Bingocize: A Novel Mobile Application for Older Adult Health

NCT03629912 | Completed Results

• 2 other identifiers: IRB 18-048R15AG055906
• Study Type: interventional
• Target: 241
• Locations: 1 country
• Sites: 4

Brief Summary

This study tests the effectiveness of using a new mobile application (Bingocize®) to improve older adults' (a) adherence to an engaging exercise program, and (b) aspects of functional performance, health knowledge, dietary habits, and cognition.

Conditions

Activities of Daily Living; Accidental Fall; Sarcopenia; Arteriosclerosis; Diabetes Mellitus, Type 2; Hypertension; Cognitive Decline; Executive Function; Cognitive Aging

Outcome Measures

Primary Outcomes (8)

• Executive Function Inhibition Measure 1: Flanker Task

  Flanker Task designed to measure inhibition, part of the EXAMINER Battery (for scoring method, see References section). EXAMINER generates a score that combines reaction time and accuracy data from the incongruent trials. This scoring method generates accuracy and reaction time sub-scales that range in value between 0 and 5, and the ultimate composite score ranges in value between 0 and 10. Minimum=0, Maximum=10, higher = better.

  Baseline and 12 Weeks

• Executive Function Measure: Updating Verbal Working Memory

  Dot Counting Task designed to measure verbal working memory, part of the EXAMINER Battery (for scoring method, see References). EXAMINER generates a score is the total number of items correctly recalled across all six trials. Minimum=0, Maximum=27, higher = better.

  Baseline and 12 Weeks

• Executive Function Measure: Set Shifting Task

  Set Shifting Task designed to measure attention during task switching, part of the EXAMINER Battery (for scoring method, see References). EXAMINER generates a score that combines reaction time and accuracy data from the incongruent trials. This scoring method generates accuracy and reaction time sub-scales that range in value between 0 and 5, and the ultimate composite score ranges in value between 0 and 10. Minimum=0, Maximum=10, higher = better.

  Baseline and 12 Weeks

• Executive Function Measure: Verbal Fluency

  Verbal Fluency Task designed to measure fluency, part of the EXAMINER Battery (for scoring method, see References). EXAMINER generates a score that represents the total number of words correctly recalled in two tasks: phonemic (letter) and semantic (category). Minimum=0, Maximum=unlimited, higher = better.

  Baseline and 12 Weeks

• Chair Stands: Change in Lower-body Muscular Strength

  number of completed chair stands in 30 seconds, minimum=0, higher = better

  Baseline and 12 Weeks

• Change in Dynamic Balance: 360 Degree Turns

  360 degree turns: time to complete. No minimum or maximum value set. Lower = better.

  Baseline and 12 Weeks

• Executive Function Measure of Inhibition: Continuous Performance Test

  Continuance Performance Task is classic response inhibition task, part of the EXAMINER Battery (for scoring method, see References). The score here represents the number of trials out of 100 that the participant responded correctly (i.e., either successfully responded or successfully inhibited a response). Minimum=0 Maximum=100, higher = better.

  Baseline and 12 Weeks

• Timed Up and Go (TUG) Test: Change in Dynamic Balance

  Timed Up and Go (TUG) Test used to assess mobility and risk for falling. Number of seconds needed to stand up from a chair, walk 10 feet, turn around, walk back 10 feet, and sit back down in chair. No minimum or maximum value is set. Lower = better.

  Baseline and 12 Weeks

Secondary Outcomes (8)

• Crystallized Knowledge of Fall Risks and Proper Diet/Nutrition

  Baseline and 12 Weeks

• Grip Strength: Changes in Upper Body Muscular Strength

  Baseline and 12 Weeks

• Fall Efficacy Scale

  Baseline and 12 Weeks

• Changes in Dietary Habits: Total Added Sugar Intake

  Baseline and 12 Weeks

• Changes in Quality of Life

  Baseline and 12 Weeks

Study Arms (4)

Exercise + Health Education + Bingo

EXPERIMENTAL

Socially-Based Exercise Intervention for Older Adults. Participants use the Bingocize app incorporating exercises AND health information on fall risks + diet/nutrition.

Behavioral: Socially-Based Exercise Intervention for Older Adults

Exercise + Bingo

ACTIVE COMPARATOR

Socially-Based Exercise Intervention for Older Adults. Participants use the Bingocize app incorporating exercises ONLY.

