An interventional study of ACT Website and Coaching in Hoarding Disorder, sponsored by Utah State University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-04-27.
Sponsored by Utah State University · Not applicable, Interventional, and Treatment
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.
The efficacy of an ACT self-help website for hoarding will be assessed through a randomized, waitlist-controlled trial. Participants will be recruited from within the United States through a variety of channels. Given the need to recruit a targeted sample with clinical levels of hoarding symptoms, online advertisements through Facebook and Google AdWords will be the primary recruitment method. Participants will complete an initial brief screening, provide consent, and then complete a baseline survey. Each of these steps will be completed online and participants will be automatically guided from each step to the next. That is, those who screen as eligible will be automatically directed to an online consent form, and those who provide consent will be automatically directed to begin the initial online baseline survey. They will be randomly assigned automatically upon completing the baseline survey to either use the ACT self-help website and receive supportive coaching for the next 8 weeks, or wait for the next 8 weeks. After 8 weeks, participants will be asked to complete a posttreatment survey. They will be asked to complete a final, follow-up survey after an additional 4 weeks after the posttreatment survey. After the follow-up survey is completed, waitlisted participants will be provided with access to the website. The website will implement a self-help version of ACT. 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. 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.
32 studies on the registry are indexed under Hoarding Disorder; 5 are open to participants now.
This study's enrollment of 80 is above the median of 37 across 28 interventional studies indexed under Hoarding Disorder.
Browse Hoarding Disorder studies →Utah State University is the lead sponsor of 39 studies on the registry; 5 are open to participants now.
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Exclusion Criteria:
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
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.
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).
Saving Inventory-Revised (SI-R; Frost et al., 2004)
A self-report measure of hoarding symptoms
Time frame: Posttreatment (8 weeks after baseline)
Sheehan Disability Scale (Sheehan, Harnett-Sheehan, & Raj, 1996)
A self-report measure of functional impairment due to symptoms. Higher scores indicate greater impairment. Scores range from 0 to 30.
Time frame: Posttreatment (8 weeks after baseline) and follow-up (12 weeks after baseline)
Clinical Global Impression - Improvement (CGI-I; Guy, 1976).
A self-report measure of overall improvement in symptoms
Time frame: Posttreatment (8 weeks after baseline) and follow-up (12 weeks after baseline)
General Health Questionnaire-12 (GHQ-12; Goldberg, 1978)
A self-report measure of overall psychological distress
Time frame: Posttreatment (8 weeks after baseline) and follow-up (12 weeks after baseline)
Stigma of hoarding items (Chasson et al., 2018)
Seven self-report items assessing stigma towards individuals with hoarding disorder. These items are not a standardized scale but have been used in previous research (Chasson et al., 2018). Three items assess perceived difference (Example: How like or unlike do you think is a person with obsessive-compulsive disorder compared to everyone else in the general population?), three items assess disdain (Example: How good or bad do you think is a person with hoarding disorder compared to everyone else in the general population?) and one item assesses blame: How responsible do you think a person with serious mental illness is for his or her condition?
Time frame: Posttreatment (8 weeks after baseline) and follow-up (12 weeks after baseline)
Acceptance and Action Questionnaire for Hoarding (AAQH; Krafft et al., in press)
A self-report measure of hoarding-related psychological inflexibility
Time frame: Posttreatment (8 weeks after baseline) and follow-up (12 weeks after baseline)
Five-Facet Mindfulness Questionnaire - Acting with Awareness (FFMQ-AA; Baer, Smith, Hopkins, Krietemeyer, & Toney, 2006)
A self-report measure of the acting with awareness facet of mindfulness
Time frame: Posttreatment (8 weeks after baseline) and follow-up (12 weeks after baseline)
Valuing Questionnaire-Progress (VQ-Progress; Smout, Davies, Burns, & Christie, 2014)
A self-report measure of progress toward personal values
Time frame: Posttreatment (8 weeks after baseline) and follow-up (12 weeks after baseline)
Credibility/Expectancy Questionnaire (CEQ; Devilly & Borkovec, 2000).
