Actively Recruiting
Improving Exercise Adherence With App Technology for At-Risk Adults Living in Rural Kansas and Nebraska
Led by Creighton University · Updated on 2025-09-12
54
Participants Needed
2
Research Sites
44 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Alzheimer's disease and related dementias are a public health crisis impacting individuals across the world. In the United States, adults living in rural areas face an elevated risk for cognitive impairment mainly due to disparities in care, higher sedentary behavior, and reduced education. This project proposes to assess the impact of a remotely delivered exercise program (i.e., RemoteEx+) through a smartphone application. The app is programmed by our team and provides video demonstrations of exercises, workout regimes, motivational messaging, and weekly ADRD risk reduction education. The project aims to assess with a pre/post design the following aims: * 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.
CONDITIONS
Official Title
Improving Exercise Adherence With App Technology for At-Risk Adults Living in Rural Kansas and Nebraska
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 40 to 85 years
- Underactive according to the Telephone Assessment of Physical Activity (TAPA)
- Self-reported proficiency in English
- Own a smartphone and willing to download an application
- Primary care provider clearance for those who do not pass the PAR-Q+
- Live in a rural area as defined by Rural-Urban Commuting Area (RUCA) Codes
You will not qualify if you...
- Contraindications to high-intensity exercise
- Cognitive impairment (score below 19 on the Telephone Montreal Cognitive Assessment)
- Neurodegenerative or acute neurological diagnoses such as Parkinson's disease, stroke, or traumatic brain injury
- Orthopedic surgery or injuries in the last 6 months
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 2 locations
1
Emporia State University
Emporia, Kansas, United States, 66801
Actively Recruiting
2
Creighton University
Omaha, Nebraska, United States, 68178
Actively Recruiting
Research Team
R
Rashelle Hoffman, PT, DPT, PhD
CONTACT
E
Erin Blocker, PhD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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