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ExerciseNCT03991273

Testing the Implementation of Movement-to-Music in a Community Fitness Center and Blended Onsite and Teleexercise Class

A study testing Y-M2M© and B-M2M© in people with Exercise and Disability Physical, run by University of Alabama at Birmingham.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

To prepare for a large scale-up study, the goal of this pilot implementation trial is to examine the feasibility of Movement-to-Music (M2M©) delivery mechanisms through two channels: 1) a group-based M2M© program conducted onsite at a local YMCA; and 2) a blended program that provides Y-M2M© and a home-based M2M©… Read more about this study

Who is it for?
Ages 19 to 70 years
Conditions the study is for
Exercise, Disability Physical
What is being tested?
Y-M2M© and B-M2M©
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
20 Apr 2021to 20 Apr 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • primary diagnosis of head injury, stroke, MS, spinal cord injury, spina bifida, Parkinson's disease or cerebral palsy conferred by a physician and fits one of the three functional mobility groups (Groups I-III);
  • between the ages of 19 to 70 yrs.;
  • physician clearance to participate;
  • willing to participate in an exercise program 3 times per week;
  • conversant in and reads English.

Who cannot join

  • participated in a similar intervention in the last 6 months;
  • use of tobacco products in the last 6 months;
  • cognitive impairment;
  • active pressure ulcer;
  • any contraindications to exercise based on the American College of Sports Medicine (ACSM) guidelines;
  • visual acuity that prevents following a group exercise class;
  • significant hearing impairment impeding ability to hear music to engage in exercise.

About this study

Official title: Testing the Implementation Efficacy of Movement-to-Music Delivered in a Community-Based Fitness Center and Blended Onsite and Home-based Group Teleexercise Class: A Mixed-Methods Pilot Study.

To prepare for a large scale-up study, the goal of this pilot implementation trial is to examine the feasibility of Movement-to-Music (M2M©) delivery mechanisms through two channels: 1) a group-based M2M© program conducted onsite at a local YMCA; and 2) a blended program that provides Y-M2M© and a home-based M2M© (B-M2M©) via videoconferencing. A key element of this pilot is to examine issues associated with participant-provider interactions, and to better understand the robustness of the technology to deliver a group-based (teleexercise) version of M2M© in the home setting.

Read the detailed description

There will be 4 phases to this study. In phase 1, the investigators will explore potential barriers and supports that may affect the delivery of M2M© at one YMCA facility through one-on-one interviews with YMCA staff that have been trained to conduct M2M©.

Phase 2 will include a quantitative monitoring phase. During this phase the 2 delivery mechanisms of M2M© (Y-M2M© and B-M2M©) will be evaluated through assessments of quantitative feasibility metrics before, during, and after the intervention. The intervention will include a convenient sample of 54 participants.

To expand on the findings from the previous quantitative phase, phase 3 will include post-intervention focus group interviews conducted separately for each stakeholder group: all 54 participants, M2M© trainers, research assistants involved with technical support, and YMCA staff that were involved with the project.

During phase 4 (the integrative phase), the researchers will compile the quantitative and qualitative findings for the three primary feasibility metrics (process, resource, and management). These findings will then be comprehensively analyzed by a review panel that will provide suggestions for improvement within each metric. The panel will then discuss the summative findings and vote towards acceptable or not acceptable feasibility.

The 12-week Y-M2M© intervention will be pilot tested at one YMCA facility in Birmingham, AL.The B-M2M© group will be provided with the flexibility of attending the same onsite classes at the YMCA facility as participants in the Y-M2M© group and will also be able to participate in group M2M© teleexercise classes at home that are conducted through Internet video conferencing.

The investigators will use a permuted block randomization design to ensure close balance between the arms across waves and to increase the unpredictability in the upcoming assignment and prevent inadvertent bias. The project statistician will generate the randomization list that will be provided to the project coordinator in sealed envelopes to conceal the allocation. Assessors (health and function assessments done at Lakeshore Foundation) will be blinded to participant assignment and allocation of the arm assignment will not be done until baseline testing and measures are collected.

