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Mobility LimitationsFITWITHUSNCT06207084

The Fit With Us Study

A study testing asynchronous content only, Asynchronous content and health coaching and no live training and asynchronous content only and 1 on 1 live training in people with Mobility Limitations and Disability Physical, run by University of Alabama at Birmingham at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this 32-week study is to use an innovative experimental design known as SMART (Sequential Multiple Assignment Randomized Trial), which will allow us to determine the best way to sequence the delivery of teleexercise (referred to as an adaptive intervention), combined with predictive analytics on… Read more about this study

Who is it for?
Ages 18 to 89 years
What is being tested?
asynchronous content only, Asynchronous content and health coaching and no live training and asynchronous content only and 1 on 1 live training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
257 participants
Where
1 siteUnited States
Study dates
1 Sep 2024to 1 Feb 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

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 18 to 89 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Eligible participants must meet the following criteria to be included: (1) live with a permanent physical disability that limits their mobility; (2) be 18 to 89 years of age; (3) have broadband internet access; (4) be able to speak and read English; and (5) be able to attend coaching and training sessions during the weekdays.

Participants are excluded from participation if they (1) possess significant visual acuity that prevents seeing a computer screen to follow a home exercise program; (2) have been regularly engaging in exercise for the previous 3 months; (3) are unable to use their arms and their legs at all to exercise; (4) are unsafe to exercise; (5) self-report that they are currently pregnant

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Mohanraj Thirumalai, PhD contact

205-934-7189

mohanraj@uab.edu

Sangeetha Mohanraj, MS contact

205-975-0550

sangee@uab.edu

United States1 site, 1 recruiting
  • Wellness, Health and Research Facility

    Birmingham, Alabama, 35209

    Ayse G Zengul, PhD, 659 2733627, aysezen@uab.edu

    Mohanraj Thirumalai, PhD

    Recruiting

Other trials in United States

About this study

Official title: Precision-based Teleexercise Trial to Increase Adherence in People With Disabilities

The purpose of this 32-week study is to use an innovative experimental design known as SMART (Sequential Multiple Assignment Randomized Trial), which will allow us to determine the best way to sequence the delivery of teleexercise (referred to as an adaptive intervention), combined with predictive analytics on participant adherence in a stepped program of physical activity interventions. All 257 participants will have access to a library of recorded video exercise content, and a weekly wellness article. Some participants will receive health coaching calls (1st randomization). Analytic data will be used to determine which participants are responding or not responding to the intervention. Participants not responding after 4 weeks will receive either live one-on-one or group exercise training (2nd randomization). After 8 weeks, the participant will receive only pre-recorded exercise content and articles for a 24-week maintenance phase (weeks 9-32). The study outcomes are: The effectiveness of the adaptive interventions; Exploring mediating and moderating variables; Sensitivity analysis of the predictive analytics.

Read the detailed description

The proposed Sequential Multiple Assignment Randomized Trial (SMART) study seeks to develop an effective 32-week, resource sensitive strategy to improve physical activity levels in people with mobility impairments.

During the run-In period before the start of the intervention, interested individuals will consent to be part of the study. Once providing consent, Participants will respond to a baseline survey packet through REDCap. Participants must also complete a welcome call and set up an online account. Additionally, during the run-in period, the research team will ship an exercise tracker device, and an exercise band for the participant to wear during the intervention. The participant will receive an orientation call to assist them with using the website, setting up their exercise tracking device, and linking the device to the website. (see attached call outline)

After the run-in period, participants will be randomized into 1 of 2 groups: Asynchronous Exercise Program (AEP) and AEP + Smart Health Coaching (SHC). Finally, participants will be given access to the FitWithUs online platform, hosted on UAB servers, to access all the exercise content (exercise videos and articles). All participants will receive at least one new health and wellness article per week for eight weeks, and new exercise videos for 16 weeks.

The Adoption Phase will be split into two 4-week phases: early adoption (weeks 1 to 4) and late adoption (weeks 5 to 8). Participants in both groups will engage in pre-recorded exercise content. The AEP + SHC group may receive up to 12 health coaching calls. Machine learning will be used in Weeks 2, 6, and 10 to predict which AEP + HC participants should receive coaching calls for the next four weeks.

