 2, 2020
Results first posted
Nov 21, 2025
Last update
Nov 21, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02843308
Responsible party
Carolyn Rodriguez (Assistant Professor, Stanford University) — Principal investigator
First posted
Jul 25, 2016
Start date
Sep 1, 2016
Primary completion
Jun 30, 2019
Completion
Apr 2, 2020
Results posted
Nov 21, 2025
Last update
Nov 21, 2025

Study contacts

Carolyn Rodriguez, M.D., Ph.D.
principal investigator · Stanford University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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