Physical ActivityNCT07515898
Digital Literacy Training and Acceptance of Physical Activity Apps in Older Women
A study testing Digital Literacy Training Program in people with Physical Activity and eHealth Literacy, run by Lithuanian Sports University at 1 site in Lithuania.
Trial summary
This randomized controlled study examined whether a structured digital literacy training program could improve eHealth literacy, acceptance of physical activity applications, and behavioral intentions among older women. Read more about this study
- Who is it for?
- Ages 55 years and older, women onlyHealthy volunteers can take part
- Conditions the study is for
- Physical Activity, eHealth Literacy, Technology Acceptance
- What is being tested?
- Digital Literacy Training Program
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 63 participants
- Where
- 1 siteLithuania
- Study dates
- 21 Jan 2025to 28 Mar 2025
- 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 55 years and older
- Women only
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Female sex
- Age ≥55 years
- Prior experience using physical activity applications (current or former users)
- Engagement in at least minimal physical activity (≥1 time per week)
- Access to a smartphone
- Ability to understand the study procedures and provide informed consent
Who cannot join
- Male sex
- Age <55 years
- No prior experience using physical activity applications
- Not engaging in at least minimal physical activity (less than once per week)
- No access to a smartphone
- Inability to understand the study procedures or provide informed consent
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Effect of Digital Literacy Training on Physical Activity App Acceptance and Behavioral Intentions Among Older Women: An Experimental Study
This randomized controlled study examined whether a structured digital literacy training program could improve eHealth literacy, acceptance of physical activity applications, and behavioral intentions among older women. Participants aged 55 years and older with prior experience using physical activity applications were randomly assigned to either a 9-week face-to-face digital literacy training intervention or a control group that continued usual daily activities without receiving any educational program. Outcomes were assessed at baseline and after the intervention. The study evaluated whether improving digital literacy enhances technology acceptance and supports intentions to use physical activity applications and engage in physical activity.
Read the detailed description
Physical activity is an important factor supporting health, independence, and quality of life among older adults; however, many individuals face barriers to maintaining regular activity. Digital solutions, such as physical activity applications, may help promote activity, but their acceptance among older adults remains inconsistent and is influenced by digital literacy and related factors.
This study examined whether a structured digital literacy training intervention could improve eHealth literacy, acceptance of physical activity applications, and behavioral intentions related to application use and physical activity among older women. Older women were selected as the target population due to evidence suggesting lower levels of digital literacy and lower acceptance of health technologies in this group. The study was based on the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2), supplemented with personal innovativeness.
A randomized controlled pre-post experimental design was used. Participants aged 55 years and older with prior experience using physical activity applications were recruited using purposive and snowball sampling methods. Following baseline assessment, participants were assigned to either an experimental or control group. The experimental group received a structured digital literacy training program, while the control group continued usual daily activities without intervention.
The intervention consisted of a structured 9-week face-to-face digital literacy training program focused on developing practical skills for using physical activity applications. The training emphasized hands-on practice, individualized support, and progressive skill development.
Outcomes were assessed at baseline and after the intervention. Measures included eHealth literacy, UTAUT2-based technology acceptance constructs (performance expectancy, effort expectancy, social influence, facilitating conditions, hedonic motivation, habit, and personal innovativeness), intention to use physical activity applications, and intention to engage in physical activity.
- Conditions
- Physical Activity, eHealth Literacy, Technology Acceptance
- Being tested
- Digital Literacy Training Program
- Keywords
- digital literacy, physical activity apps, UTAUT2, eHealth, behavioral intention, mobile health, older women, randomized controlled study
- Medical subject headings
- Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Digital Literacy Training ProgramBehavioural
The intervention consisted of a structured 9-week digital literacy training program delivered through weekly face-to-face sessions lasting approximately 60 minutes. The program focused on developing practical skills in using physical activity applications, including app selection, installation, navigation, privacy settings, goal setting, activity tracking, and interpretation of activity data. Participants engaged in hands-on exercises and received individualized support to enhance their eHealth literacy and confidence in using mobile health technologies. Printed instructional materials and home practice tasks were provided to reinforce learning and encourage independent use of applications.
| Study group | Role | What they receive |
|---|---|---|
| Digital Literacy Training Intervention | Experimental | Participants in this group received a structured 9-week digital literacy training program focused on improving skills in using physical activity applications. The intervention included weekly face-to-face sessions, practical exercises, and guided support to enhance eHealth literacy, technology acceptance, and engagement with physical activity apps. Receives: Behavioral: Digital Literacy Training Program |
| Control Group | No intervention | Participants in this group continued their usual daily activities without receiving any digital literacy training or structured intervention during the study period. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in eHealth literacy
eHealth literacy was assessed using the eHealth Literacy Scale (eHEALS), an 8-item self-report measure of perceived knowledge, confidence, and skills in locating, evaluating, and applying electronic health information for health-related purposes. Each item is rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 8 to 40, with higher scores indicating better eHealth literacy.
