mPATH for Low-income Older Adults

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorJohns Hopkins University

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • mPATH

    Behavioral

    The 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 intervention

    A 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

176 Participants
are divided into 2 treatment groups
Group A: mPATHExperimental treatment 1 intervention
Group B: Education and Social controlActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in episodic memory as assessed by the Cogstate

Episodic memory will be measured by computerized cognitive batteries using Cogstate

Time frame
Baseline, 6 months, 12 months

Secondary outcomes

1

Change in Sleep efficiency as assessed by actigraphy

sleep efficiency will be measured by 7-day actigraph (reported as a percentage)

Time frame
Baseline, 6 months, 12 months

Other outcomes

Sponsors and contacts

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Johns Hopkins University

Lead sponsor

National Institute on Aging (NIA)

Collaborator