Virtually Better Inc

Clutter-go: Facilitating Delivery and Adherence in Evidence-based Treatment for Hoarding Disorder via a Patient-provider Digital Health Tool - Project Summary/abstract Hoarding Disorder (HD) Is Characterized by the Acquisition of and Failure to Discard Materials Regardless of Their Actual Value, Resulting in a Dysfunctional Accumulation of Possessions. the Disorder Affects 2.5% of the U.s. Population Daily (~6.5 Million Individuals). HD Causes Significant Functional Impairment, Reduced Quality of Life, and Represents a Substantial Public Health, Safety, and Economic Burden. the Only Evidence-based Treatment (EBT) for HD Is a Specialized Form of Cognitive-behavioral Therapy (CBT). the Treatment Is Associated With Large Effect Sizes on Average; However, Many Do Not Respond Due to Limited Adherence to At-home Behavioral Assignments. on Average, Patients With HD Complete Less Than Half of Their Assigned CBT Homework. Between-session Behavioral Avoidance and Distress, Lack of In-the- Moment Support and Accountability, and Limited Methods to Objectively Measure Homework Completion All Contribute to Low Patient Adherence, Which in Turn Predicts Treatment Non-response. the Current Phase I STTR Seeks to Develop and Assess an Asynchronous Telehealth Tool and Digital Support Resource to Assist in Facilitating Delivery of and Adherence to CBT for HD. Clutter-go™ Will Consist of a Web-based Clinician Portal and Patient-side Mobile App Designed Specifically for HD Treatment. the Platform Will Allow Clinicians to Access Expert-created Ebt Homework Assignments That Can Be Pushed to Patients’ Mobile Devices. Unlike Traditional Pen and Paper Homework Lists and Logs, Clutter-go™ Will Contain a Library of Step-by-step Behaviorally Interactive Multimedia Homework Assignments. Thus, Patients Can Do Assignments by Themselves With Increased Real-time Support and Tracking. the Platform Allows for Just- In-time Psychoeducation Videos, Coping Skills, Emotional Processing, and Therapeutic Accountability via Asynchronous Connection to Therapists, Who Can Monitor Objective Results Immediately. Importantly, a Set of Image and Video Capture Tools With Visual Overlays Make It Easy to Track Progress Over Time to Promote Positive Reinforcement. Ultimately, Use of Clutter-go™ Is Expected to Facilitate Patient Adherence, Treatment Effectiveness, Provider Fidelity, and Dissemination of Ebt for HD. the Overall Goal of the Project Is to Create a Rigorously Vetted and Highly Usable Platform for Phase Ii Testing, via Four Stepwise Aims. Aim 1 Is to Complete Initial Development of the Product Build Based on Input From Internationally Known Experts in HD Treatment. Aim 2 Is to Iteratively Refine the Clinician User Interface (UI) via Consultation and User Acceptance Testing (UAT) With (N = 20) Licensed Clinicians Who Treat HD. Aim 3 Is to Iteratively Refine the Patient Ui via Consultation and Uat With (N = 12) Individuals Diagnosed With HD. Finally, Aim 4 Is to Confirm the Platform by Allowing the Expert Consultants and Licensed Clinicians Re-test the Patient-vetted Product for a Final Round of Iterations. the Primary Outcome Criterion Is Exceptional Platform Usability as Measured by an Industry-standard Usability Scale Shown to Predict Ultimate Product Success. Positive Results Will Be Followed by a Phase Ii Application to Test the Clinical Efficacy of Clutter-go™ in a Large Randomized Controlled Trial and to Continue Improvements via Large Scale Uat.