The proposed Sequential Multiple Assignment Randomized Trial (SMART) study seeks to develop an effective 32-week, resource-sensitive strategy to improve physical activity levels in people with mobility impairments. During the run-in period before the start of the intervention, interested individuals will consent to be part of the study. Once providing consent, participants will respond to a baseline survey packet through REDCap. Participants must also complete a welcome call and set up an online account. Additionally, during the run-in period, the research team will ship an exercise tracker device, and an exercise band for the participant to wear during the intervention. The participant will receive an orientation call to assist them with using the website, setting up their exercise tracking device, and linking the device to the website. After the run-in period, participants will be randomized into 1 of 2 groups: Asynchronous Exercise Program (AEP) and AEP + Smart Health Coaching (SHC). Finally, participants will be given access to the FitWithUs online platform, hosted on UAB servers, to access all the exercise content (exercise videos and articles). All participants will receive at least one new health and wellness article per week for eight weeks, and new exercise videos for 16 weeks. This intervention will be administered in 8 waves of ~33-34 participants each (pilot wave data excluded from analyses). The Adoption Phase will be split into two 4-week phases: early adoption (weeks 1 to 4) and late adoption (weeks 5 to 8). Participants in both groups will engage in pre-recorded exercise content. The AEP + SHC group may receive up to 12 health coaching calls. Machine learning will be used in Weeks 2, 6, and 10 to predict which AEP + HC participants should receive coaching calls for the next four weeks. At the end of the early adoption phase, the participant will complete a short set of questions (See week 4 questionnaire) the research team will classify participants in both groups into either a responder or a non-responder. If a participant is a responder, they will continue with their group assignment through the late adoption phase (AEP only or AEP + SHC). If the participant is a non-responder, they will be randomized a second time into 1 of 2 sub-groups: Live 1-on-1 training or Live group training for the late adoption phase. All live training will occur remotely through ZOOM. Participants in non-responder sub-groups will be asked to participate in their respective live training up to 3 times per week for weeks 5 to 8. This second randomization results in six possible intervention groups: 1) AEP only responder, 2) AEP + HC responder, 3) AEP non-responder + LAT_1-1, 4) AEP non-responder + LAT_GRP, 5) AEP + HC non-responder + LAT_1-1, 6) AEP + HC non-responder + LAT_GRP. Upon finishing the late adoption phase, all participants will complete another survey packet and a semi-structured interview (see interview guide), and receive AEP only for a 24-week maintenance phase (weeks 9-32). Upon completion of week 32, the participant will complete a final survey packet. Throughout the study, we will be collecting data from the participant's exercise tracker. These data include steps and minutes of activity/inactivity. During weeks 9 to 32, participants will have open access to the website and its library of exercise content. The research team will continue to collect activity data and website analytics (for example video watch minutes). Participants may receive a reminder call to complete surveys. We will use the following validated measures: [existing measures list unchanged].

Being tested
asynchronous content only, Asynchronous content and health coaching and no live training, asynchronous content only and 1 on 1 live training, asynchronous content and health coaching and 1 on 1 training, asynchronous content and group training
Keywords
telehealth, health coaching, disability
Medical subject headings
Mobility Limitation, Motor Activity, Health Behavior, Fatigue

What participants receive

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

  • asynchronous content onlyBehavioural

    Receives asynchronous exercise content and no live training

  • Asynchronous content and health coaching and no live trainingBehavioural

    Receives asynchronous content, health coaching and no live training.

