ClinicalTrials.gg
Not yet recruitingNCT07792356Updated Aug 28, 2026

Autobiographical Time Travel to Alleviate Loneliness in Older Adults

An interventional study of Mental Time Travel Group and Social Engagement Group Activities in Aging and Loneliness, sponsored by Baycrest. Not yet recruiting at 1 site in Canada. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2026-08-28.

Sponsored by Baycrest · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
144
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to examine whether updating fundamental beliefs about self, others and the world using a mental time-travel group program can reduce loneliness and improve well-being in older adults when combined with multimodal social engagement opportunities. Over the span of eight sessions, participants within the experimental group will be guided to complete autobiographical simulations grounded in therapeutic techniques including reminiscence, imagery rescripting and positive future thinking. Participants within the active control group will be instructed to continue with their usual social group activities.

Read the detailed description

Older adults (≥65 years) from the Kimel Family Centre registry will be recruited based on a pre-specified score of loneliness. Recruitment will occur on a rolling basis through email and telephone contact, in-person booths, and information sessions. Kimel members who express interest in participating will then be emailed to schedule a time to be screened for eligibility via telephone.

Prior to the telephone screening, consent forms will be sent via email for participants to review. The details of the study will be explained at the beginning of a telephone screening process. Participants will be given the opportunity to ask questions and to indicate whether they wish to continue, whereupon the screening questions will be administered to those who agree. Those who meet the eligibility criteria and provide informed consent will be scheduled for randomization into one of the two groups. Randomization will be computer-generated, stratified by baseline loneliness severity, number of other social groups taken at Kimel Family Centre, sex and gender.

Participants will be randomly assigned to either: (1) Experimental condition: mental time travel protocol (reminiscence induction + imagery rescripting + positive prospection) or (2) a time-matched control condition: Kimel Centre group activities (see Arms and Interventions). Both groups will be encouraged to continue engaging with existing Kimel Centre programming throughout the study period.

Both groups will complete the scheduled outcome assessments at baseline, 1-month post-baseline, 3-month follow-up, and 6-month follow-up. The experimental group will complete additional assessments throughout the experimental sessions (see Outcome measures).

After completion of the main study, participants assigned to the time-matched control may be offered an opportunity to receive the structured experimental protocol, provided that the study remains active and the investigators determine that offering the protocol is appropriate.

02

Conditions studied

  • Aging
  • Loneliness

Keywords

  • Aging
  • Loneliness
  • Schemas
  • Mental Time Travel
  • Imagery Rescripting
  • Reminiscence therapy
  • Future Prospection
03

In context

Lead sponsor

Baycrest is the lead sponsor of 33 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
65 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

  • Age ≥65
  • Elevated loneliness based on a pre-specified cutoff of 44 on the UCLA version 3 Loneliness Scale (Russell, 1997)
  • Capacity to provide
  • Ability to participate in group sessions twice a week for four weeks

Exclusion criteria

Exclusion Criteria:

  • A diagnosis of dementia, mild cognitive impairment, stroke, other neurodegenerative disorders, schizophrenia, bipolar disorder, personality disorders
  • Any condition that would limit participants' capacity to benefit from or safely and comfortably complete the protocol. Given the nature of the protocol, which involves autobiographical memory recall in a group setting, individuals with a history of trauma-related diagnoses (e.g., PTSD or acute stress disorder) and/or those who score in the severe or extremely severe range on any of the depression (≥ 21), anxiety (≥ 15), or stress (≥ 26) subscales of the DASS-21, will be excluded in order to minimize the risk of significant distress during sessions
  • Participants who are unable to complete short questionnaires at each session and online at follow-up will be excluded
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
144 participants (estimated)

Study arms

  • Experimental
    Mental Time Travel Group

    Participants in this arm will participate in the 8-session Mental Time Travel group in addition to their regular social programming at the Kimel Family Centre at Baycrest.

    Behavioral: Mental Time Travel Group · Behavioral: Social Engagement Group Activities

  • Active comparator
    Social Engagement Control Group

    Participants in this arm will participate in their regular social programming at the Kimel Family Centre at Baycrest.

