ClinicalTrials.gg
CompletedNCT06656975Updated Jun 23, 2026

Social Prescribing and Relationship Cognitive Strategies (SPARCS)

An interventional study of Brief Cognitive Therapy and Social Prescribing in Social Isolation and Suicidal Ideation, sponsored by University of Michigan. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-23.

Sponsored by University of Michigan · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 97 studies in Social Isolation with a site in United States — 26 open to participants now, 29 under way, none of them phase 3. Social Isolation · United States.

Enrollment
56th of 92
60 · median 79
Started
2024
with 8 others
No phase
89 of 97
24 open now
Registered
78th of 97
by date
Lead sponsor
7 of 97
University of Michigan

Among the 97 studies in Social Isolation with a site in United States, this one is the 56th largest by enrollment of the 92 interventional ones that give a count, is one of 9 that started in 2024, is one of 89 with no phase, and was the 78th registered.

Social Isolation

236 studies on the registry are indexed under Social Isolation; 61 are open to participants now.

This study's enrollment of 60 is below the median of 80 across 198 interventional studies indexed under Social Isolation.

Browse Social Isolation studies →

Open to participants now

26 of the 97 studies in Social Isolation with a site in United States are open now.

All 26 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 34 Social Isolation studies recruiting now, 22 (65%) set no upper age limit and 6 (18%) stop at 75 or younger; 4 take children under 18; 18 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 97 studies in Social Isolation with a site in United States, or all of them as a file.
02

Study summary

The study team is testing the acceptability and feasibility of two treatments for improving loneliness: Social Prescribing and Brief Cognitive Therapy.

For this pilot study, the study team have adapted these treatments for Collaborative Care and are studying whether these are practical and well-received by patients that might use them.

Read the detailed description

The study will take place at 2 University of Michigan sites.

03

Conditions studied

  • Social Isolation
  • Suicidal Ideation

Keywords

  • Collaborative Care Management
  • Social Prescribing
  • Relationship Cognitive Strategies
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Screen positive for either or both of the following during routine clinic screening:

    • Social isolation in the past 6 months, according to the screening question "How often do you feel isolated from others?"
    • Suicidal ideation in the past 12 months, according to the 9th item of the Patient Health Questionnaire (HQ-9) (per protocol)
  • Loneliness, according to the 3-item version of the University of California, Los Angeles (UCLA) Loneliness Scale (per protocol)
  • Are currently receiving or are able to initiate Collaborative Care Management at to participant's study site

Exclusion criteria

Exclusion Criteria:

  • Currently receiving or have an active referral for specialty mental health or substance use disorder treatment outside of primary care
  • Neurocognitively impaired according to chart diagnosis, self-report on the Eligibility Screening Survey, or inability to answer comprehension check questions during the process (per protocol)
  • Unable to participate in the interventions and research assessments due to planned travel or limited phone access (e.g., does not own phone)
  • Terminally ill or receiving of palliative care with less than 6 months
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
60 participants (actual)

Study arms

  • Other
    Enhanced Usual Care control group

    Participants will receive an informational booklet on improving loneliness and may initiate or continue Collaborative Care for other conditions on a not research basis. Besides the baseline survey participants will also take 2 more surveys, 3-months and 6-months from the first survey. Those surveys will ask similar questions and will take about 45 minutes to complete. These can be done online or over the phone with a researcher that will not know the treatment arm assignment.

    Other: Enhanced Usual Care

  • Experimental
    Brief Cognitive Therapy then Social Prescribing

    Besides the baseline survey participants will also take 2 more surveys, 3-months and 6-months from the first survey. Those surveys will ask similar questions and will take about 45 minutes to complete. These can be done online or over the phone with a researcher that will not know the treatment arm assignment.

    Behavioral: Brief Cognitive Therapy · Behavioral: Social Prescribing

  • Experimental
    Social Prescribing then Brief Cognitive Therapy

    Besides the baseline survey participants will also take 2 more surveys, 3-months and 6-months from the first survey. Those surveys will ask similar questions and will take about 45 minutes to complete. These can be done online or over the phone with a researcher that will not know the treatment arm assignment.