  • asynchronous content only and 1 on 1 live trainingBehavioural

    receives asynchronous content and live 1 on 1 training

  • asynchronous content and health coaching and 1 on 1 trainingBehavioural

    receives asynchronous content, health coaching, and live training

  • asynchronous content and group trainingBehavioural

    receives asynchronous content and live group training

  • Asynchronous content and health coaching and group trainingBehavioural

    receives asynchronous content, health coaching, and live group training

Study groups in NCT06207084
Study groupRoleWhat they receive
asynchronous exercise responderExperimentalIndividuals only receiving asynchronous exercise content and are responding
Receives: Behavioral: asynchronous content only
Asynchronous exercise and health coaching responderExperimentalIndividuals receiving asynchronous exercise content and health coaching and are responding
Receives: Behavioral: Asynchronous content and health coaching and no live training
Asynchronous exercise non-responder and 1 on 1 live trainingExperimentalIndividuals receiving asynchronous exercise content and are not responding. The are receiving 1 on 1 live exercise sessions.
Receives: Behavioral: asynchronous content only and 1 on 1 live training
Asynchronous exercise and health coaching non-responder and 1 on 1 live trainingExperimentalIndividuals receiving asynchronous exercise content and health coaching and are not responding. The are receiving 1 on 1 live exercise sessions.
Receives: Behavioral: asynchronous content and health coaching and 1 on 1 training
Asynchronous exercise non-responder and group live trainingExperimentalIndividuals receiving asynchronous exercise content and are not responding. The are receiving group live exercise sessions.
Receives: Behavioral: asynchronous content and group training
Asynchronous exercise and health coaching non-responder and group live trainingExperimentalIndividuals receiving asynchronous exercise content and health coaching and are not responding. The are receiving group live exercise sessions.
Receives: Behavioral: Asynchronous content and health coaching and group training

What is being measured

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

  1. Physical activity

    The primary outcome is the change in physical activity (steps per day) from baseline to the end of the 32-week intervention.

    Participants wear Fitbit Inspire 3 trackers (Google LLC, Sacramento, CA) for continuous objective measurement, with data exported via the study dashboard.

    This is supplemented by the Godin Leisure-Time Exercise Questionnaire (GLETQ) at baseline, week-8 and week-16 for self-reported leisure-time activity in MET-minutes/week.

    Measured: Fitbit: ongoing for 32 weeks; Godin: Baseline, week 8, week 16, and week 32

Secondary outcomes (3)
  1. Health information technology literacy

    The secondary outcome is health information technology literacy, measured by the eHealth Literacy Scale (eHEALS).

    The eHEALS is a validated 8-item questionnaire assessing participants' perceived skills in finding, evaluating, and applying online health information (scored 8-40).

    Assessments occur at baseline, week 8, week 16, and week 32 to track changes over the 32-week intervention.

    Measured: Baseline, week 8, week 16, and week 32

  2. Secondary Health Conditions

    The secondary outcome is secondary health conditions, assessed via National Institutes of Health Patient-Reported Outcome Measurement Information System (PROMIS) questionnaires.

    PROMIS measures include pain interference, fatigue, sleep disturbance, and quality of life, each on a T-score metric (mean 50, SD 10) for standardized comparison.

    Assessments occur at baseline, week 8, week 16, and week 32 to evaluate changes over the 32-week intervention.

    Measured: Baseline, week 8, week 16, and week 32

  3. Activity limitations

    The secondary outcome is activity limitations, measured by the Physical Functioning subscale of the 36-Item Short Form Survey (SF-36 PF).

    The SF-36 PF is a validated 10-item questionnaire assessing limitations in physical activities due to health problems (scored 0-100, higher scores indicate better functioning).

    Assessments occur at baseline, week 8, week 16, and week 32 to track changes over the 32-week intervention.

    Measured: Baseline, week 8, week 16, and week 32

Timeline

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

  1. First posted16 Jan 2024
  2. Study start1 Sep 2024
  3. Primary completion1 Feb 2028 (estimated)
  4. Study completion1 Feb 2029 (estimated)

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
Factorial
Model description
Sequential Multiple Assignment Randomization Model
Masking
None (open label)
Enrolment
257 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06207084
Sponsor's protocol ID
IRB-300011762
Other IDs
90REGE0019
Acronym
FITWITHUS
Status last verified
Jan 2026
First submitted
5 Jan 2024
Last updated
9 Jan 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing asynchronous content only, Asynchronous content and health coaching and no live training and asynchronous content only and 1 on 1 live training in people with Mobility Limitations and Disability Physical, run by University of Alabama at Birmingham at 1 site in United States.

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

Who may be eligible to take part?

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: looking for participants now, as of the sponsor's last update on 9 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

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?

This study is still under way. Results are not available in the source record yet.

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

Contact Mohanraj Thirumalai, PhD (205-934-7189, mohanraj@uab.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Physical activity (time frame: Fitbit: ongoing for 32 weeks; Godin: Baseline, week 8, week 16, and week 32). 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 9 Jan 2026.

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