    Behavioral: Social Engagement Group Activities

Interventions

  • BehavioralMental Time Travel Group

    12 groups of six participants each. Groups will attend two 90- minute therapeutic sessions per week over a four-week period. A structured protocol session format will be used, including a short check-in, brief-assessment (i.e., PANAS and BCSS), the core session activity, a second brief-assessment (i.e., PANAS and BCSS), and a closing reflection. The primary session activities will consist of reminiscence induction, imagery rescripting, and positive prospection. In all these sessions, participants will be asked to write down their thoughts in response to the session prompts/exercises which they will not be required to share with the rest of the group. In addition to these sessions, participants will continue their usual weekly social group programming at the Kimel Centre.

  • BehavioralSocial Engagement Group Activities

    Participants in this condition will continue engaging in their usual weekly social group programming provided at the Kimel Centre. The Kimel Centre offers over 300 group-based programs across multiple categories, including Fitness \& Aquatics, Lectures \& Continued Education, Mind, Body, and Soul Wellness, Performing Arts, Nutrition \& Cooking, and Fine Arts \& Crafts, with offerings varying seasonally.

06

What researchers measure

Primary outcomes

  1. UCLA Loneliness Scale (Version 3)

    Items are scored on a 4-point Likert scale (1 = Never, 2 = Rarely, 3 = Sometimes, 4 = Always). Items 1, 5, 6, 9, 10, 15, 16, 19, and 20 are reverse scored. Total scores range from 20-80, with higher scores indicating greater levels of loneliness.

    Time frame: Baseline, 1-month post baseline, 3-month follow-up, and 6-month follow-up

  2. Brief Core Schema Scale (BCSS)

    Four subscales measure: (1) negative self-belief ("I am bad"), (2) negative other-belief ("Others are bad/hostile"), (3) positive self-belief ("I am good"), and (4) positive other-belief ("Others are good/trustworthy"). Items rated on 5-point Likert scale. Higher scores indicate greater endorsement within the subscale.

    Time frame: Baseline, twice at each of the eight experimental group sessions, 1 month post-baseline, 3-month follow-up, 6-month follow-up

  3. Positive and Negative Affect Schedule (PANAS)

    Two 10-item subscales measure positive affect (e.g., interested, excited, proud) and negative affect (e.g., distressed, fearful, guilty). Items rated on 5-point Likert scale (1 = Very slightly or not at all; 5 = Extremely). Subscale scores range from 10-50, with higher scores indicating greater positive or negative affect.

    Time frame: Baseline, twice at each of the eight experimental group sessions, 1 month post-baseline, 3-month follow-up, 6-month follow-up

Secondary outcomes

  1. Patient Health Questionnaire-9 (PHQ-9)

    Items rated on 4-point Likert scale (0 = Not at all; 3 = Nearly every day). Total scores range from 0-27, with higher scores indicating greater depressive symptom severity. Severity categories: minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19), and severe (20-27).

    Time frame: Baseline, 1-month post-baseline , 3-month follow-up, and 6-month follow-up

  2. Overall Anxiety Severity and Impairment Scale (OASIS)

    Each item is rated on a 5-point scale (0-4). Total scores range from 0-20, with higher scores indicating greater anxiety severity and impairment. A score of 8 or higher is recommended as a cut-off for clinically significant anxiety.

    Time frame: Baseline, 1-month post-baseline , 3-month follow-up, and 6-month follow-up

  3. Difficulties in Emotion Regulation Scale (DERS)

    Items rated on 5-point Likert scale (1 = Almost never; 5 = Almost always). Six subscales measure: (1) non-acceptance of emotional responses, (2) difficulties engaging in goal-directed behavior, (3) impulse control difficulties, (4) lack of emotional awareness, (5) limited access to emotion regulation strategies, and (6) lack of emotional clarity. Higher scores indicate greater emotion regulation difficulties.

