An Initial Test of Prototype Mobile App Interventions for Decluttering

NCT ID: NCT06108245

Last Updated: 2025-01-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

116 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-01

Study Completion Date

2024-12-05

Brief Summary

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The aim of the study is to investigate whether values clarification writing prompts administered via a prototype mobile application can help enhance motivation and facilitate decluttering in individuals with hoarding problems. This randomized control trial will help to (1) assess whether values clarification can improve outcomes in hoarding treatment by increasing motivation, (2) clarify which specific values clarification procedures are most beneficial, and (3) evaluate the impact of values clarification on overall symptoms and well-being. Participants will be randomly assigned to either the experimental group (receiving the values clarification intervention), psychological placebo group (self-reflection intervention), or the no intervention waitlist group.

Detailed Description

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This randomized control trial study aims to investigate the efficacy of a values clarification prototype mobile application intervention in enhancing motivation and facilitating decluttering in individuals with clinical levels of hoarding symptoms. Participants will be recruited using a variety of recruitment methods (e.g., Google Ads, posts on relevant online groups such as Facebook groups, posting flyers, and provider referrals). Interested participants will first complete a pre-screen asking about their age, country of residence, and whether they own an appropriate mobile device (i.e. iOS or Android). Eligible participants, who must be at least 18 years old and residing in the United States, will be provided with a consent form to sign and then directed to further screening to determine whether they meet the clinical cutoff for hoarding symptoms. Individuals who decline to participate or are screened as ineligible will be screened out and provided with a brief list of other resources they may access for clutter/hoarding problems. The researchers also reserve the right to screen individuals out if they are suspected to be bots or invalid participants. Individuals who consent and are screened as eligible will be redirected to complete a baseline survey and then randomly assigned to one of three groups with equal probability: (1) Experimental group with the values clarification mobile application, (2) psychological placebo group with the self-reflection mobile application, and (3) no-treatment waitlist group. Four weeks after baseline, participants will be asked to complete a post-treatment survey and eight weeks after baseline, participants will be asked to complete a final, follow-up survey. The no-treatment waitlist participants will be given the opportunity to download and use either prototype mobile app, and participants assigned to use one of the apps will be given the opportunity to use the alternative app.

Conditions

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Hoarding

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomly assigned with equal likelihood to receive the values clarification prototype mobile application, the self-reflection prototype mobile application, or no treatment. After 8 weeks, participants who are in the no treatment group will be able to access both applications, and participants in either app group will be able to access the other app.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Values Clarification Condition

Participants will be asked to respond to values clarification prompts twice a day over 28 days \[4 weeks\]. In each session, participants will receive a randomly assigned writing prompt from a pool of four categories: hierarchical, conditional, distinction, and perspective-taking prompts. In the initial session, participants will be asked to respond to a brief set of questions pertaining to their hoarding behavior in the past 12 hours and their motivation to declutter right now. From that point on, participants will respond to a brief set of questions before each writing prompt pertaining to their hoarding behaviors in the time since the previous writing prompt. After the writing prompt, they will be asked about how motivated they are to declutter right now. Each writing prompt is anticipated to take up to 10 minutes to complete and participants will receive notifications to use the app twice daily in addition email reminders twice a week to engage with the app.

Group Type EXPERIMENTAL

Values Clarification Mobile Application

Intervention Type BEHAVIORAL

Participants in the intervention group will be asked to answer a series of values clarification writing prompts twice a day over four weeks.

Self-Reflection Condition

Participants in this condition will be asked to respond to a set of randomly selected self-reflection prompts twice a day over 28 days \[4 weeks\]. As with the experimental condition, participants in the initial session will be asked to respond to a brief set of questions pertaining to their hoarding behavior in the past 12 hours and their motivation to declutter right now. From that point on, participants will be asked to respond to a brief set of questions before each writing prompt pertaining to their hoarding behaviors in the time since the previous writing prompt. After the writing prompt, they will be asked about how motivated they are to declutter right now. Each writing prompt is anticipated to take up to 10 minutes to complete, and participants will receive notifications to use the app twice daily in addition to email reminders twice a week to engage with the app.

Group Type PLACEBO_COMPARATOR

Self-Reflection Mobile Application

Intervention Type BEHAVIORAL

Participants in the psychological placebo group will be administered writing prompts in the same format and frequency as the values intervention, but with prompts focused on self-reflection related to clutter and organization.

Waitlist Condition

Participants assigned to the waitlist will not receive access to any intervention for 8 weeks. After 8 weeks, they will receive access to either the values clarification or self-reflection mobile application.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Values Clarification Mobile Application

Participants in the intervention group will be asked to answer a series of values clarification writing prompts twice a day over four weeks.