Measured: Baseline and post-intervention at 9 weeks
Change in physical activity application acceptance
Physical activity application acceptance was assessed using constructs from the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2), including performance expectancy, effort expectancy, social influence, facilitating conditions, hedonic motivation, and habit, with personal innovativeness included as an additional construct. Items are rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree), and scores range from 1 to 5, with higher scores indicating greater acceptance of physical activity applications.
Measured: Baseline and post-intervention at 9 weeks
Secondary outcomes (2)
Change in intention to use physical activity applications
Intention to use physical activity applications was assessed using items based on the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2), reflecting participants' willingness and likelihood to use physical activity applications in the future. Items are rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree), and scores range from 1 to 5, with higher scores indicating stronger intention to use physical activity applications.
Measured: Baseline and post-intervention at 9 weeks
Change in intention to engage in physical activity
Intention to engage in physical activity was assessed using self-report items measuring participants' motivation and planned behavior to be physically active. Items are rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree), and scores range from 1 to 5, with higher scores indicating stronger intention to engage in physical activity.
Measured: Baseline and post-intervention at 9 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Apr 2026
- Study start21 Jan 2025
- Primary completion28 Mar 2025
- Study completion28 Mar 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Physical ActivityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants were randomly assigned in a 1:1 ratio to either an intervention group receiving a structured digital literacy training program or a control group continuing usual activities without intervention, using stratified block randomization based on age group and prior app use status (current vs former users). Both groups were assessed at baseline and after the intervention.
- Masking
- None (open label)
- Enrolment
- 63 participants (actual)
Sponsor and investigators
- Lead sponsor
- Lithuanian Sports University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07515898
- Sponsor's protocol ID
- LithuanianSportsU-30
- Status last verified
- Apr 2026
- First submitted
- 31 Mar 2026
- Last updated
- 13 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be shared due to privacy and ethical considerations, including the need to protect participant confidentiality and comply with data protection regulations.
Publications
Baubonyte S. The Effect of Digital Literacy Training on Physical Activity App Acceptance and Behavioral Intentions Among Older Women: An Experimental Study. Int J Environ Res Public Health. 2026 Apr 13;23(4):489. doi: 10.3390/ijerph23040489.
PubMed 42074428
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Digital Literacy Training on Physical Activity App Acceptance and Behavioral Intentions Among Older Women: An Experimental Study
- ClinicalTrials.gov ID
- NCT07515898
- Acronym / sponsor ID
- LithuanianSportsU-30
- Conditions
- Physical Activity, eHealth Literacy, Technology Acceptance
- Keywords
- digital literacy, physical activity apps, UTAUT2, eHealth, behavioral intention, mobile health, older women, randomized controlled study
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 63 participants (actual)
- Lead sponsor
- Lithuanian Sports UniversityUniversity, hospital or other
- Study start
- 21 Jan 2025 (actual)
- Primary completion
- 28 Mar 2025 (actual)
- Study completion
- 28 Mar 2025 (actual)
- First posted
- 7 Apr 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized controlled study examined whether a structured digital literacy training program could improve eHealth literacy, acceptance of physical activity applications, and behavioral intentions among older women. Participants aged 55 years and older with prior experience using physical activity applications were randomly assigned to either a 9-week face-to-face digital literacy training intervention or a control group that continued usual daily activities without receiving any educational program. Outcomes were assessed at baseline and after the intervention. The study evaluated whether improving digital literacy enhances technology acceptance and supports intentions to use physical activity applications and engage in physical activity.
Detailed description
Physical activity is an important factor supporting health, independence, and quality of life among older adults; however, many individuals face barriers to maintaining regular activity. Digital solutions, such as physical activity applications, may help promote activity, but their acceptance among older adults remains inconsistent and is influenced by digital literacy and related factors.
This study examined whether a structured digital literacy training intervention could improve eHealth literacy, acceptance of physical activity applications, and behavioral intentions related to application use and physical activity among older women. Older women were selected as the target population due to evidence suggesting lower levels of digital literacy and lower acceptance of health technologies in this group. The study was based on the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2), supplemented with personal innovativeness.
