Inspiring Seniors Towards Exercise Promotion - 2 - NCT07629739

RECRUITING

NCT07629739

NA

Inspiring Seniors Towards Exercise Promotion - 2

Sponsor: Emory University

Summary

Older adults' low adherence to the national physical activity guidelines may stem from a failure to increase positive affective responses to exercise (e.g., enjoyment). Exercising with personalized, tempo-synchronous music playlists has shown promising effects on physical activity promotion in midlife-to-older adults during a cardiac rehab program. The purpose of this study is to determine how personalized, tempo-synchronous music playlists called rhythmic auditory stimulation (RAS) influence exercise behavior change and affective responses to exercise over 8 months among community-dwelling, sedentary older adults.

Key Details

Gender

All

Age Range

65 Years - Any

Study Type

INTERVENTIONAL

Enrollment

150

Start Date

2026-05-26

Completion Date

2028-08

Last Updated

2026-06-05

Healthy Volunteers

Yes

Conditions

Old Age

Interventions

BEHAVIORAL

Exercise intervention with RAS (EX+RAS)

Supervised exercise sessions will be led by an exercise specialist at an open-floor gym. All participants will be asked to attend a supervised group exercise session for moderate aerobic training (MAT) for 15-40 minutes/day and muscle-strengthening training (ST) for 15-20 minutes/day for 2 days/week for the first 3 months, while being encouraged to independently perform MAT on up to 3 more days/week. Then, the same training session will be offered for 1 day/week for an additional 3 months while encouraging participants to independently perform ST on 1 more day of the week and MAT up to 4 more days of the week. Participants will be instructed on set and track exercise goals, supplemented with a series of behavioral supports during the 6-month intervention and until a 2-month post-intervention follow-up.

BEHAVIORAL

Exercise intervention without RAS (EX)

Supervised exercise sessions will be led by an exercise specialist at an open-floor gym. All participants will be asked to attend a supervised group exercise session for moderate aerobic training (MAT) for 15-40 minutes/day and muscle-strengthening training (ST) for 15-20 minutes/day for 2 days/week for the first 3 months, while being encouraged to independently perform MAT on up to 3 more days/week. Then, the same training session will be offered for 1 day/week for an additional 3 months while encouraging participants to independently perform ST on 1 more day of the week and MAT up to 4 more days of the week. Participants will be instructed on set and track exercise goals, supplemented with a series of behavioral supports during the 6-month intervention and until a 2-month post-intervention follow-up.

Inclusion Criteria: * Adults over 65 years old. * Ambulatory without pain or the use of assisted walking devices. * Able to speak and read English. * Healthy enough to exercise at moderate intensity with or without medical clearance by a primary care physician. * Living in the community for the duration of the study (9-10 months). * Having a reliable means of transportation. * Having a safe place at home or at a residential area (at least 6 feet by 6 feet of open space) for unsupervised exercise training. * Being low-active (\< 90 min/week of MAT and \< 2 days/week of ST for the last 3 months). Exclusion Criteria: * Concurrent diagnosis of neurological disorder (e.g., dementia, Parkinson's disease, multiple sclerosis, etc.), determined by self-report on the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+). * Known exercise contraindications (uncontrolled hypertension, joint problems, diabetes, metabolic conditions, etc.), determined by self-report on the PAR-Q+. * Current or upcoming cancer treatment, determined by self-report on the PAR-Q+. * Stroke or neural impairment in the past 6 months, as self-reported on the PAR-Q+. * Hip/knee/spinal fracture or surgery in the past 6 months, determined by self-report on the ACSM Health Screening Questionnaire. * Unable or unwilling to attend intervention classes, as determined by phone screening. * Currently participating in any other exercise or fitness-related research study, determined by phone screening. * Use of medications for cognitive impairment, as self-reported on the medication survey. * Change in dosage of medications prescribed for anxiety or depression within the previous 6 months, determined by self-report on a medication form. * Self-report regularly drinking \> 14 alcoholic beverages a week or current illicit drug use, determined by self-report to screening surveys. * Cannot ambulate without a walker/cane, assessed in the American College of Sports Medicine (ACSM) Health Screening Questionnaire • Having cognitive impairment, determined by the Montreal Cognitive Assessment (MoCA) BLIND \< 17. * Meet the threshold for clinical depression, determined by the Center for Epidemiological Studies Depression Scale Revised (CESD-R). * Uncorrected hearing or visual impairments, self-reported on the Health History Questionnaire. * Unable to understand the study procedure. * One of the household members is participating in this study, as self-reported during phone screening.

Locations (1)

Emory University

Atlanta, Georgia, United States

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