NCT07576855

Brief Summary

The goal of this study is to learn whether a telephone-based program that helps people share life memories can reduce loneliness and improve mental well-being, life satisfaction, and social support in older adults and their caregivers living in rural areas. This study has two parts. In the first part, researchers will gather feedback from a small group of older adults and informal caregivers to see if the updated telephone reminiscence program works well and is easy to use. In the second part, researchers will test the telephone reminiscence program in a clinical trial study to see whether the updated telephone reminiscence program reduces loneliness and improves social support, life satisfaction, and mental well-being in older adults and their caregivers. The researchers will also examine how the program impacts how often and for what reason you reminisce. The main questions this study aims to answer are:

  • Does the telephone reminiscence program improve social support, life satisfaction, and mental well-being and reduce loneliness in rural older adults and their caregivers? How does the telephone reminiscence impact how often and for what reason participants reminisce?
  • How often and how long do participants use the program?
  • How satisfied are older adults and informal caregivers with the program? In this study researchers will compare participants who begin the telephone reminiscence program right away with participants who start the program after a 12-week waiting period to see whether starting the program earlier leads to better outcomes. Participants will:
  • Take part in telephone calls 3 times a week that invite older adults to talk about their life experiences.
  • Answer brief survey questions about social support, loneliness, and mental well-being, and life satisfaction over time.
  • Include both older adults and their informal caregivers, who may also participate by recording questions in their own voice.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
170

participants targeted

Target at P75+ for not_applicable

Timeline
10mo left

Started Aug 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 4, 2026

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 8, 2026

Completed
3 months until next milestone

Study Start

First participant enrolled

August 20, 2026

Expected
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2027

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2027

Last Updated

May 8, 2026

Status Verified

May 1, 2026

Enrollment Period

10 months

First QC Date

May 4, 2026

Last Update Submit

May 4, 2026

Conditions

Keywords

Older AdultsTelephone-Based InterventionReminiscenceMental Well-Being

Outcome Measures

Primary Outcomes (4)

  • Mental Well-Being

    The Mental Health Continuum Short Form (MHC-SF) will be used to assess mental health and well-being. The 14 item scale measures emotional, social, and psychological dimensions of mental health. Participants answer each item on a 6-point scale, ranging from 0 and 5, resulting in a total score between 0 to 70. The emotional well-being subscale has a range from 0 to 15, the social well-being subscale scores range from 0 to 25, and the psychological well-being subscale scores range from 0 to 30. Higher scores on MHC- SF indicate a higher level of mental well-being. The MHC-SF has demonstrated excellent internal consistency (\>.80) and discriminant validity in adults in the United States, and its test-retest reliability has also been demonstrated, with an average of 0.68 over three consecutive three-month periods and 0.65 over a 9-month period.

    Baseline, 12 weeks, and 24 weeks

  • Social Support

    Social support will be measured using 11-item Duke Social Support Index (DSSI), designed to provide a quick and reliable assessment of social support among older adults. This scale evaluates social support across two domains, including social interactions and subjective support. The total score of the scale ranges from 11 to 33. A higher score indicates more social support. The 11-item DSSI demonstrates strong reliability and validity. The scale's internal consistency is reflected in a Cronbach's alpha of 0.77 for elderly populations and its Test-retest reliability scores range from 0.70 to 0.81.

    Baseline, 12 weeks, and 24 weeks

  • Loneliness

    Loneliness will be measured UCLA 3 Item Loneliness Scale is a brief 3-item scale that measures three dimensions of loneliness: relational connectedness, social connectedness, and self. Responses are provided on a 3-point (response scale ranging from "hardly" to "often", with total scores ranging from 3 to 9. The instrument has favorable psychometric properties, including high internal consistency (ranging from 0.89 to 0.94) and a good test-retest reliability over one year (r = 0.73).

    Baseline, 12 weeks, and 24 weeks

  • Life satisfaction

    Life satisfaction will be measured using the Satisfaction with Life Scale, which assesses overall cognitive judgments of one's life satisfaction. Higher scores indicate greater life satisfaction.

