About this trial
Although empirical research suggests that physical activity interventions benefit cognition and sleep in older adults in general, the possible benefit of physical activity is understudied in low-income older adults. The study aims to test the immediate and sustaining efficacy of an mHealth-facilitated Physical Activity Toward Health (mPATH) intervention on cognitive function and sleep in low-income older adults.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
self-reported difficulty of sleep
lack of physical activity/exercise
low household income
capacity for moderate intensity exercise
Disqualifiers
untreated sleep apnea
severe depression or anxiety
dementia
history of neurologic or psychiatric disorders, neurodevelopmental impairment, traumatic brain injury
Trial design
Parallel
Treatments tested in this trial
mPATH
BehavioralThe active mPATH intervention takes 6 months including (1) The physical activity education session , (2)mHealth learning and practice; (3)Personalized physical activity training, plan, and biweekly phone calls over 24 weeks (4) mHealth strategies to encourage physical activity and facilitate intervention adherence (5) (5) mPATH during 6-12 months: mPATH will be delivered mainly in 24 weeks before the 6-month data collection. During 6-12 months, the participants will have access to study mHealth strategies, and exercise videos. No additional physical activity training by staff will be supported.
Attention Control
Other interventionA registered nurse from the study team will provide 6 monthly home visit (approximately 55-60 minutes each) to provide physical activity education, physical activity safety at home evaluation, feedback, and social activity (meaningful or enjoyable activities as identified by the participants, such as playing cards, doing arts and crafts, listening to music, talking about life history, etc.).
Treatment groups
Trial outcomes
Primary outcomes
Change in episodic memory as assessed by the Cogstate
Episodic memory will be measured by computerized cognitive batteries using Cogstate
Secondary outcomes
Change in Sleep efficiency as assessed by actigraphy
sleep efficiency will be measured by 7-day actigraph (reported as a percentage)
Sponsors and contacts
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Johns Hopkins University
Lead sponsor
National Institute on Aging (NIA)
Collaborator