- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT07633392
Effectiveness of NeoMayor in Improving Cardiovascular Health (NEOMAYOR)
Effectiveness of NeoMayor in Improving Cardiovascular Health Status in Chilean Adults
This study aims to evaluate the effectiveness of NeoMayor, a mobile health (mHealth) intervention designed to improve cardiovascular health among older adults at elevated cardiovascular risk in Chile. NeoMayor is a smartphone-based application that provides personalized guidance on physical activity, diet, sleep, and mental well-being through a multidomain lifestyle approach.
This multicenter randomized controlled trial will enroll community-dwelling older adults aged 55 to 75 years recruited from primary healthcare centers in urban and rural settings. Participants will be randomized in a 2:1 ratio to either the NeoMayor intervention or a control group receiving standard health information and usual care. The intervention duration will be four months.
The primary objective is to determine whether the NeoMayor intervention improves cardiovascular health as measured by the Life's Essential 8 Cardiovascular Health Index. Secondary objectives include evaluating changes in cognitive performance, depressive symptoms, anxiety symptoms, quality of life and physical performance outcomes. The study will also assess feasibility and adherence to digital intervention.
Přehled studie
Postavení
Podmínky
Intervence / Léčba
Detailní popis
Population aging in low- and middle-income countries has led to an increasing burden of non-communicable diseases, particularly cardiovascular disease and dementia. A substantial proportion of cardiovascular and dementia risk factors are modifiable, making lifestyle-based preventive interventions a public health priority.
Multidomain interventions targeting physical activity, diet, sleep, and psychosocial factors have demonstrated effectiveness in reducing cardiovascular risk and supporting cognitive health. However, implementation barriers such as limited access, low adherence, and healthcare inequities reduce their impact in real-world settings.
Mobile health interventions offer a scalable alternative, particularly in settings with increasing smartphone adoption among older adults. NeoMayor was developed using a user-centered design approach and demonstrated feasibility and potential effectiveness in a pilot study conducted in Chile.
This study will evaluate the effectiveness of NeoMayor in improving cardiovascular health using the Life's Essential 8 Cardiovascular Health Index, a composite measure developed by the American Heart Association that includes modifiable behavioral and biological cardiovascular risk factors. The trial will also explore cognitive and mental health outcomes as well as pshysical performance associated with lifestyle improvement.
Typ studie
Zápis (Odhadovaný)
Fáze
- Nelze použít
Kontakty a umístění
Studijní kontakt
- Jméno: General coordinator
- Telefonní číslo: +56977492730
- E-mail: coordinacionmayores@gmail.com
Studijní místa
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Tiltil, Chile
- Hospital de Til til Daniel Moya #100
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Independencia
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Santiago, Independencia, Chile, 8380456
- Hospital clinico Universidad de Chile. Carlos Lorca Tobar 999
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Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Popis
Age between 55 and 75 years Able to read and understand written instructions Ownership of a smartphone and ability to use it independently Physically inactive, defined as performing less than 30 minutes of daily physical activity or less than 2,5 h a week).
Intermediate or high cardiovascular risk, defined as the presence of at least three of the following:
Hypertension (history diagnosed by specialist or general practitioner or
≥ 140 mmHg systolic or ≥90 mm Hg diastolic blood pressure at baseline or current antihypertensive treatment) Diabetes mellitus (history diagnosed by specialist or general practitioner or or fasting blood glucose ≥126 mg/dL or current pharmacologic treatment). Obesity (BMI ≥30 kg/m²) Dyslipidaemia (history diagnosed by specialist or general practitioner or lipid-lowering drugs or baseline total cholesterol ≥ 200 mg/dL or LDL cholesterol ≥100 mg/dL) Exclusion Criteria
Participants meeting any of the following criteria will be excluded:
Dementia defined as a socre in the Mini-ACE < 21 Significant limitations for independent mobility, including use of assistive devices, frailty, gait instability, or lower-limb painful conditions limiting physical activity Uncorrected hearing or visual impairment preventing adequate use of a smartphone Chronic neurological, psychiatric, or psychological disorders without regular treatment or follow-up.
Present severe alcohol or illicit drug use. Severe or terminal illness.
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Prevence
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Dvojnásobek
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
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Experimentální: NeoMayor app
Participants will receive access to the NeoMayor mobile health application designed to promote healthy lifestyle behaviors through structured behavioral challenges targeting physical activity, diet, sleep, and mental well-being during 4 months.
