Activity Tracking, Care Partner Co-participation, Text Reminders, Instructional Education, Video-Guided Physical Rehabilitation, and Exercise

Purpose

This is a multi-methods two-arm, crossover, analyst-blinded randomized controlled trial with embedded qualitative interviews, enrolling 50 dyads (older adult-care partner). Participants will receive the ACTIVE intervention, which includes a Fitbit smartwatch, motivational text messages to engage in walking exercise, instructional educational videos, and virtual physical therapy sessions. Intervention components will be delivered over 3 weeks, with continuous monitoring of physical activity via Fitbit data, read receipts of the motivational text messages, and log of engagement in the virtual physical therapy and educational videos.

Condition

  • Mild Dementia

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

Older Adults: - Age ≥65 years. - With or without mild dementia. - Willing to consent to participate in the study or have an LAR that is willing to consent for their participation in the study - Willing to wear a Fitbit smartwatch, receive text messages, watch intervention-related videos, participate in physical therapy, and walking exercise. - No contraindications to engaging in physical activity. Care Partners: - Age ≥18 years. - Met criteria for survey participation. - Person being cared for is recruited in the study. - Willing to consent to participation - Willing to wear a Fitbit smartwatch, receive text messages, watch intervention-related videos, participate in physical therapy, and walking exercise. - No contraindications to engaging in physical activity.

Exclusion Criteria

Older Adults: - Severe cardiac, neurologic, or musculoskeletal condition (including but not limited to recent or untreated fracture in any part of the body) - limiting participation in daily walking or Fitbit smartwatch use. - Moderate to severe dementia (using the clinical dementia rating scale of 2 or higher - Inability to operate or manage a Fitbit smartwatch device (even with care partner support). - No phone or phone not capable of receiving text messages or watching videos. - No internet for watching videos Care Partners: - Severe cardiac, neurologic, or musculoskeletal condition limiting participation in daily walking or Fitbit smartwatch use. - Pregnant care partners - Any level of dementia or cognitive impairment among care partners - Inability to operate or manage a Fitbit smartwatch device. - Inability to co-participate in intervention tasks with older adult - No phone or phone not capable of receiving text messages or watching videos. - No internet for watching videos

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover Assignment
Primary Purpose
Treatment
Masking
Single (Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Intervention, then Control
Week 1 (Pre-Intervention): Participants will wear the Fitbit smartwatch during waking hours. Data collected during this week will serve as baseline and for troubleshooting technical issues. Weeks 2-4 (Intervention): Participants will receive the ACTIVE intervention (Activity tracking, Care partner co-participation, Text reminders, Instructional education, Virtual physical therapy and Exercise). Week 5 (Crossover/Washout): Participants will switch arms (intervention to control). Weeks 6-8 (Control): Participants will continue in the control arm (Fitbit use only).
  • Behavioral: ACTIVE Intervention
    The ACTIVE Intervention comprises the following components: - Fitbit Smartwatch-Based Activity Tracking - Care Partner Co-Participation - Motivational Text Messaging - Instructional Education Videos - Virtual Physical Therapy - Exercise (Walking Exercise)
Experimental
Control, then Intervention
Week 1 (Pre-Control): Participants will wear the Fitbit smartwatch during waking hours. Data collected during this week will serve as baseline and for troubleshooting technical issues. Weeks 2-4 (Control): Participants will continue in the control arm (Fitbit use only). Week 5 (Crossover/Washout): Participants will switch arms (control to intervention). Weeks 6-8 (Intervention): Participants will the ACTIVE intervention (Activity tracking, Care partner co-participation, Text reminders, Instructional education, Virtual physical therapy and Exercise).
  • Behavioral: ACTIVE Intervention
    The ACTIVE Intervention comprises the following components: - Fitbit Smartwatch-Based Activity Tracking - Care Partner Co-Participation - Motivational Text Messaging - Instructional Education Videos - Virtual Physical Therapy - Exercise (Walking Exercise)

Recruiting Locations

NYU Langone Health
New York 5128581, New York 5128638 10016

More Details

Status
Recruiting
Sponsor
NYU Langone Health

Study Contact

Oluwaseun Adeyemi, MD, PhD
980-939-9764
Oluwaseun.Adeyemi@nyulangone.org