    Time frame: Baseline, post-intervention, 3-month follow-up, 6-month follow-up

  4. Social Connectedness Scale (SCS)

    Items rated on 6-point Likert scale (1 = Strongly disagree; 6 = Strongly agree). Total scores range from 20-120, with higher scores indicating greater social connectedness and sense of belonging.

    Time frame: Baseline, 1 month post-baseline, 3-month follow-up, 6-month follow-up

  5. Mini-Social Phobia Inventory (Mini-SPIN)

    Items rated on a 5-point Likert scale (0 = Not at all; 4 = Extremely). Total scores range from 0-12. A score of 6 or higher has been proposed as a screening cut-off for social anxiety disorder.

    Time frame: Baseline, 1 month post-baseline, 3-month follow-up, 6-month follow-up

  6. Relational Needs Satisfaction Scale

    Items rated on Likert scale reflecting degree of satisfaction with each relational domain. There are five domains each ranging from 4- 20. Higher scores indicate greater satisfaction of relational needs.

    Time frame: Baseline, 1 month post-baseline, 3-month follow-up, 6-month follow-up

  7. Object-Spatial Imagery Questionnaire (OSIQ)

    Items rated on a Likert scale reflecting the degree to which each imagery style describes the respondent. Scores on each subscale range from 15-75 with higher scores on each subscale indicate greater reliance on the corresponding imagery style (object or spatial).

    Time frame: Baseline

  8. Vividness of Visual Imagery Questionnaire (VVIQ)

    Items are measured on a 5-point scale with higher scores indicating greater imagery vividness. Scores can range from 4-20.

    Time frame: Baseline, 1 month post-baseline, 3-month follow-up, 6-month follow-up

  9. Brief 5-item "Core" Social Isolation Measure

    Items are measured on a 2- or 3-point scale with higher scores indicating greater social isolation. Scores can range from 0-8.

    Time frame: Baseline, 1 month post-baseline, 3-month follow-up, 6-month follow-up

  10. Implicit Association Test (IAT)

    The IAT measures the strength of automatic associations between concepts (e.g., self vs. other) and evaluative attributes (e.g., positive vs. negative). D-scores quantify the magnitude of the implicit association, with positive values indicating stronger association of self with positive attributes or other with negative attributes, depending on the specific IAT variant administered.

    Time frame: Baseline, 1 month post-baseline, 3-month follow-up, 6-month follow-up

  11. Healthcare Utilization Questionnaire

    Items are tabulated to produce counts or frequency data for each category, which can be aggregated to calculate total healthcare service utilization and associated costs if applicable.

    Time frame: Baseline, 1 month post-baseline, 3-month follow-up, 6-month follow-up

  12. Narrative Identity Self-Evaluation scale (NISE)

    Items are measured on a 7-point Likert scale. There are four subscale, autobiographical reasoning, desire for structure, positive themes and narrative disturbances. Higher scores indicate higher endorsement of the subscale.

    Time frame: Baseline, twice at each of the eight experimental group sessions, 1 month post-baseline, 3-month follow-up, 6-month follow-up

  13. Thinking About Life Experiences Scale (TALE)

    Items are measured on a 5-point Likert scale with higher scores indicating greater frequency of talking about their life

    Time frame: Baseline, 1 month post-baseline, 3-month follow-up, 6-month follow-up

07

Study locations

1 site
  • Baycrest Academy for Research and Education
    Toronto, Ontario M6A 2E1, Canada
    • Brian Levine, Ph.D · Contactblevine@research.baycrest.org · 416-785-2500
    • Rotem Paz, Ph.D · Contactrpaz@research.baycrest.org
    • Brian Levine, Ph.D · Principal investigator
    • Rotem Paz, Ph.D · Sub investigator
    • David Moscovitch, Ph.D · Sub investigator
    • Morris Moscovitch, Ph.D · Sub investigator
    • Nicole Anderson, Ph.D · Sub investigator
08

