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
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Alzheimers disease and related dementias present a major public health challenge worldwide, with adults living in rural areas facing higher risks due to disparities in care, more sedentary lifestyles, and less education. This research aims to evaluate the impact of a remotely delivered exercise program called RemoteEx, delivered through a smartphone app, on exercise adherence, effectiveness, enjoyment, and quality of life among underactive rural adults aged 40 to 85 years. The study also seeks to determine how this technology-driven exercise program influences blood pressure and functional mobility, which are linked to dementia risk, and aims to reduce health disparities in rural communities of Nebraska and Kansas. Participants will use the RemoteEx app for 16 weeks, which provides video instructions for exercises, motivational messages, and weekly education on dementia risk reduction. The program is designed to encourage consistent exercise, enhance knowledge about dementia and its modifiable risk factors, and support overall health improvement. The study involves pre- and post-intervention assessments to measure various health outcomes related to dementia risk. During the study, participants will be monitored for exercise adherence, efficacy, enjoyment, blood pressure, cardiovascular endurance, lower body strength, and quality of life using standardized tests and questionnaires. Assessments will occur at the start and end of the 16-week program. Researchers will also evaluate participants knowledge of dementia and barriers to physical activity. The total participation includes completing the 16-week program and attending scheduled evaluations to track changes and safety.
CONDITIONS
Brief 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 the study application
- Primary care provider clearance if not passing the Physical Activity Readiness Questionnaire (PAR-Q+)
- Live in a rural area 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 [MoCA])
- Diagnosed neurodegenerative or acute neurological conditions such as Parkinson's disease, stroke, or traumatic brain injury
- Orthopedic surgery or injuries within the past 6 months
Research Team
R
Rashelle Hoffman, PT, DPT, PhD
E
Erin Blocker, PhD
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