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Older Adults With Cognitive DeclineExercise and fitnessDigital healthCognitive functionBehavioral

What this study is

The overarching goal of our research is to develop personalized and accessible healthy aging lifestyle interventions aimed at promoting physical activity (PA) and improving health among community-dwelling older adults living alone with cognitive decline (LACD). To achieve this goal, the purpose of this project is to determine whether wearable and app-based mHealth intervention component(s) will contribute to increased PA and improved health outcomes in older adults LACD. Our specific aims are to: identify and evaluate mHealth intervention components that practically and significantly contribute to enhanced mechanistic outcomes (e.g., self-efficacy, outcome expectations) and increased PA (primary outcome) in older adults LACD over a 6-month period; determine the optimal combinations of intervention components for future efficacy testing; elucidate the mechanism of behavioral change (MoBC) and potential outcomes of these intervention components, namely, the mediating effects of MoBC variables (e.g., self-efficacy, outcome expectations) on the relationship between intervention components and change in PA. The first two aims are primary and fully-powered. The third aim is exploratory. The aims will support a refined, data-driven intervention design for a subsequent larger trial.

What's being tested

  • Fitness app for self-efficacy

    Intervention · OTHER

    AI-driven personalized exercise prescription via a fitness app. This targets self-efficacy.

  • Social network via app for social support

    Intervention · OTHER

    Participants will be provided access to a social network via app. This targets social support.

  • Health education app targeting outcome expectations

    Intervention · OTHER

    Participants are provided with an app-based health education. This targets outcome expectations.

Study details

Sponsor
The University of Tennessee, Knoxville
Conditions
Older Adults With Cognitive Decline · Older Adults · AI-Based Fitness · Wearables · Cognitive Decline · Physical Activity · Physical Inactivity
Enrolling
64 people
Starts
2026-06-08
Est. completion
2028-06-08
Design
Double-blind, randomized, factorial
Record
View on ClinicalTrials.gov ↗