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Rural Veteran and Care Partner Walking Program

29 oktober 2026 uppdaterad av: Creighton University

Remotely Improving Physical Activity in Rural Veterans With Cognitive Impairment and Care Partner Dyads

The purpose of this study is to determine the practicality/feasibility of a virtual physical activity intervention to improve daily steps for Veterans with mild cognitive impairment and their care partners living in rural areas.

Participation includes:

  • Complete a 6-week walking program
  • Complete 2 testing visits (1 before and 1 after the 6-week walking program) consisting of various surveys and questionnaires
  • Complete a semi-structured interview on feasibility and feedback of the intervention
  • Potentially serve on an advisory board with the research team to assist with implementing the walking program adaptations

Studieöversikt

Status

Rekrytering

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Beräknad)

12

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studieorter

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

19 år till 90 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria for Veterans:

  • 60-95 years of age
  • Mild cognitive impairment as staged by Clinical Dementia Rating (CDR, a gold standard cognitive outcome in ADRD clinical research) score of 0.5 or equivalent
  • Characterized as underactive by the Telephone Assessment of Physical Activity (TAPA)
  • Have a care partner willing to participate in physical activity and assist the participant
  • Own a smartphone or tablet and willing to download a fitness tracker application
  • Live in a rural area according to the VA Office of Rural Health rurality calculator

Inclusion Criteria for Veterans & Care Providers:

  • No self-reported falls in the last year
  • Able to walk across a room in the home with no assistive device(s)
  • Stable doses of medication over the previous 30 days
  • Pass the Physical Activity Readiness Questionnaire+ (answering "no" to questions are pages 1-3)
  • Interaction as a dyad (Veteran and care partner) at least on a weekly basis

Inclusion Criteria for Veterans & Care Providers:

  • 19 years of age or older
  • No cognitive impairment as indicated by a score of < 1 on the AD8 Dementia Screening Interview

Exclusion Criteria for Veterans & Care Providers:

  • Neurodegenerative or acute neurological diagnoses (e.g., Parkinson's disease, stroke, traumatic brain injury)

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Field Testing Group

Six dyads (n=12) will complete TPAB field testing and will undergo testing at baseline and post-intervention. Consent, baseline testing, intervention delivery, and post-testing will be conducted virtually via Microsoft Teams and data recorded in VA REDCap. Testing sessions will not be recorded, with the exception of semi-structured interviews during post-testing. The testing procedures will take approximately 2 hours to complete at each testing time point. The TPAB intervention will involve weekly 30-minute sessions with study personnel for 6 weeks. Due to the 7-day activity monitor data collection prior to and following the 6-week TPAB intervention, participants will be enrolled in the study for approximately 8 weeks. Three dyads will be asked to join the advisory board with the research team to assist with implementing the walking program adaptations based on the collective feedback across the 16 dyads.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Weekly Session Attendance
Tidsram: From enrollment to end of the 6-week intervention

The total number of sessions attended by dyads will be reported as a percentage of the 6 weekly sessions. Ranges of attendance could be 0% (not attending any sessions) to 100% attending all session. Attendance will be used to evaluate participant engagement and practicality of implementation.

From enrollment to end of the 6-week intervention
Study Retention
Tidsram: From enrollment to end of intervention at 8 weeks

Defined as continued participation through the study completion. Calculated using withdrawal and completion records. Higher retention (such as 100% retention indicating all dyads that enrolled in the study, completed the study) supports intervention feasibility.

From enrollment to end of intervention at 8 weeks
Intrinsic Motivation Inventory (IMI)
Tidsram: Post-intervention (week 8)

Evaluates participant interest, enjoyment, perceived value, and engagement with the intervention. The IMI is comprised of 7 statements related to interest/enjoyment that the participant indicates how true the statement is to them regarding their experience participating in the intervention. Each statement is scored on a 1-7 scale and an average is computed across all the questions to determine the IMI score. Higher scores indicate greater intervention acceptability.

Post-intervention (week 8)
Number of participants with study-related adverse events
Tidsram: From enrollment to end of intervention at 8 weeks

Includes falls, injuries, medical issues, skin irritation, or other unintended consequences. Used to evaluate intervention safety.

From enrollment to end of intervention at 8 weeks
Average Daily Stepping
Tidsram: Pre (before starting the 6-week walking program) and Post Intervention (following completion of the 6-week walking program)

Objective measure of physical activity captured through Fitbit devices. Average daily step counts are computed in the Fitbit application and will be recorded for each day and averaged over the 7-day monitoring period before and after the intervention provide proof-of-concept evidence of behavior change.

Pre (before starting the 6-week walking program) and Post Intervention (following completion of the 6-week walking program)
Qualitative Intervention Feasibility Outcomes
Tidsram: Post-intervention (for feedback)

Interviews evaluating demand, implementation, practicality, acceptability, adaptation, and integration. Findings will guide refinement of the intervention for future trials.

Post-intervention (for feedback)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Samarbetspartners

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

12 juni 2026

Primärt slutförande (Beräknad)

1 oktober 2027

Avslutad studie (Beräknad)

1 oktober 2027

Studieregistreringsdatum

Först inskickad

16 juni 2026

Först inskickad som uppfyllde QC-kriterierna

29 oktober 2026

Första postat (Faktisk)

3 november 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

3 november 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

29 oktober 2026

Senast verifierad

1 december 2025

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • Creighton IRB: 2005570

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

NEJ

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .