Rural Veterans and Care Partners Walking Program

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study tests a telerehabilitation-based physical activity program delivered remotely to Veterans with mild cognitive impairment and their care partners who live in rural settings. The 6-week walking plan is guided by a mobile app and includes pre- and post-program assessments, surveys, and a semi-structured feasibility interview. Dyads (Veteran and care partner) participate together, with optional advisory board involvement to adapt the program. The study focuses on practicality, usability, and impact on daily steps and physical activity levels, using standard cognitive and functional screening and safety checks.

Why it matters

Who can join: the full rules

Inclusion Criteria for Veterans:

* 60-95 years of age
* Mild cognitive impairment as staged by Clinical Dementia Rating (CDR, a gold standard cognitive outcome in ADRD clinical research) score of 0.5 or equivalent
* Characterized as underactive by the Telephone Assessment of Physical Activity (TAPA)
* Have a care partner willing to participate in physical activity and assist the participant
* Own a smartphone or tablet and willing to download a fitness tracker application
* Live in a rural area according to the VA Office of Rural Health rurality calculator

Inclusion Criteria for Veterans \& Care Providers:

* No self-reported falls in the last year
* Able to walk across a room in the home with no assistive device(s)
* Stable doses of medication over the previous 30 days
* Pass the Physical Activity Readiness Questionnaire+ (answering "no" to questions are pages 1-3)
* Interaction as a dyad (Veteran and care partner) at least on a weekly basis

Inclusion Criteria for Veterans \& Care Providers:

* 19 years of age or older
* No cognitive impairment as indicated by a score of \< 1 on the AD8 Dementia Screening Interview

Exclusion Criteria for Veterans \& Care Providers:

* Neurodegenerative or acute neurological diagnoses (e.g., Parkinson's disease, stroke, traumatic brain injury)

Where it's running

• Creighton University
  Omaha, Nebraska, United States Recruiting

Study contacts

• Study coordinator: Rashelle Hoffman, PT, DPT, PhD
• Email: rashellehoffman@creighton.edu
• Phone: 402-280-5691

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.