Participants in this arm will additionally be randomized to receive the intervention with or without wearable device suppor
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NeoMayor is a smartphone-based multidomain lifestyle intervention designed for older adults.
The application delivers structured behavioral challenges and personalized recommendations targeting physical activity, healthy diet, sleep quality, and emotional well-being.
Participants receive onboarding training and ongoing app-based feedback throughout the 4-month intervention period.
Ostatní jména:
Participants randomized to wearable support will receive a commercially available wearable activity tracker synchronized with the NeoMayor application to support self-monitoring of physical activity and health behaviors.
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Žádný zásah: Control Group
Participants will receive standard health information and continue with their usual healthcare provided by the public health system
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Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Change in Life's Essential 8 Cardiovascular Health Index (CVHI)
Časové okno: Baseline and 4 months
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The primary outcome is the change in the Life's Essential 8 Cardiovascular Health Index (CVHI) from baseline to 4 months. The CVHI is a composite cardiovascular health score ranging from 0 to 100, with higher scores indicating better cardiovascular health status. The index is based on the eight cardiovascular health components defined by the American Heart Association Life's Essential 8 framework, including:Smoking status,Physical activity,Diet quality,Sleep duration,Body mass index (BMI),Blood pressure,LDL cholesterol,Fasting glucose. Each component is standardized according to published scoring algorithms and combined to generate the overall cardiovascular health score. The primary analysis will evaluate the between-group difference in change in CVHI over time. |
Baseline and 4 months
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Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Global cognition
Časové okno: Baseline and 4 months
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Mini-Addenbrooke's Cognitive Examination
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Baseline and 4 months
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Attention and cognitive flexibility
Časové okno: Baseline and 4 months
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Trail Making Test - Black & White
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Baseline and 4 months
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Cognitive processing speed
Časové okno: Baseline and 4 months
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Digit Symbol Substitution Test (DSST)
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Baseline and 4 months
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Depression
Časové okno: Baseline and 4 months
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Geriatric depression scale
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Baseline and 4 months
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Anxiety
Časové okno: Baseline and 4 months
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Geriatric Anxiety Inventory
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Baseline and 4 months
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Health-Related Quality of Life
Časové okno: Baseline and 4 months
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Health-Related Quality of Life -12
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Baseline and 4 months
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Loneliness
Časové okno: baseline and 4 months
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UCLA 3 questions
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baseline and 4 months
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Global physical performance
Časové okno: Baseline and 4 months
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Short physical performance battery
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Baseline and 4 months
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Balance systems
Časové okno: Baseline and 4 months
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Mini best Test
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Baseline and 4 months
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Modifiable dementia risk factors
Časové okno: Baseline and 4 months
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LIBRA score
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Baseline and 4 months
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Spolupracovníci a vyšetřovatelé
Sponzor
Spolupracovníci
Publikace a užitečné odkazy
Obecné publikace
- Lloyd-Jones DM, Allen NB, Anderson CAM, Black T, Brewer LC, Foraker RE, Grandner MA, Lavretsky H, Perak AM, Sharma G, Rosamond W; American Heart Association. Life's Essential 8: Updating and Enhancing the American Heart Association's Construct of Cardiovascular Health: A Presidential Advisory From the American Heart Association. Circulation. 2022 Aug 2;146(5):e18-e43. doi: 10.1161/CIR.0000000000001078. Epub 2022 Jun 29.
- Gutierrez M, Cabello V, SanMartin CD, Mauro J, Musa G, Torres M, San Martin MC, Marquez C, Beltran R, Rogers N, Salech F, Ponce D, Ampuero C, Varas P, Gamboa-Labbe B, Cortes VD, Vega C, Ruiz R, Velasquez J, Vergara R, Behrens MI, More J, Delgado Derio C. An mHealth App (NeoMayor) to Promote Healthy Lifestyles and Brain Health in Older Adults: Design and Validation Study. JMIR Aging. 2025 Oct 1;8:e71936. doi: 10.2196/71936.
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Odhadovaný)
Primární dokončení (Odhadovaný)
Dokončení studie (Odhadovaný)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
Další identifikační čísla studie
- neomayor
Plán pro data jednotlivých účastníků (IPD)
Plánujete sdílet data jednotlivých účastníků (IPD)?
Popis plánu IPD
Časový rámec sdílení IPD
Kritéria přístupu pro sdílení IPD
Typ podpůrných informací pro sdílení IPD
- PROTOKOL STUDY
- MÍZA
- ICF
- ANALYTIC_CODE
- CSR
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
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