References and documents

Publications

  • Bluck S, Alea N. Crafting the TALE: construction of a measure to assess the functions of autobiographical remembering. Memory. 2011 Jul;19(5):470-86. doi: 10.1080/09658211.2011.590500. PubMed 21864212 ↗
  • Lind M, R Cowan H, Adler JM, McAdams DP. Development and Validation of the Narrative Identity Self-Evaluation Scale (NISE). J Pers Assess. 2025 May-Jun;107(3):292-305. doi: 10.1080/00223891.2024.2425663. Epub 2024 Nov 15. PubMed 39546387 ↗
  • McEvoy PM, Saulsman LM. Imagery-enhanced cognitive behavioural group therapy for social anxiety disorder: a pilot study. Behav Res Ther. 2014 Apr;55:1-6. doi: 10.1016/j.brat.2014.01.006. Epub 2014 Feb 7. PubMed 24561919 ↗
  • Hallford DJ, Yeow JJE, Fountas G, Herrick CA, Raes F, D'Argembeau A. Changing the future: An initial test of Future Specificity Training (FeST). Behav Res Ther. 2020 Aug;131:103638. doi: 10.1016/j.brat.2020.103638. Epub 2020 May 7. PubMed 32416495 ↗
  • Hallford, D. J., Rusanov, D., Yeow, J. J. E., Austin, D. W., D'Argembeau, A., Fuller-Tyszkiewicz, M., & Raes, F. (2023). Reducing anhedonia in major depressive disorder with future event specificity training (FEST): A randomized controlled trial. Cognitive Therapy and Research, 47(1), 20-37. https://doi.org/10.1007/s10608-022-10330-z
  • Hallford DJ, Mellor D. Autobiographical Memory-Based Intervention for Depressive Symptoms in Young Adults: A Randomized Controlled Trial of Cognitive-Reminiscence Therapy. Psychother Psychosom. 2016;85(4):246-9. doi: 10.1159/000444417. Epub 2016 May 27. No abstract available. PubMed 27230870 ↗
  • Hallford DJ, Hardgrove S, Sanam M, Oliveira S, Pilon M, Duran T. Remembering for resilience: Brief cognitive-reminiscence therapy improves psychological resources and mental well-being in young adults. Appl Psychol Health Well Being. 2022 Aug;14(3):1004-1021. doi: 10.1111/aphw.12364. Epub 2022 May 2. PubMed 35502002 ↗
  • Zvelc G, Jovanoska K, Zvelc M. Development and Validation of the Relational Needs Satisfaction Scale. Front Psychol. 2020 Jun 10;11:901. doi: 10.3389/fpsyg.2020.00901. eCollection 2020. PubMed 32587540 ↗
  • Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988 Jun;54(6):1063-70. doi: 10.1037//0022-3514.54.6.1063. PubMed 3397865 ↗
  • Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092-7. doi: 10.1001/archinte.166.10.1092. PubMed 16717171 ↗
  • Russell DW. UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure. J Pers Assess. 1996 Feb;66(1):20-40. doi: 10.1207/s15327752jpa6601_2. PubMed 8576833 ↗
  • Marks DF. Visual imagery differences in the recall of pictures. Br J Psychol. 1973 Feb;64(1):17-24. doi: 10.1111/j.2044-8295.1973.tb01322.x. No abstract available. PubMed 4742442 ↗
  • Lee, R. M., Draper, M., & Lee, S. (2001). Social connectedness, dysfunctional interpersonal behaviors, and psychological distress: Testing a mediator model. Journal of Counseling Psychology, 48(3), 310-318. https://doi.org/10.1037/0022-0167.48.3.310
  • Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x. PubMed 11556941 ↗
  • Greenwald AG, Farnham SD. Using the implicit association test to measure self-esteem and self-concept. J Pers Soc Psychol. 2000 Dec;79(6):1022-38. doi: 10.1037//0022-3514.79.6.1022. PubMed 11138752 ↗
  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
  • Gilbert, P., McEwan, K., Mitra, R., Franks, L., Richter, A., & Rockliff, H. (2008). Feeling safe and content: A specific affect regulation system? Relationship to depression, anxiety, stress, and self-criticism. The Journal of Positive Psychology, 3(3), 182-191. https://doi.org/10.1080/17439760801999461
  • Fowler D, Freeman D, Smith B, Kuipers E, Bebbington P, Bashforth H, Coker S, Hodgekins J, Gracie A, Dunn G, Garety P. The Brief Core Schema Scales (BCSS): psychometric properties and associations with paranoia and grandiosity in non-clinical and psychosis samples. Psychol Med. 2006 Jun;36(6):749-59. doi: 10.1017/S0033291706007355. Epub 2006 Mar 27. PubMed 16563204 ↗
  • Connor KM, Kobak KA, Churchill LE, Katzelnick D, Davidson JR. Mini-SPIN: A brief screening assessment for generalized social anxiety disorder. Depress Anxiety. 2001;14(2):137-40. doi: 10.1002/da.1055. PubMed 11668666 ↗
  • Cenzer I, Torres JM, Yang Y, Romero KRF, Thoma MC, Kotwal AA. Development and Evaluation of a Brief Social Isolation Measure in the Nationally-Representative Health and Retirement Study. J Am Geriatr Soc. 2025 Dec;73(12):3807-3813. doi: 10.1111/jgs.70056. Epub 2025 Aug 29. PubMed 40880184 ↗
  • Campbell-Sills L, Norman SB, Craske MG, Sullivan G, Lang AJ, Chavira DA, Bystritsky A, Sherbourne C, Roy-Byrne P, Stein MB. Validation of a brief measure of anxiety-related severity and impairment: the Overall Anxiety Severity and Impairment Scale (OASIS). J Affect Disord. 2009 Jan;112(1-3):92-101. doi: 10.1016/j.jad.2008.03.014. Epub 2008 May 16. PubMed 18486238 ↗
  • Blajenkova, O., Kozhevnikov, M., & Motes, M. A. (2006). Object-spatial imagery: A new self-report imagery questionnaire. Applied Cognitive Psychology: The Official Journal of the Society for Applied Research in Memory and Cognition, 20(2), 239-263. https://doi.org/10.1002/acp.1182

