mPATH for Low-income Older Adults with Sedentary Time, Insomnia, and Cognitive Decline

This study is looking at how a program called mPATH might help low-income older adults who are not very active, have trouble sleeping (insomnia), and are experiencing some memory or thinking problems (cognitive decline). mPATH is a personalized physical activity program that uses mobile health (mHealth) tools like wearable devices and phone calls to help you exercise at home. Researchers want to see if mPATH can improve your thinking skills and sleep over 6 and 12 months. You might be able to join if you are 65 or older, have difficulty sleeping, are not physically active, have a low household income, and can do moderate exercise. You cannot join if you have untreated sleep apnea, severe depression or anxiety, dementia, or certain other health conditions.

Study design
This is an interventional study with a planned enrollment of 176 participants. It is a randomized controlled trial, meaning participants will be assigned by chance to either the mPATH intervention or an attention control group.
What's involved
If you are in the mPATH group, you will participate in a 6-month program including education sessions, mHealth learning, personalized physical activity training, and biweekly phone calls. If you are in the attention control group, a registered nurse will provide 6 monthly home visits for physical activity education and safety evaluations.
Compensation
Not stated in the trial record.
Follow-up
Your episodic memory will be assessed at baseline, 6 months, and 12 months after starting the study.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT05935241

mPATH for Low-income Older Adults

Recruiting
NAAges 65+InterventionalPrevention
Johns Hopkins University
~176 participants
Updated 2026-04-13 on ClinicalTrials.gov
What's tested:mPATHAttention Control

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in episodic memory as assessed by the Cogstate
Measured over Baseline, 6 months, 12 months
Sedentary Time
Insomnia
Cognitive Decline

NCT05935241

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • The Johns Hopkins University, School of Nursing

    Baltimore, Marylandstudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Junxin Li · PRINCIPAL_INVESTIGATOR · Johns Hopkins University
  • Youngmin Cho, PhD · STUDY_DIRECTOR · Johns Hopkins University School of Nursing

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Eligibility criteria

Inclusion

self-reported difficulty of sleep
lack of physical activity/exercise
low household income
capacity for moderate intensity exercise

Exclusion

untreated sleep apnea
severe depression or anxiety
dementia
history of neurologic or psychiatric disorders, neurodevelopmental impairment, traumatic brain injury
current enrollment in another clinical trial
  • Change in episodic memory as assessed by the CogstateBaseline, 6 months, 12 months

    Episodic memory will be measured by computerized cognitive batteries using Cogstate