Building connections and meaning for adults in farming communities

Fostering Agricultural Relationships and Meaning - Thriving on Kinship (FARM-TOK)

Not applicable Interventional Ohio State University · NCT07218965

This project will test whether six weekly therapist-led cognitive-behavioral sessions reduce loneliness compared with health education for adults living in agricultural areas who feel disconnected.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment65 (estimated)
Ages18 Years and up
SexAll
SponsorOhio State University Academic / other
Locations1 site (Columbus, Ohio)
Trial IDNCT07218965 on ClinicalTrials.gov

What this trial studies

Sixty-five adults who live in agricultural areas and report loneliness will be randomized to receive either therapist-delivered cognitive-behavioral therapy for perceived social isolation or therapist-delivered health education, each delivered in six weekly 40–60 minute sessions. Outcomes including loneliness, number of social interactions, perceived social support, substance use, and other descriptive measures will be collected at baseline, mid-treatment, post-treatment, and one month after treatment. Participants may opt to complete ecological momentary assessments three times daily for seven weeks via a smartphone app (Catalyst by MetricWire) to capture daily experiences during the intervention. All interventions are delivered in English and require reliable phone/internet access for participation.

Who should consider this trial

Good fit: Adults (18+) who live in an agricultural area, speak English, have reliable phone/internet access, and score at least 44 on the 20-item UCLA Loneliness Scale are the ideal candidates.

Not a fit: People with a current psychotic or bipolar I diagnosis, a diagnosed neurological disorder, active suicidal or homicidal intent, non-English speakers, or those without consistent phone/internet access are unlikely to be eligible or to benefit from this intervention.

Why it matters

Potential benefit: If successful, this approach could reduce loneliness and increase social support and day-to-day social engagement for adults in rural agricultural communities.

How similar studies have performed: Previous trials of CBT approaches focused on loneliness and perceived social isolation have shown promising results, so this trial builds on existing evidence.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 18 years of age or older
* able to provide informed consent
* understand English
* have internet access
* reside in an agricultural area
* screen positive for loneliness by scoring at least 44 on the 20-item UCLA Loneliness Scale

Exclusion Criteria:

* unable to give informed consent
* non-English speaking
* does not have consistent access to a phone and/or internet
* reports being diagnosed with a neurological disorder or a current psychotic or bipolar 1 diagnosis
* current suicidal or homicidal intent indicating a need for immediate hospitalization or treatment as determined by clinical interviewer

Where this trial is running

Columbus, Ohio

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions LonelinessSocial IsolationRural Health
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.