NCT05516537

Brief Summary

The proposed project involves a high-quality randomized controlled (RCT) design that examines the effects of a remotely-delivered, racially-tailored exercise training program for immediate and sustained improvement in walking dysfunction, symptoms, and health-related quality of life (HRQOL) among African-Americans with MS residing in rural environments. The primary analysis will test the hypothesis that those who are randomly assigned into the intervention condition (i.e., exercise training) will demonstrate (a) improvements in outcomes from baseline that (b) are sustained over 4-months of follow-up compared with those in the control condition (i.e., stretching).

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P75+ for not_applicable multiple-sclerosis

Timeline
3mo left

Started Sep 2022

Longer than P75 for not_applicable multiple-sclerosis

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress95%
Sep 2022Aug 2026

First Submitted

Initial submission to the registry

August 23, 2022

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 25, 2022

Completed
8 days until next milestone

Study Start

First participant enrolled

September 2, 2022

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2025

Completed
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2026

Expected
Last Updated

September 22, 2025

Status Verified

September 1, 2025

Enrollment Period

3.2 years

First QC Date

August 23, 2022

Last Update Submit

September 16, 2025

Conditions

Keywords

RuralWalking dysfunctionHealth-Related Quality of LifeAfrican-American

Outcome Measures

Primary Outcomes (1)

  • Walking Dysfunction

    Multiple Sclerosis Walking Scale-12 (MSWS-12); scores range between 0 (min) and 100 (max), higher scores reflect greater walking problems.

    Changes in walking scores from Baseline, 4-months, and 8-months.

Secondary Outcomes (5)

  • Disability

    Changes in disability scores from Baseline, 4-months, and 8 months.

  • Fatigue Severity

    Changes in fatigue from Baseline, after 4-month intervention period, and 4 months after intervention cessation.

  • Depressive Symptoms

    Changes in depressive symptoms from Baseline, after 4-month intervention period, and 4 months after intervention cessation.

  • Anxiety

    Changes in anxiety symptoms from Baseline, after 4-month intervention period, and 4 months after intervention cessation.

  • Health-related Quality of Life (HRQOL)

    Changes in quality of life from Baseline, after 4-month intervention period, and 4 months after intervention cessation.

Other Outcomes (1)

  • Exercise Behavior

    Changes in exercise behavior from Baseline, after 4-month intervention period, and 4 months after intervention cessation.

Study Arms (2)

Guidelines for Exercise in Multiple Sclerosis (GEMS)

EXPERIMENTAL

Participants in this condition will receive a 4-month home-based, remotely supported aerobic and resistance exercise program based on the Guidelines for Exercise in Multiple Sclerosis (GEMS).

Behavioral: Guidelines for Exercise in Multiple Sclerosis (GEMS)

FLEX Stretching and Toning Program

SHAM COMPARATOR

Participants in this condition will receive a 4-month home-based, remotely supported stretching program emphasizing flexibility and range of motion as important components of fitness based on Stretching for People with MS: An Illustrated Manual from the National MS Society.

Behavioral: FLEX Stretching and Toning Program

Interventions

Remotely-coached/guided, home-based program delivered using telerehabilitation focusing on aerobic fitness and muscle strength as a mode of training.

Guidelines for Exercise in Multiple Sclerosis (GEMS)

Remotely-coached/guided, home-based program delivered using telerehabilitation focusing on stretching and range of motion as the mode of training.

FLEX Stretching and Toning Program

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • English as primary language
  • Identify as African-American or Black
  • Age of 18 years or older
  • Diagnosis of MS
  • Relapse free in the past 30 days
  • Internet and email access
  • Willingness to complete the outcome questionnaires
  • Willingness to undergo randomization
  • Insufficient physical activity (not meeting current physical activity guidelines based on GLTEQ)
  • Mild-moderate ambulatory disability (MSWS-12 score between 25-49 \& PDDS score between 2-4)

You may not qualify if:

  • Individuals with moderate to high risk for contraindications of possible injury or death when undertaking strenuous or maximal exercise (PARQ).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Illinois at Chicago

Chicago, Illinois, 60612, United States

RECRUITING

MeSH Terms

Conditions

Multiple Sclerosis

Interventions

Guidelines as TopicExercise

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNSAutoimmune Diseases of the Nervous SystemNervous System DiseasesDemyelinating DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

Quality Assurance, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and EvaluationMotor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Study Officials

  • Robert W Motl, PhD

    University of Illinois at Chicago

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Robert W Motl, PhD

CONTACT

Edson Flores, MPH

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Robert W. Motl, PhD

Study Record Dates

First Submitted

August 23, 2022

First Posted

August 25, 2022

Study Start

September 2, 2022

Primary Completion

December 1, 2025

Study Completion (Estimated)

August 1, 2026

Last Updated

September 22, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations