About this trial
The purpose of this study is to test the Green Activity Program that was designed with people living with memory challenges and their study partners to see if it can be done and if they enjoy the program. "Green activities" are nature activities that the person enjoys and can be done with other people or pets. For example, dog walking, hiking, outdoor yoga, and gardening are all green activities. The purpose of the program is to help people living with memory challenges participate in nature activities they enjoy. The goal of the program is to help people stay active and improve their health and well-being.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
45 years or older
Has memory challenges or difficulties thinking
Have access and ability to respond to the telephone (mobile or landline)
18 years or older
Disqualifiers
Heart failure or, difficulty controlling Coronary Artery Disease, Diagnosed Abnormality of Heart Rhythm, or other cardiovascular condition.
If they report difficulty controlling CAD, Diagnosed abnormality of heart rhythm they will be excluded.
If they endorse a diagnosis of heart failure, AND report symptoms greater than NYHA Functional Classification Stage I: "No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation or shortness of breath," they will be excluded. Research assistants will be trained to ask about these symptoms during usual activities of daily living.
If their doctor has told them not to participate in physical activity due to their heart condition or another medical condition, they will be excluded.
Trial design
Single group
Treatments tested in this trial
Green Activity Program
BehavioralSee arm description.
Treatment groups
Trial outcomes
Primary outcomes
Feasibility intervention completion rate
intervention completion rate of 75%
Other Feasibility measures
75% attendance, 75% retention, intervention fidelity using a checklist by an outside rater with at least 75% of potential active ingredients present in 25% of randomly sampled sessions: tailoring (environment, activity, personalized delivery), behavioral activation, and nature (outdoor environment or incorporating nature \[plant or animal\]). Feasibility data of recruitment rates (eligible participants/# recruited per month), feasibility of assessments (time to complete, with an 80% completion rate) will be collected, and we will also track missing data.
Acceptability
Two selected questions from the Intervention Tolerability scale will be asked to the person living with memory challenges over the phone: "The program was easy to use" and "I liked this program." Rated by (yes/no). We expect at least 70% of people living with memory challenges will be satisfied with the intervention (yes to both questions).
Secondary outcomes
Goal Attainment Scaling
Primary goal met (yes/no)
Quick Physical Activity Scale
Physical activity
Heart Rate
ActiGraph LEAP
Physical activity
ActiGraph LEAP
Sponsors and contacts
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Indiana University
Lead sponsor
American Federation for Aging Research
Collaborator