Individual participant data

Plan to share: Yes — De-identified study data may be shared through the following mechanisms: i) Direct sharing with collaborators: De-identified data may be shared with external collaborators for secondary analysis purposes ii) Posted online in open science data repository such as the Open Science Framework. (b) Personally identifiable information, the participant code linking document and signed consent forms, will not be shared under any circumstances. (c) Given that participants disclose sensitive mental health information and personal autobiographical memories, re-identifiability is a meaningful concern. Prior to any data sharing, the dataset will be reviewed to ensure no combination of variables could reasonably identify.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: De-identified data and supporting documents will be made available on the Open Science Framework (OSF) upon publication of the primary study results, with no end date.

Access criteria: De-identified quantitative outcome data from self-report questionnaires, along with the study protocol, statistical analysis plan, and blank informed consent form, will be stored in a controlled-access component on the Open Science Framework (OSF). Qualified researchers may request access by contacting the principal investigator with a brief description of the intended use. Requests will be reviewed for scientific merit and consistency with the original participant consent, and access will be granted subject to Research Ethics Board approval where required. Memory narratives will not be shared due to the risk of participant re-identification.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07792356
Lead sponsor
Baycrest
Collaborators
Mitacs, University of Waterloo
Responsible party
Sponsor
First posted
Aug 28, 2026
Start date
Aug 15, 2026 (estimated)
Primary completion
Jun 30, 2027 (estimated)
Completion
Aug 20, 2027 (estimated)
Last update
Aug 28, 2026

Study contacts

Brian Levine, Ph.D
Contact
studyemail@baycrest.org
416-785-2500 ext. 3593
David Moscovitch, Ph.D
Contact
dmosco@uwaterloo.ca
Brian Levine, Ph.D
principal investigator · Baycrest Academy for Research and Education
David Moscovitch, Ph.D
principal investigator · University of Waterloo

Oversight

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

Not currently enrolling

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