A self-report measure of the perceived credibility of and expectations toward a treatment. Only administered to treatment condition
Time frame: After using first website session (approximately 0-1 weeks after baseline)
System Usability Scale (Tullis & Albert, 2008)
A self-report measure of usability of a technological system. Only administered to treatment condition. High scores indicated greater usability, and scores range from 0 to 100.
Time frame: Posttreatment (8 weeks after baseline)
Treatment Evaluation Inventory-Short Form (TEI-SF; Kelley, Heffer, Gresham, & Elliott, 1989).
A self-report measure of treatment acceptability. Only administered to treatment condition
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 1
Participants will be asked to rate agreement from 1 (Strongly disagree) to 6 (Strongly agree) with the statement "Overall, I was satisfied with the quality of the program." This is a novel satisfaction item specific to this study. Only administered to treatment condition
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 2
Participants will be asked to rate agreement from 1 (Strongly disagree) to 6 (Strongly agree) with the statement "The program was helpful to me." This is a novel satisfaction item specific to this study. Only administered to treatment condition
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 3
Participants will be asked to rate agreement from 1 (Strongly disagree) to 6 (Strongly agree) with the statement "The program was easy to use." This is a novel satisfaction item specific to this study. Only administered to treatment condition
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 4
Participants will be asked to rate agreement from 1 (Strongly disagree) to 6 (Strongly agree) with the statement "I felt the program was made for someone like me." This is a novel satisfaction item specific to this study. Only administered to treatment condition
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 5
Participants will be asked to rate agreement from 1 (Strongly disagree) to 6 (Strongly agree) with the statement "I would recommend the program to other people with a clutter and/or hoarding problem." This is a novel satisfaction item specific to this study. Only administered to treatment condition
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 6
Participants will be asked to rate agreement from 1 (Strongly disagree) to 6 (Strongly agree) with the statement "The psychological skills taught (ex. mindfulness, opening up) were helpful to me." This is a novel satisfaction item specific to this study. Only administered to treatment condition
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 7
Participants will be asked to rate agreement from 1 (Strongly disagree) to 6 (Strongly agree) with the statement "The practice exercises (ex. discarding, goal setting) were helpful to me." This is a novel satisfaction item specific to this study. Only administered to treatment condition
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 8
Participants will be asked to rate agreement from 1 (Strongly disagree) to 6 (Strongly agree) with the statement "This treatment fit well with my goals." This is a novel satisfaction item specific to this study. Only administered to treatment condition
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 9
Participants will be asked to rate agreement from 1 (Strongly disagree) to 6 (Strongly agree) with the statement "Overall, I was satisfied with the coaching that I received." This is a novel satisfaction item specific to this study. Only administered to treatment condition
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 10
Participants will be asked to rate agreement from 1 (Strongly disagree) to 6 (Strongly agree) with the statement "The website would have been just as useful without a coach." This is a novel satisfaction item specific to this study. Only administered to treatment condition
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 11
Participants will be asked an open-ended question to gather qualitative feedback on the intervention. Only assigned to treatment condition. The question is, "What did you like best about the Making Space program?"
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 12
Participants will be asked an open-ended question to gather qualitative feedback on the intervention. Only assigned to treatment condition. The question is, "What was the most important thing you learned from the Making Space program?"
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 13
Participants will be asked an open-ended question to gather qualitative feedback on the intervention. Only assigned to treatment condition. The question is, "What did you like least about the Making Space Program? Why did you like this the least?"
Time frame: Posttreatment (8 weeks after baseline)
Novel satisfaction item 14
Participants will be asked an open-ended question to gather qualitative feedback on the intervention. Only assigned to treatment condition. The question is, "Do you have any other comments or suggestions regarding our Making Space program?"
Time frame: Posttreatment (8 weeks after baseline)
Plan to share: Undecided
Ran from Feb 2020 to primary completion in Nov 2020, 9 months.
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 9 months is below that.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.
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Utah State University