A randomized controlled pre-post experimental design was used. Participants aged 55 years and older with prior experience using physical activity applications were recruited using purposive and snowball sampling methods. Following baseline assessment, participants were assigned to either an experimental or control group. The experimental group received a structured digital literacy training program, while the control group continued usual daily activities without intervention.
The intervention consisted of a structured 9-week face-to-face digital literacy training program focused on developing practical skills for using physical activity applications. The training emphasized hands-on practice, individualized support, and progressive skill development.
Outcomes were assessed at baseline and after the intervention. Measures included eHealth literacy, UTAUT2-based technology acceptance constructs (performance expectancy, effort expectancy, social influence, facilitating conditions, hedonic motivation, habit, and personal innovativeness), intention to use physical activity applications, and intention to engage in physical activity.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants were randomly assigned in a 1:1 ratio to either an intervention group receiving a structured digital literacy training program or a control group continuing usual activities without intervention, using stratified block randomization based on age group and prior app use status (current vs former users). Both groups were assessed at baseline and after the intervention.
| Arm | Type | Receives |
|---|---|---|
| Digital Literacy Training Intervention | Experimental | Behavioral: Digital Literacy Training ProgramParticipants in this group received a structured 9-week digital literacy training program focused on improving skills in using physical activity applications. The intervention included weekly face-to-face sessions, practical exercises, and guided support to enhance eHealth literacy, technology acceptance, and engagement with physical activity apps. |
| Control Group | No intervention | –Participants in this group continued their usual daily activities without receiving any digital literacy training or structured intervention during the study period. |
Who may qualify
- Ages
- 55 years and older
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Female sex
- Age ≥55 years
- Prior experience using physical activity applications (current or former users)
- Engagement in at least minimal physical activity (≥1 time per week)
- Access to a smartphone
Key exclusion criteria (6 listed)
- Male sex
- Age <55 years
- No prior experience using physical activity applications
- Not engaging in at least minimal physical activity (less than once per week)
- No access to a smartphone
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Digital Literacy Training ProgramThe intervention consisted of a structured 9-week digital literacy training program delivered through weekly face-to-face sessions lasting approximately 60 minutes. The program focused on developing practical skills in using physical activity applications, including app selection, installation, navigation, privacy settings, goal setting, activity tracking, and interpretation of activity data. Participants engaged in hands-on exercises and received individualized support to enhance their eHealth literacy and confidence in using mobile health technologies. Printed instructional materials and home practice tasks were provided to reinforce learning and encourage independent use of applications. | Behavioural | Digital Literacy Training Intervention |
Primary outcome
Change in eHealth literacy
Time frame: Baseline and post-intervention at 9 weeks
eHealth literacy was assessed using the eHealth Literacy Scale (eHEALS), an 8-item self-report measure of perceived knowledge, confidence, and skills in locating, evaluating, and applying electronic health information for health-related purposes. Each item is rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 8 to 40, with higher scores indicating better eHealth literacy.
Change in physical activity application acceptance
Time frame: Baseline and post-intervention at 9 weeks
Physical activity application acceptance was assessed using constructs from the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2), including performance expectancy, effort expectancy, social influence, facilitating conditions, hedonic motivation, and habit, with personal innovativeness included as an additional construct. Items are rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree), and scores range from 1 to 5, with higher scores indicating greater acceptance of physical activity applications.
2 secondary outcomes
Change in intention to use physical activity applications
Time frame: Baseline and post-intervention at 9 weeks
Change in intention to engage in physical activity
Time frame: Baseline and post-intervention at 9 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Apr 2026.
- Results publication: PubMed 42074428Baubonyte S. The Effect of Digital Literacy Training on Physical Activity App Acceptance and Behavioral Intentions Among Older Women: An Experimental Study. Int J Environ Res Public Health. 2026 Apr 13;23(4):489. doi: 10.3390/ijerph23040489.
- Individual participant dataSharing planned: No. Individual participant data will not be shared due to privacy and ethical considerations, including the need to protect participant confidentiality and comply with data protection regulations.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Digital Literacy Training Program in people with Physical Activity and eHealth Literacy, run by Lithuanian Sports University at 1 site in Lithuania.
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 6 inclusion and 6 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: finished, as of the sponsor's last update on 13 Apr 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 Lithuania. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Change in eHealth literacy (time frame: Baseline and post-intervention at 9 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07515898, which also lists 1 linked publication.
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 13 Apr 2026.