Primary quantitative outcomes will include those related to process, resources, and management. In summary, these metrics will include measures of adherence, issues that arise with implementation and the efficiency to which they are resolved, and intervention fidelity between the delivery sites. Secondary quantitative outcomes will include estimates of variability in scientific outcomes (physical activity; quality of life; social participation; fitness Measures (cardiorespiratory fitness, muscle strength, lower extremity function; social cognitive theory constructs [Self-efficacy, Outcome expectations, Barriers, Social support]).

Being tested
Y-M2M©, B-M2M©
Keywords
disability, disabilities, teleexercise, movement-to-music, physical activity
Medical subject headings
Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Y-M2M©Other

    The Y-M2M© group will receive classes that will be delivered onsite at a YMCA facility. Movement-to-Music (M2M©) is an instructor-guided exercise program that is coupled with music to enhance strength, cardiorespiratory capacity, range of motion, and balance.

  • B-M2M©Other

    The B-M2M© group will receive the same onsite M2M© classes as the Y-M2M© group, but they will also be provided with the option of performing home-based M2M© that will be delivered via videoconferencing.

Study groups in NCT03991273
Study groupRoleWhat they receive
Y-M2M©Experimentala group-based M2M© program conducted onsite at a local YMCA
Receives: Other: Y-M2M©
B-M2M©Experimentala blended program that provides Y-M2M© and a home-based M2M© via videoconferencing
Receives: Other: Y-M2M©; Other: B-M2M©

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Phase 1: Foreseeable implementation barriers and supports as reported by YMCA trainers

    Prior to conducting the intervention, the investigators will conduct interviews to qualitatively explore YMCA trainers' perceptions of organizational or system factors that can potentially facilitate the adoption of M2M© in YMCAs and tailor the M2M© delivery plan accordingly (using open-ended questions).

    Measured: Pre-intervention (week 0)

  2. Phase 2: Quantitative feasibility metric (Process outcome #1:Enrollment Rate)

    Enrollment rate: the number of participants screened / total enrolled

    Measured: Intervention (weeks 1-12)

  3. Phase 2: Quantitative feasibility metric (Process outcome #2: Class Attendance)

    Attendance to the exercise sessions: total number of sessions attended divided by the total 36 prescribed sessions

    Measured: Intervention (weeks 1-12)

  4. Phase 2: Quantitative feasibility metric (Process outcome #3: Attrition Rate)

    Attrition rate: number of participants that withdraw from the intervention

    Measured: Intervention (weeks 1-12)

  5. Phase 2: Quantitative feasibility metric (Process outcome #4: Time to complete data collection)

    Time to complete data collection: time in minutes required to complete data collection (average of both pre- and post-data collection visit times)

    Measured: Intervention (weeks 1-12)

  6. Phase 2: Quantitative feasibility metric (Process outcome #1: Technical difficulties with technology)

    Technical difficulties with technology: Frequency of issues experienced by participants and trainers

    Measured: Intervention (weeks 1-12)

  7. Phase 2: Quantitative feasibility metric (Resource outcome #2: Resources required by the YMCA)

    Resources required by the YMCA: # of items purchased for a YMCA M2M class

    Measured: Intervention (weeks 1-12)

  8. Phase 2: Quantitative feasibility metric (Management outcome #1: M2M fidelity between conditions)

    M2M fidelity between conditions: the frequency of times a deviation from the protocol was observed for both the YMCA and Teleexercise classes.

