Implementation and evaluation of a community-based treatment for late-life hoarding

被引:10
|
作者
Pittman, James O. E. [1 ,2 ,3 ]
Davidson, Eliza J. [4 ,5 ]
Dozier, Mary E. [5 ,6 ]
Blanco, Brian H. [1 ,5 ]
Baer, Kylie A. [5 ]
Twamley, Elizabeth W. [1 ,3 ,5 ]
Mayes, Tina L. [1 ,2 ,5 ]
Sommerfeld, David H. [1 ]
Lagare, Tiffany [7 ]
Ayers, Catherine R. [1 ,2 ,4 ,5 ,7 ]
机构
[1] Univ Calif San Diego, Sch Med, Dept Psychiat, San Diego, CA 92103 USA
[2] VA San Diego Healthcare Syst, Mental Hlth Care Line, San Diego, CA USA
[3] VA San Diego Healthcare Syst, Ctr Excellence Stress & Mental Hlth, San Diego, CA USA
[4] Univ Calif San Diego, San Diego State Univ, San Diego Joint Doctoral Program Clin Psychol, San Diego, CA 92103 USA
[5] VA San Diego Healthcare Syst, Res Serv, San Diego, CA USA
[6] Mississippi State Univ, Dept Psychol, Starkville, MS USA
[7] Univ Calif San Diego, Sch Med, Dept Family Med & Publ Hlth, San Diego, CA 92103 USA
关键词
hoarding; older adults; cognitive rehabilitation; implementation; PRISM; RE-AIM; COGNITIVE-BEHAVIORAL THERAPY; OLDER-ADULTS; DISORDER; AGE; PREVALENCE; VALIDATION; INTERVIEW; ONSET; MODEL;
D O I
10.1017/S1041610220000241
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objectives: The objective of this paper was to examine the implementation and effectiveness of a community-based intervention for hoarding disorder (HD) using Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST). Design: This was a mixed-method, pre-post quasi-experimental study informed by the Practical, Robust Implementation and Sustainability Model for implementation science. Setting: Program activities took place in San Diego County, mainly within clients' homes or community, with some activities in-office. Participants: Participants were aged 60 years or older, met eligibility for Medi-Cal or were uninsured, and met criteria for HD. Intervention: A manualized, mobile protocol that incorporated CREST was utilized. Measurements: The Clutter Image Rating and Hoarding Rating Scale were used as effectiveness outcomes. An investigator-created staff questionnaire was used to evaluate implementation. Results: Thirty-seven clients were reached and enrolled in treatment and 15 completed treatment during the initial 2 years of the program. There were significant changes in hoarding severity and clutter volume. Based on the initial 2 years of the program, funding was provided for expansion to cover additional San Diego County regions and hire more staff clinicians in year three. Conclusion: Preliminary data suggest that the CREST intervention can be successfully implemented in a community setting with positive results for older adults with HD.
引用
收藏
页码:977 / 986
页数:10
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