    Behavioral: Brief Cognitive Therapy · Behavioral: Social Prescribing

Interventions

  • BehavioralBrief Cognitive Therapy

    This intervention will be delivered by participants Behavioral Health Care Manager during Collaborative Care Management appointments. These appointments typically take place over video call (telehealth). Each intervention consists of 4 sessions (approximately 20 minutes each), delivered over 3 months. Participants will also receive a one-time introductory session before starting the first intervention. Between sessions, there will be "homework" tasks, such as filling out worksheets or completing goals that are set with the provider. The therapy portion of the appointment only will be audio recorded using a voice recorder or secure meeting software. Audio recordings will be reviewed by study staff for training and compliance purposes.

  • BehavioralSocial Prescribing

    This intervention will be delivered by participants Behavioral Health Care Manager during Collaborative Care Management appointments. These appointments typically take place over video call (telehealth). Each intervention consists of 4 sessions (approximately 20 minutes each), delivered over 3 months. Participants will also receive a one-time introductory session before starting the first intervention. Between sessions, there will be "homework" tasks, such as filling out worksheets or completing goals that are set with the provider. The therapy portion of the appointment only will be audio recorded using a voice recorder or secure meeting software. Audio recordings will be reviewed by study staff for training and compliance purposes.

  • OtherEnhanced Usual Care

    Participants will receive an informational booklet on improving loneliness. Participants may initiate or continue Collaborative Care for other conditions on a not research basis.

06

What researchers measure

Primary outcomes

  1. Adapted Client Satisfaction Questionnaire - Intervention arms only

    This is an 8-item self-report survey which assesses participant satisfaction with services received. SCORING: Items 2, 4, 5, and 8 are reverse scored. Total scores range from 8 to 32, with the higher number indicating greater satisfaction.

    Time frame: 3 and 6 months

  2. Intervention Helpfulness - Intervention Arms Only

    This is a 9-item, self-report study-specific questionnaire that assesses how much participants were helped by the combined study interventions on various cognitive and behavioral factors that impact loneliness. Questions use a 6-point Likert scale where 0 = "Not applicable/Did not work on this" and 6 = "Made things a lot better." SCORING: Scores will range from 0 to 45, with higher scores indicating greater helpfulness.

    Time frame: 6 months

  3. UCLA Loneliness Scale

    This consists of 20 items using 4-point Likert-type response anchors from never feel this way (0) - often feel this way (3) (9 items are reverse coded) for a score range from 10 to 80.

    Time frame: Baseline, 3 and 6 months

  4. Computer Adaptive Testing - Suicide Scale (CAT-SS)

    The CAT-SS is based on multidimensional item response theory (MIRT). Within computer adaptive testing, an individuals' initial item responses are used to determine a provisional estimate of their standing on the measured trait to be used for subsequent item selection. MIRT weighs more severe items more heavily than less severe items in deriving a test score, and provides an estimate of uncertainty that can be used to assess the significance of change for an individual. The measure adaptively selects an average of 10 items per administration from a large bank of approximately 1,000 items. Instead of fixing the items and allowing the precision of measurement to vary, this measure fixes the precision of measurement and allow the items to vary. As a result, measurement is more precise and less burdensome compared with fixed-item standardized measures of suicidal ideation.

    Time frame: Baseline, 3 and 6 months

  5. Feasibility will be measured by the recruitment goal of 60 participants

    Time frame: 15 months (recruitment period)

  6. Feasibility will be measured by completion rates of follow-up assessments at 3 and 6 months

    The target for this goal = 75%.

    Time frame: 3 and 6 months

Secondary outcomes

  1. Beck Scale for Suicidal Ideation (BSS)

    The Beck Scale for Suicidal Ideation (BSS) is a self-report 21-item scale that assesses thoughts, plans and intent to commit suicide. All items are rated on a three-point scale (0 to 2). Total scores could range from 0 to 42. No specific cut-off scores exist to classify severity. Higher scores reflect greater suicide risk.

    Time frame: Baseline, 12 and 24 weeks

  2. Interpersonal Needs Questionnaire (INQ)

    This is a 15-item questionnaire that participants answer from not at all (1) to very true (7). There is a score range from 15-105 with a higher score indicating higher perceived burdensomeness. There are 6 items that are reverse coded.

    Time frame: Baseline, 12 and 24 weeks

  3. Interpersonal Support Evaluation List (ISEL)

    This is a 12-item measure that assesses the perceived availability of social support from family, friends, and others. Each statement is scored using a 4-point scale (definitely false, probably false, probably true, definitely true) to measure subscales of appraisal, belonging, and tangible support. All items are summed to a total score ranging from 0 to 36 with higher scores indicating greater perceived social support.