    Measured: Intervention (weeks 1-12)

  9. Phase 2: Quantitative feasibility metric (Management outcome #2: Issues with data management)

    Issues with data management: frequency of issues encountered

    Measured: Intervention (weeks 1-12)

  10. Phase 3: Qualitative interview exploring stakeholders' perceptions of intervention implementation

    Focus group interviews will be conducted separately for each stakeholder group: all 54 participants, M2M© trainers, research assistants involved with technical support, and YMCA staff that were involved with the project. The semi-structured interviews will explore participants' perceptions regarding the intervention implementation process, resources, and management (using open-ended questions)

    Measured: Post-Intervention (week 13)

Secondary outcomes (11)
  1. Phase 2: Quantitative feasibility metric (Scientific outcome #1: Physical Activity)

    Physical Activity: measured via the Godin Leisure-Time Exercise Questionnaire (total score and health-contribution score)

    Measured: Intervention (weeks 1 and 12)

  2. Phase 2: Quantitative feasibility metric (Scientific outcome #2: Quality of life)

    Quality of life: measured via the NIH PROMIS 10 Global Health Items (total score)

    Measured: Intervention (weeks 1 and 12)

  3. Phase 2: Quantitative feasibility metric (Scientific outcome #3: Social participation)

    Social participation: measured via the NIH PROMIS Ability to Participate in Social Roles and Activities

    Measured: Intervention (weeks 1 and 12)

  4. Phase 2: Quantitative feasibility metric (Scientific outcome # 4: Self-Efficacy)

    Self-Efficacy: measured via the Exercise Self-Efficacy Scale (total score)

    Measured: Intervention (weeks 1 and 12)

  5. Phase 2: Quantitative feasibility metric (Scientific outcome # 5: Outcome expectations)

    Outcome expectations: measured via the Multidimensional Outcomes Expectations for Exercise Scale (total score)

    Measured: Intervention (weeks 1 and 12)

  6. Phase 2: Quantitative feasibility metric (Scientific outcome # 6: Barriers)

    Barriers to physical activity: measured via the Barriers in Physical Activity Questionnaire (total score)

    Measured: Intervention (weeks 1 and 12)

  7. Phase 2: Quantitative feasibility metric (Scientific outcome # 7: Social support)

    Social support: measured via the Social Provision Scale (total score)

    Measured: Intervention (weeks 1 and 12)

  8. Phase 2: Quantitative feasibility metric (Scientific outcome # 8: Cardiorespiratory fitness)

    Cardiorespiratory fitness: peak oxygen consumption (ml.kg-1.min-1)

    Measured: Intervention (weeks 1 and 12)

  9. Phase 2: Quantitative feasibility metric (Scientific outcome # 9: Hand-grip strength)

    Cardiorespiratory fitness: peak hand-grip strength (Newtons; both hands)

    Measured: Intervention (weeks 1 and 12)

  10. Phase 2: Quantitative feasibility metric (Scientific outcome # 10: Lower extremity function)

    Lower extremity function: measured via the Short Physical Performance Battery (total score)

    Measured: Intervention (weeks 1 and 12)

  11. Phase 2: Quantitative feasibility metric (Scientific outcome # 11: Lower extremity function)

    Lower extremity function: measured via the Timed Up and Go (total score)

    Measured: Intervention (weeks 1 and 12)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Jun 2019
  2. Study start20 Apr 2021 (estimated)
  3. Primary completion20 Apr 2021
  4. Study completion20 Apr 2021

Why it stopped: Grant projects were revised in response to COVID-19.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03991273
Sponsor's protocol ID
90DPGE0005-01-00
Status last verified
Apr 2021
First submitted
13 Jun 2019
Last updated
22 Apr 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: We will make a de-identified copy of the final data set available after we have completed the final analysis. We will make the data set available to the scientific community through the Inter-University Consortium for Political and Social Research account (which enables free downloads via Internet).

Questions about this trial

What is this clinical trial studying?

A study testing Y-M2M© and B-M2M© in people with Exercise and Disability Physical, run by University of Alabama at Birmingham.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 22 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1: Foreseeable implementation barriers and supports as reported by YMCA trainers (time frame: Pre-intervention (week 0)). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Apr 2021.

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