Improving Exercise Adherence With App Technology for At-Risk Adults Living in Rural Kansas and Nebraska
NCT ID: NCT07171255
Last Updated: 2025-09-12
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
54 participants
INTERVENTIONAL
2025-08-22
2026-06-30
Brief Summary
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* Aim 1. Assess the RemoteEx+ intervention exercise adherence, efficacy, enjoyment, and quality of life. We hypothesize that rural adults will report high exercise adherence (80% of session adherence), efficacy (\>50% on Self Efficacy for Exercise), and enjoyment (\>5.0 on Intrinsic Motivation Inventory - Interest / Enjoyment Subscale) and that these variables will be positively correlated with quality of life scores (36-Item Short Form Health Survey \[SF-36\])
* Aim 2. Determine the impact of a technology-driven exercise program on blood pressure and functional mobility associated with dementia risk. We hypothesize that the exercise program will result in improvements in blood pressure and functional mobility (2-minute step test and 30-second chair rise test) and that participants with high exercise adherence will see the greatest improvements in biomarkers associated with reduced dementia risk.
* Aim 3. Reduce health disparities among rural-dwelling Nebraska and Kansas residents. We hypothesize that RemoteEx+ will reduce barriers to exercise (Barriers to Being Active Quiz and improve knowledge surrounding dementia and modifiable risk factors (Dementia Knowledge Assessment Tool - Version 2 \[DKAT2\]) that will result in fewer lifestyle-related health disparities for the communities involved in this study.
The results from this project will inform whether RemoteEx+ has an impact on the stated outcomes above for adults living in rural areas.
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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RemoteEx+ Program
RemoteEx+ Programming
The exercise program will include video instruction for all exercises, motivational cues, and ADRD risk education throughout the 16-week exercise program to encourage exercise adherence. RemoteEx+ is optimized to enhance exercise knowledge surrounding dementia risk factors to facilitate ADRD risk reduction and overall health improvement. The purpose of this study is to investigate the efficacy of RemoteEx+ on health outcomes associated with dementia risk in underactive rural adults.
Interventions
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RemoteEx+ Programming
The exercise program will include video instruction for all exercises, motivational cues, and ADRD risk education throughout the 16-week exercise program to encourage exercise adherence. RemoteEx+ is optimized to enhance exercise knowledge surrounding dementia risk factors to facilitate ADRD risk reduction and overall health improvement. The purpose of this study is to investigate the efficacy of RemoteEx+ on health outcomes associated with dementia risk in underactive rural adults.
Eligibility Criteria
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Inclusion Criteria
* Characterized as underactive by the Telephone Assessment of Physical Activity (TAPA)50
* Self-reported proficiency in English
* Own a smartphone and willing to download an application
* Primary care provider clearance to participate for those who do not pass the PAR-Q+51
* Live in a rural area (Rural-Urban Commuting Area \[RUCA\] Codes) 52
Exclusion Criteria
* Cognitive impairment (\<19 on the Telephone Montreal Cognitive Assessment \[MoCA\])
* Neurodegenerative or acute neurological diagnoses (e.g., Parkinson's disease, stroke, traumatic brain injury)
* Orthopedic surgery or injuries in the last 6 months
40 Years
85 Years
ALL
Yes
Sponsors
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Creighton University
OTHER
Responsible Party
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Locations
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Emporia State University
Emporia, Kansas, United States
Creighton University
Omaha, Nebraska, United States
Countries
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Central Contacts
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Facility Contacts
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Role: primary
Other Identifiers
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2005493
Identifier Type: -
Identifier Source: org_study_id
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