Behavioral: Socially-Based Exercise Intervention for Older Adults

Health Education + Bingo

ACTIVE COMPARATOR

Socially-Based Exercise Intervention for Older Adults. Participants use the Bingocize app incorporating health information on fall risks + diet/nutrition ONLY.

Behavioral: Socially-Based Exercise Intervention for Older Adults

Bingo Only

NO INTERVENTION

Participants use the Bingocize app to play bingo only.

Interventions

Socially-Based Exercise Intervention for Older Adults BEHAVIORAL

A socially-based app that incorporates exercise and/or health education into a format familiar and engaging to older adults, designed to improve adherence to health-promoting behaviors

Also known as: Bingocize

Exercise + Bingo; Exercise + Health Education + Bingo; Health Education + Bingo

Eligibility Criteria

• Age: 60 Years - 85 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Normal or corrected normal vision
• Mobility (i.e., not wheelchair bound)
• English is native language
• Minimum physical standards (e.g., ability to walk at least 10 meters)
• No structured physical activity programs \>150 minutes/week in last 6 months

You may not qualify if:

• Severe neurological impairments (e.g., Parkinson's)
• Colorblindness
• Dementia

Sponsors & Collaborators

• Western Kentucky University: lead
• National Institute on Aging (NIA): collaborator

Study Sites (4)

Webster County Senior Center

Dixon, Kentucky, 42409, United States

Location

Chester County Senior Center

Henderson, Tennessee, 38340, United States

Location

Johnson County Senior Center

Johnson City, Tennessee, 37601, United States

Location

Scotts Hill Senior Center

Scotts Hill, Tennessee, 38374, United States

Location

Related Publications (2)

• Kramer JH, Mungas D, Possin KL, Rankin KP, Boxer AL, Rosen HJ, Bostrom A, Sinha L, Berhel A, Widmeyer M. NIH EXAMINER: conceptualization and development of an executive function battery. J Int Neuropsychol Soc. 2014 Jan;20(1):11-9. doi: 10.1017/S1355617713001094. Epub 2013 Oct 8.

  PMID: 24103232 RESULT

• Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. J Gerontol. 1990 Nov;45(6):P239-43. doi: 10.1093/geronj/45.6.p239.

  PMID: 2229948 RESULT

Related Links

• Link to Center for Applied Science in Health \& Aging

MeSH Terms

Conditions

Sarcopenia; Arteriosclerosis; Diabetes Mellitus, Type 2; Hypertension; Cognitive Dysfunction

Interventions

Aging

Condition Hierarchy (Ancestors)

Muscular Atrophy; Neuromuscular Manifestations; Neurologic Manifestations; Nervous System Diseases; Atrophy; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Arterial Occlusive Diseases; Vascular Diseases; Cardiovascular Diseases; Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Cognition Disorders; Neurocognitive Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Growth and Development; Physiological Phenomena

Limitations and Caveats

COVID-19 Pandemic began in the Middle of this Intervention, resulting in the loss of approximately 35-40% of the overall participant sample who were in the middle of the clinical trial intervention and had to withdraw from the study. Other data collection waves were started and completed before the pandemic, or started and completed after the pandemic, which introduces the possibility of history effects impacting interpretations of the data from participants who did complete the trial.

Results Point of Contact

• Title: Dr. Matthew Shake
• Organization: Western Kentucky University

matthew.shake@wku.edu

270-745-3918

Study Officials

• Matthew C Shake, PhD

  Western Kentucky University and Center for Applied Science in Health and Aging

  PRINCIPAL INVESTIGATOR

• Jason Crandall, PhD

  Western Kentucky University and Center for Applied Science in Health and Aging

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Staff collecting pre- and post-intervention data are masked to participant condition.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Psychological Sciences

Model Details: In each wave of the study (14 weeks per wave), participant groups are randomly assigned to one of four conditions (A,B,C,D). Condition A receives exercise + health education. Condition B receives exercise only. Condition C receives health education only. Condition D receives nothing.

Study Record Dates

• First Submitted: August 6, 2018
• First Posted: August 14, 2018
• Study Start: August 13, 2018
• Primary Completion: May 13, 2022
• Study Completion: May 13, 2022
• Last Updated: March 12, 2024
• Results First Posted: March 12, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will share
• Time Frame: Data will be available within 6 months after publication, and will remain available for a period of at least 3 years following completion of the clinical trial.
• Access Criteria: Investigators whose proposed use of the data has been approved by the Principal Investigators of the clinical trial.

Locations

US (4)