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Development of a Chatbot-supported Personalized Exercise Program for Older Adults and Evaluation of Its Effects on Cognitive Functions

12. maj 2026 opdateret af: Makbule Neslişah Tan, Dokuz Eylul University

The purpose of this study is to develop an artificial intelligence-based chatbot application to support exercise behavior in individuals aged 60 and over who do not regularly exercise, and to evaluate its effectiveness. In addition, the study aims to examine the effects of changes in exercise habits on the cognitive (mental) functions of older adults.

In this study, the impact of a chatbot-supported personalized exercise program on cognitive functions in older individuals will be evaluated. A total of 90 participants is planned for inclusion in this study.

If you agree to participate in this study, depending on the group you are assigned to, you may receive:

  • An artificial intelligence-based chatbot program, along with educational materials about the importance of exercise, or
  • Only educational materials (brochures) prepared by the researchers about the importance of exercise.

At the beginning of the study, you will be asked to complete a data collection form. The same form will also be administered at week 12 and week 24.

This form will include:

  • Basic information such as your age and gender,
  • Questions about your exercise habits,
  • A brief test to assess your cognitive (mental) functions,
  • Questions evaluating your level of physical activity. The study duration is 24 weeks, including 12 weeks of intervention and 12 weeks of follow-up.

Studieoversigt

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

90

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

      • Izmir, Tyrkiet (Türkiye)
        • Dokuz Eylul University Faculty of Medicine Department of Family Medicine

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Ældre voksen

Tager imod sunde frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • Aged 65 years and older
  • Normal or mildly impaired cognitive status
  • Medical condition that does not prevent participation in physical activity
  • Ability to use a smartphone or tablet (for chatbot access)
  • Voluntary participation

Exclusion Criteria:

  • Moderate to severe dementia
  • Severe depression or serious psychiatric disorders
  • Acute cardiovascular risk
  • Communication difficulties due to significant hearing or visual impairment
  • Regular engagement in structured exercise within the past 6 months (participants in the maintenance phase of exercise behavior)

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Støttende pleje
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Artificial intelligence-supported chatbot and educational brochure on the importance of exercise

Participants assigned to this arm will receive a combined digital and educational intervention designed to promote behavior change in physical activity. In addition to a standard researcher-developed informational brochure describing the health benefits of exercise, participants will have access to a chatbot supported by artificial intelligence technology.

The chatbot will provide:

  • Interactive, on-demand communication regarding physical activity and exercise
  • Personalized educational messages tailored to participant needs and engagement patterns
  • Motivational support and behavioral prompts to encourage adherence to physical activity recommendations

The brochure will provide standardized, non-interactive information on:

  • The importance and health benefits of regular exercise
  • General physical activity recommendations This intervention arm differs from comparator arms by incorporating an interactive, adaptive, and continuous AI-based support system.

Participants will receive a combined behavioral intervention of an educational brochure developed by the Ministry of Health and access to an artificial intelligence (AI)-supported chatbot designed to promote physical activity.

The brochure will provide standardized written information on the importance of exercise, including general recommendations, health benefits, and basic guidance for an active lifestyle.

Participants will also have access to an AI-supported chatbot throughout the intervention period. The chatbot will deliver automated, interactive messages to increase physical activity, including motivational prompts, educational reinforcement, and behavior-change support.

The intervention will be delivered digitally via the chatbot platform, with no medication or physical devices required. The total duration and frequency of chatbot interactions will be continuous and on-demand during the study period.

Ingen indgriben: Control (Brochure Only) Group

Participants assigned to this arm will receive a standard researcher-developed informational brochure on the importance of exercise, but will not receive any digital or interactive intervention.

The brochure will provide standardized, non-interactive information on:

  • The importance and health benefits of regular exercise
  • General physical activity recommendations

In addition to receiving the brochure, participants will:

  • Continue their usual daily activities and routine care
  • Do not have access to the artificial intelligence-supported chatbot
  • Not receive any personalized, interactive, or ongoing digital support or behavioral prompts during the study period This group differs from the experimental arm by receiving only static educational material, without any interactive or adaptive behavioral support system.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Cognitive function
Tidsramme: Day 0, 3. Month, 6. Month
Cognitive function will be assessed using the Mini-Mental State Examination (MMSE), a standardized tool evaluating orientation, memory, attention, language, and visuospatial abilities. Higher scores indicate better cognitive performance.
Day 0, 3. Month, 6. Month

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Physical activity level
Tidsramme: Day 0, 3. Month, 6. Month
Physical activity level will be measured using the Physical Activity Scale for the Elderly (PASE), which assesses the frequency and duration of physical activity in older adults, including leisure, household, and occupational activities. Higher scores indicate higher physical activity levels.
Day 0, 3. Month, 6. Month

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Demographic and clinical characteristics
Tidsramme: Day 0
Participant demographic and clinical data will be collected, including age, sex, education level, presence of chronic diseases, and medication use. These variables will be recorded only at baseline.
Day 0
Stage of behavioral change
Tidsramme: Day 0, 3. Month, 6. Month
Participants' stage of change according to the Transtheoretical Model (TTM) will be assessed to determine their readiness for physical activity behavior change. This assessment will be used to tailor chatbot-based behavioral change techniques grounded in TTM and COM-B frameworks, enabling stage-matched intervention delivery.
Day 0, 3. Month, 6. Month

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Samarbejdspartnere

Efterforskere

  • Studieleder: Gizem Limnili, Dokuz Eylul University Faculty of Medicine Department of Family Medicine
  • Ledende efterforsker: Makbule Neslişah Tan, Dokuz Eylul University Faculty of Medicine Department of Family Medicine
  • Studiestol: Vildan Mevsim, Prof, Dokuz Eylul University Faculty of Medicine Department of Family Medicine

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. august 2026

Primær færdiggørelse (Anslået)

30. oktober 2026

Studieafslutning (Anslået)

30. oktober 2026

Datoer for studieregistrering

Først indsendt

25. april 2026

Først indsendt, der opfyldte QC-kriterier

12. maj 2026

Først opslået (Faktiske)

19. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

19. maj 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

12. maj 2026

Sidst verificeret

1. maj 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 2025/45-39

Plan for individuelle deltagerdata (IPD)

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