Motivational support for a home exercise program to help healthy aging
Computational Ecosystem With Motivational Support and Functional Assessment for an Autonomous Exercise Program Promoting Healthy Aging (MOTIVA)
This program will test whether the MOTIVA digital motivational system combined with an autonomous VIVIFRAIL exercise plan helps people aged 70 and older who are robust or prefrail stay independent and improve physical and cognitive health.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 190 (estimated) |
| Ages | 70 Years and up |
| Sex | All |
| Sponsor | Hospital Universitario Getafe Academic / other |
| Locations | 2 sites (Getafe, Madrid and 1 other locations) |
| Trial ID | NCT07447453 on ClinicalTrials.gov |
What this trial studies
This interventional project uses the MOTIVA ecosystem to deliver motivational support, behavior-stage tailoring, and regular functional and performance assessments alongside an autonomous VIVIFRAIL exercise program for community-dwelling older adults. Participants aged 70+ who can walk and score 4 or higher on the SPPB will follow unsupervised exercise plans adapted to their motivational profile and receive digital prompts and monitoring. The intervention aims to reduce abandonment and increase adherence by matching support to each person's readiness to change and tracking function over time. Outcomes include measures of independence, physical and cognitive function, and healthcare utilization, with study visits at Hospital Universitario Getafe and affiliated primary care centers in Madrid.
Who should consider this trial
Good fit: Ideal candidates are community-dwelling adults aged 70 or older who can walk (with or without assistance), score ≥4 on the SPPB, can understand instructions, and can give informed consent.
Not a fit: People with severe frailty (SPPB <4), cognitive impairment or inability to follow instructions, or medical conditions that make exercise unsafe are unlikely to benefit.
Why it matters
Potential benefit: If successful, the program could help older adults maintain or improve independence, physical function, and cognitive health while lowering healthcare use.
How similar studies have performed: VIVIFRAIL-based home exercise programs have shown benefits for physical function in older adults, and digital motivational tools have shown promising but variable results in improving adherence in unsupervised settings.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * 70 years of age or older. * Obtain a score of 4 or higher on the SPPB. * Be able to ambulate, with or without assistance. Exclusion Criteria: * Be unable to give consent or refuse to do so. * Be unable to understand the instructions. * Have a diagnosis of a disease or clinical condition that, in the researcher's judgment, contraindicates physical exercise.
Where this trial is running
Getafe, Madrid and 1 other locations
- Hospital Universitario Getafe — Getafe, Madrid, Spain (Recruiting)
- Primary Care — Madrid, Madrid, Spain (Recruiting)
Study contacts
- Principal investigator: Olga Laosa Zafra, MD. PhD — Fundación para la Investigación Biomédica - Hospital Universitario de Getafe
- Study coordinator: Olga Laosa Zafra, MD. PhD
- Email: olga.laosa@salud.madrid.org
- Phone: +34916839360
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.