Hoarding Disorder (HD) is serious and disabling in Veterans. Present in up to 7% of Veterans and even higher symptom rates in older Veterans; HD contributes to functional impairment and poor quality of life. Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST) has shown promising functional improvement and symptom reduction. To reduce burdens and barriers to implementation of CREST, the proposed project will individualize CREST based on cognitive testing and participant preferences, provide all care in the participant's home through telemedicine and home visits, and shorten the timeframe of treatment. A randomized controlled trial comparing 24 sessions of Personalized-CREST to case management for 130 adult Veterans with HD is proposed. Multifaceted functional and recovery outcomes including quality of life, HD severity, and sustained recovery outcomes will be examined throughout treatment and follow-up. By advancing the knowledge of the rehabilitative care of HD, we can interrupt the trajectory of this chronic and debilitating condition.
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
World Health Organization Disability Assessment Schedule (WHODAS 2.0) Change
Timeframe: Baseline, 1.5 months, 3 months, and 9 months
Activities of Daily Living in Hoarding Scale Change
Timeframe: Baseline, 1.5 months, 3 months, and 9 months
PROMIS-43 Profile v2.1 Change
Timeframe: Baseline, 1.5 months, 3 months, and 9 months
Quality of Life in Neurological Disorders (Neuro-QoL) Positive Affect and Well-Being Short form Change
Timeframe: Baseline, 1.5 months, 3 months, and 9 months