Intervention Type BEHAVIORAL

Self-Reflection Mobile Application

Participants in the psychological placebo group will be administered writing prompts in the same format and frequency as the values intervention, but with prompts focused on self-reflection related to clutter and organization.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. 18 years or older.
2. Living in the USA.
3. Owning an Android or iOS mobile device.
4. Meeting the clinical cutoff scores for the Saving Inventory-Revised and Clutter Image Rating scales.
5. Seeking help for clutter and/or hoarding.
6. Interested in testing a self-help prototype mobile app intervention.

Exclusion Criteria

1. 17 years or younger.
2. Living outside the USA.
3. Not owning an Android or iOS mobile device.
4. Scoring below the clinical cutoff scores for the Saving Inventory-Revised and Clutter Image Rating scales.
5. Not seeking help for clutter and/or hoarding.
6. Not interested in testing a self-help prototype mobile app intervention.
7. Not having the fluency in English sufficient to understand study materials.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mississippi State University

OTHER

Sponsor Role lead

Responsible Party

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Jennifer Krafft

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jennifer Krafft, PhD

Role: PRINCIPAL_INVESTIGATOR

Mississippi State University

Locations

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Mindfulness and Acceptance Processes Lab

Starkville, Mississippi, United States

Site Status

Countries

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United States

References

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Brooke, J. (1996). SUS: A "quick and dirty" usability scale. In P. W. Jordan, B. Thomas, B. A. Weerdmeester, & I. L. McClelland (Eds.), Usability evaluation in industry (pp. 189-194). Taylor & Francis.

Reference Type BACKGROUND

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Reference Type BACKGROUND
PMID: 11132119 (View on PubMed)

Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction With Life Scale. J Pers Assess. 1985 Feb;49(1):71-5. doi: 10.1207/s15327752jpa4901_13.

Reference Type BACKGROUND
PMID: 16367493 (View on PubMed)

Frost RO, Hristova V, Steketee G, Tolin DF. Activities of Daily Living Scale in Hoarding Disorder. J Obsessive Compuls Relat Disord. 2013 Apr 1;2(2):85-90. doi: 10.1016/j.jocrd.2012.12.004. Epub 2012 Dec 25.

Reference Type BACKGROUND
PMID: 23482436 (View on PubMed)

Frost RO, Steketee G, Grisham J. Measurement of compulsive hoarding: saving inventory-revised. Behav Res Ther. 2004 Oct;42(10):1163-82. doi: 10.1016/j.brat.2003.07.006.

Reference Type BACKGROUND
PMID: 15350856 (View on PubMed)

Frost, R. O., Steketee, G., Tolin, D. F., & Renaud, S. (2008). Development and validation of the clutter image rating. Journal of Psychopathology and Behavioral Assessment, 30, 193-203.

Reference Type BACKGROUND

Henry JD, Crawford JR. The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol. 2005 Jun;44(Pt 2):227-39. doi: 10.1348/014466505X29657.

Reference Type BACKGROUND
PMID: 16004657 (View on PubMed)

Kelley, M. L., Heffer, R. W., Gresham, F. M., & Elliott, S. N. (1989). Development of a modified treatment evaluation inventory. Journal of psychopathology and behavioral assessment, 11, 235-247.

Reference Type BACKGROUND

Bangor, A., Kortum, P. T., & Miller, J. T. (2008). An empirical evaluation of the system usability scale. Intl. Journal of Human-Computer Interaction, 24(6), 574-594.

Reference Type BACKGROUND

Krafft, J., & Levin, M. E. (2021). Does the Cognitive Fusion Questionnaire measure more than frequency of negative thoughts?. Journal of Contextual Behavioral Science, 22, 63-67.

Reference Type BACKGROUND

Krafft, J., Ong, C. W., Twohig, M. P., & Levin, M. E. (2019). Assessing psychological inflexibility in hoarding: The Acceptance and Action Questionnaire for Hoarding (AAQH). Journal of Contextual Behavioral Science, 12, 234-242.

Reference Type BACKGROUND

McLoughlin, S., Stapleton, A., & Hochard, K. D. (2022). Development and preliminary validation of the Value Clarity Questionnaire. PsyArXiv. https://doi.org/10.31234/osf.io/u97q3

Reference Type BACKGROUND

Sheehan DV, Harnett-Sheehan K, Raj BA. The measurement of disability. Int Clin Psychopharmacol. 1996 Jun;11 Suppl 3:89-95. doi: 10.1097/00004850-199606003-00015.

Reference Type BACKGROUND
PMID: 8923116 (View on PubMed)

Smout, M., Davies, M., Burns, N., & Christie, A. (2014). Development of the valuing questionnaire (VQ). Journal of Contextual Behavioral Science, 3(3), 164-172.

Reference Type BACKGROUND

Other Identifiers

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IRB-23-253

Identifier Type: -

Identifier Source: org_study_id

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