    Baseline, 12, 24 weeks

Secondary Outcomes (3)

  • Program Adherence

    During the 12-week intervention period

  • Frequency and Duration of Program Use

    During the 12-week intervention period

  • Reminiscence Functions

    Baseline, 12, 24 weeks

Study Arms (2)

Immediate Telephone Reminiscence Program

EXPERIMENTAL

Participants assigned to this arm will begin the 12-week telephone-based reminiscence program immediately after baseline assessment. Older adults will receive automated telephone calls up to three times per week that invite them to respond to meaningful questions about their life experiences. Informal caregivers associated with participating older adults may also participate by recording personalized questions in their own voice. Participants will complete outcome assessments at baseline and at follow-up time points during and after the intervention period.

Behavioral: Telephone Reminiscence Program

Wait-List Control (Delayed Telephone Reminiscence Program)

NO INTERVENTION

Participants assigned to this arm will not receive the telephone-based reminiscence program during the initial 12-week period following baseline assessment. Participants in this wait-list control arm will complete the same outcome assessments as the immediate intervention group. After the 12-week waiting period, participants will begin the same 12-week telephone reminiscence program.

Interventions

The telephone reminiscence program is a 12-week behavioral intervention designed to support social connection and mental well-being among older adults living in rural areas. The program consists of automated telephone calls delivered up to three times per week that invite older adult participants to respond to simple, meaningful questions about their life experiences and memories. Participants may share as much or as little as they wish during each call and may end the call at any time. Informal caregivers associated with participating older adults may also take part by recording personalized questions or prompts in their own voice. The program does not require internet access, smartphones, or computer use.

Immediate Telephone Reminiscence Program

Eligibility Criteria

Age60 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Older adults aged 60 years or older living in a rural area.
  • Able to read and speak English.
  • Living in a rural area as defined by the U.S. Census Bureau.
  • Has an informal caregiver (family member, partner, friend, or neighbor) willing to participate, or is an informal caregiver of an eligible older adult.
  • Able to participate in telephone-based activities.

You may not qualify if:

  • Significant hearing impairment that would interfere with telephone participation.
  • Cognitive impairment as indicated by three or more errors on a brief cognitive screening assessment.
  • Participation in the program development phase of this study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Connecticut

Storrs, Connecticut, 06269, United States

Location

Related Publications (29)

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  • Lamers SM, Westerhof GJ, Bohlmeijer ET, ten Klooster PM, Keyes CL. Evaluating the psychometric properties of the Mental Health Continuum-Short Form (MHC-SF). J Clin Psychol. 2011 Jan;67(1):99-110. doi: 10.1002/jclp.20741.

    PMID: 20973032BACKGROUND
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  • Yang, Y., Toussaint, B., Harbaran, S., Likamora, E., Graham, C., & Shellman, J. (2024). Analysis of the Impact of a Telephone Reminiscence Program on Mental Health for Community-Dwelling Older Adults: A Mixed- Methods Study [Poster Presentation]. ICLIP 2024 Virtual Conference " Keeping our Legacy Alive: Honoring the Past and Embracing the Future".

    BACKGROUND
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    PMID: 27091846BACKGROUND
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    PMID: 35107574BACKGROUND
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    PMID: 29309502BACKGROUND
  • Lee HY, Kanthawala S, Choi EY, Kim YS. Rural and non-rural digital divide persists in older adults: Internet access, usage, and attitudes toward technology. Gerontechnology. 2021;20(2):1-9. doi:10.4017/gt.2021.20.2.32-472.12

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  • United States Government Accountability Office. Broadband National Strategy Needed to Guide Federal Efforts to Reduce Digital Divide. 2022.

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  • National Healthcare Quality and Disparities Report: Chartbook on Healthcare for Veterans [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2020 Nov. Report No.: 21-0003. Available from http://www.ncbi.nlm.nih.gov/books/NBK578546/

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    PMID: 30609155BACKGROUND
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MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal SatisfactionBehavior

Central Study Contacts

Juliette Shellman, PhD, RN

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

May 4, 2026

First Posted

May 8, 2026

Study Start (Estimated)

August 20, 2026

Primary Completion (Estimated)

June 1, 2027

Study Completion (Estimated)

June 1, 2027

Last Updated

May 8, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations