Motivational Interviewing to Enhance Behavioral Change in Older Adults with Hoarding Disorder
Mississippi State University
Summary
This study will compare two behavioral interventions for hoarding disorder in older adults.
Description
Hoarding disorder is a psychological condition with a unique constellation of consequences for older adults, including increased risk of fire and dying in a fire, insect infestation, and medical problems. Dangers related to cluttered living spaces are exacerbated by reduced executive functioning, attention, and concentration. Hoarding psychopathology results from maladaptive cognitions (e.g., desire to keep items others would discard) and maladaptive behavioral patterns (e.g., avoidance of sorting/discarding items). Extant treatments for hoarding have targeted fear reduction as the mechanism…
Eligibility
- Age range
- 60+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Aged 60+ * Live within a 60-minute driving radius of Starkville, MS * Have a primary psychiatric diagnosis of hoarding disorder Exclusion Criteria: * Major cognitive impairment * Active psychosis, drug use, or acute suicidal ideation * Concurrent psychotherapy focused on hoarding * Changed psychotropic medications within the past three months
Interventions
- BehavioralRECLAIM: Reducing Clutter and Increasing Meaning
Participants will receive 16 weekly 1-hour treatment sessions in their home delivered by Masters-level clinicians with the assistance of undergraduate researchers. Each treatment session will involve a combination of motivational interviewing (MI) and sorting practice. The rationale behind the sorting practice is to develop the skill of sorting and the formation of a daily sorting routine. The MI portion of the initial session will involve an evaluation of client strengths and individual biopsychosocial goals. The initial and subsequent sessions will include a variety of MI techniques, including decisional balancing, developing discrepancy, personalized feedback, and reinforcement of responsibility of sense of self-efficacy.
- BehavioralSorting Practice
Participants will receive 16 weekly 1-hour treatment sessions in their home delivered by Masters-level clinicians with the assistance of undergraduate researchers. Clinicians will encourage participants to sort objects during each session while refraining from use of any specific cognitive or motivational therapeutic techniques. Participants will be asked to record the frequency and duration of any sorting/ discarding they did during the previous week.
Location
- Mississippi State UniversityStarkville, Mississippi