    Time frame: Baseline, 12 and 24 weeks

  4. Patient Health Questionnaire (PHQ-9)

    The PHQ-9 is a 9-item self-report measure that assesses the frequency of symptoms of major depressive disorder. Response options range from 0 ("not at all") to 3 (nearly every day). Total scores on the PHQ-9 range from 0-27 with greater scores indicating greater frequency of depressive symptoms.

    Time frame: Baseline, 12 and 24 weeks

  5. Generalized Anxiety Disorder 7 (GAD-7)

    The 7-item GAD-7 will measure symptoms of anxiety. Items are scored 0-3, resulting in a total score of 0-21. Higher scores indicate more symptoms of anxiety.

    Time frame: Baseline, 12 and 24 weeks

  6. Short Form Survey (SF-12)

    The SF-12 covers domains including: (1) physical functioning; (2) role-physical; (3) bodily pain; (4) general health; (5) vitality; (6) social functioning; (7) role emotional; and (8) mental health. Summary scores are calculated by summing factor-weighted scores across all 8 subscales, with factor weights derived from a US-based general population sample. Physical and Mental Health Composite Scores (PCS \& MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.

    Time frame: Baseline, 12 and 24 weeks

  7. Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-SF)

    Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES-Q-SF) consists of 14 items, assesses satisfaction with a variety of life domains such as physical health, work, and social relationships. The scoring of the Q-LES-Q-SF involves summing only the first 14 items to yield a raw total score. The last two items are not included in the total score but are standalone items. The raw total score ranges from 14 to 70. Higher level of enjoyment and satisfaction with life are reflected in higher scores.

    Time frame: Baseline, 12 and 24 weeks

Other outcomes

  1. Percentage of eligible patients that agree to participate in the study

    This will be done for acceptability with a target = 60%

    Time frame: Approximately 15 months (recruitment study period)

  2. Percentage of participants assigned to either intervention arm that complete any intervention session

    The percentage of participants assigned to either intervention arm that complete any intervention session (target = 90%)

    Time frame: 6 months

  3. Percentage of participants assigned to either intervention arm that complete at least 3 of 4 sessions of the initially (first) assigned intervention

    This will be done for acceptability with a target = 75%.

    Time frame: 3 months

  4. Percentage of participants that complete 3 of 4 sessions of the second intervention

    This will be done for acceptability with a target = 50%.

    Time frame: 3 months

  5. Percentage of participants that complete any sessions of the second intervention

    This will be done for acceptability with a target = 65%.

    Time frame: 3 months

07

Study locations

2 sites
  • University of Michigan (Michigan Medicine)-Brighton Health Center
    Brighton, Michigan 48116, United States
  • University of Michigan (Michigan Medicine)-Canton Center
    Canton, Michigan 48187, United States
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — The Principal investigator (PI) will share information about this/these trial(s) via timely registration, updates, and results reporting in ClinicalTrials.gov in accordance with NIH policy. The PI will also upload data gathered in this proposal to an National Institute of Mental Health (NIMH)-designated central data, NIMH Data Archive (NDA), as prescribed by NOT-MH-15-012, working with NIMH program to determine the timing and extent of data sharing. This includes formulation of an enrollment strategy that will obtain the information necessary to generate a Global Unique Identifier (GUID) for each participant.

Supporting information: Study protocol, Informed consent form

Time frame: De-identified data will be entered into the NDA within 1 year of the conclusion of the study.

Access criteria: No additional access restrictions will be placed on the de-identified data beyond those that are standard for the NDA.

Data sharing details ↗ · nda.nih.gov

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2024 to primary completion in May 2026, 16 months.

Of 155 non-industry interventional studies with no phase under Social Isolation, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 36. This study's 16 months is below that.

Counting every sponsor, half of 156 studies reached it within 18 months; a quarter within 10 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 22, 2024
First posted
Oct 24, 2024
StartActual
Dec 30, 2024
Primary completionActual
May 26, 2026
CompletionActual
May 26, 2026
Last update
Jun 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06656975
Responsible party
Paul Pfeiffer (Professor of Psychiatry, University of Michigan) — Principal investigator
First posted
Oct 24, 2024
Start date
Dec 30, 2024
Primary completion
May 26, 2026
Completion
May 26, 2026
Last update
Jun 23, 2026

Study contacts

Paul Pfeiffer, MD
principal investigator · University of Michigan

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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