CClinicalTrials.gg
CompletedNCT06474715FT4WUpdated Apr 24, 2026Results posted

Free Time For Wellness Pilot Effectiveness Trial

An interventional study of Arms in Physical Inactivity, sponsored by Columbia University. Completed at 3 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-24.

Sponsored by Columbia University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
89
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Physical inactivity is pervasive and prevalent in the United States, particularly among women of low socioeconomic position, and women with children. Structural and social barriers make active leisure time a rare commodity creating a pressing health issue because physical inactivity increases the risk of chronic diseases and poor health. The broad objective of this study is to pilot test the Free Time for Wellness (FT4W), an innovative multilevel physical activity intervention to increase physical activity among low-resourced mothers.

Read the detailed description

Physical inactivity is particularly prevalent in women of low socioeconomic position (SEP) (60% are inactive), suggesting that there are structural barriers to being physically active. This study will pilot test the intervention to increase physical activity among mothers of low SEP, where there is high risk of chronic disease and significant potential to make an impact on these health disparities.

This study comprises a 3-arm parallel cluster randomized controlled trial with low-resourced mothers living in New York City. The study team will randomize fitness class sites (clusters) into Arm A (contact control), receipt of free weekly fitness classes; Arm B, receipt of free childcare combined with free weekly fitness classes; and Arm C, receipt of free childcare combined with free weekly fitness classes and, plus peer support activities. The study team will recruit 90 participants into 3 fitness classes. Physical activity is the primary outcome measured using accelerometers, a self-reported questionnaire, and attendance data. Secondary outcomes (e.g., health status) and mediators/moderators (e.g., social support and cohesion) will be assessed with a baseline and follow-up questionnaire. Ethnographic methods will be used to examine how intersecting forms of social inequality shape women's experiences of physical activity and to understand how real-world conditions shape the intervention implementation. The intention-to-treat analysis will employ linear mixed-effects models (LMM) to assess the main intervention effects on physical activity outcomes and other secondary outcomes.

02

Conditions studied

  • Physical Inactivity

Browse trials for

Keywords

  • Motherhood
  • Childcare
  • Social cohesion
03

In context

Sedentary Behavior

332 studies on the registry are indexed under Sedentary Behavior; 155 are open to participants now.

This study's enrollment of 89 is above the median of 70 across 287 interventional studies indexed under Sedentary Behavior.

Browse Sedentary Behavior studies →

Lead sponsor

Columbia University is the lead sponsor of 1,103 studies on the registry; 193 are open to participants now.

Of its 172 completed or terminated interventional studies of FDA-regulated products, 142 (83%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Understand/speak English or Spanish
  • Have children \<12 years old
  • Own a mobile phone
  • Live in the zip code surrounding as Shape Up NYC sites

Exclusion criteria

Exclusion Criteria:

- Total household income being greater than 165% of the area median income (calculated by household size).

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
89 participants (actual)

Study arms

  • No intervention
    Control Arm: Fitness classes only

    There will be 3 Shape Up NYC classes offered weekly for one hour free of charge to consenting participants in all three arms with a total of 12 classes offered per participant. Weekly reminders for each class will be sent via automated text messages to individuals.

  • Active comparator
    Comparator Arm: Fitness classes + childcare

    There will be 3 Shape Up NYC classes offered weekly for one hour free of charge to consenting participants in all three arms with a total of 12 classes offered per participant. In addition, they will receive childcare in an adjacent space to the fitness class. Weekly reminders for each class will be sent via automated text messages to individuals.

    Behavioral: Arms

  • Experimental
    Enhanced intervention arm: Fitness classes + childcare + peer support

    There will be 3 Shape Up NYC classes offered weekly for one hour free of charge to consenting participants in all three arms with a total of 12 classes offered per participant. In addition, they will receive childcare in an adjacent space to the fitness class. In addition to childcare, Arm C will also receive peer support activities. Peer support activities will consist of group volunteer activities at food pantries, free deliveries of food pantry groceries, and group play dates at local playgrounds. A Community Champion will also facilitate group text messages.

    Behavioral: Arms

Interventions

  • BehavioralArms

    The intervention includes a task-based interaction (volunteer activities) where cognitive demand is low and interactional roles are clear. The focus is on the task, rather than developing relationships, reducing the pressure of interaction. As the volunteer activities continue, they also offer the opportunity for group members to enhance empathy, another salient component of cross-group relational development. Mediated interaction supports new relational development through a disinhibiting effect, lowering inhibitions and increasing comfort and disclosure

06

What researchers measure

Primary outcomes

  1. Total Minutes of Time Spent in Moderate to Vigorous Physical Activity (MVPA)

    Weekly MVPA, total physical activity, sedentary time, and sleep will be objectively assessed using a blinded research-grade wrist-worn accelerometer (Axivity AX3) in all groups.

    Time frame: Baseline and follow-up between weeks 10-12

Secondary outcomes

  1. EQ5D-5L Score

    The EQ5D-5L standardized survey is a generic measure of health status that includes five dimensions: mobility, self-care, usual activities, pain, and anxiety/depression. The EQ-5D-5L index is measured on a total scale from 0 to 1, whereby 0 indicates death and 1 perfect health.

    Time frame: At baseline and follow-up between weeks 10-12

  2. ICEpop CAPability Measure for Adults (ICECAP-A) Score

    The ICECAP-A standardized survey captures the broader concept of well-being via five dimensions: feeling settled and secure; love, friendship, and support; being independent; achievement and progress; and enjoyment and pleasure. The ICECAP-A also generates a score between 0 to 1 where one equals 'full capability' and zero equals 'completely incapable'.

    Time frame: At baseline and follow-up between weeks 10-12

  3. Attendance

    Shape Up NYC takes attendance at each fitness class, and community champions will take attendance at the peer support activities to understand participation, retention, and attrition levels. Attendance rate of all fitness classes will be presented as the mean percent of attendance (\[# of participants present in class\] divided by \[# of available slots\] multiplied by 100) over 12 weeks.

    Time frame: 12 weeks

  4. Generalized Anxiety Disorder 2-item (GAD-2) Score

    The GAD-2 is a brief questionnaire that assesses patient anxiety. The total score range is 0-6, with a higher score indicating worse anxiety.

    Time frame: Baseline and follow-up between weeks 10-12

  5. Patient Health Questionnaire-2 (PHQ-2)

    PHQ-2 is a brief questionnaire that assesses frequency of depressed mood and anhedonia. The total score range is 0-6, with a higher score indicating worsening feelings of depression.

    Time frame: Baseline and follow-up between weeks 10-12

  6. International Physical Activity Questionnaire (IPAQ) Score

    Self-reported physical activity data will be collected using IPAQ. IPAQ asks participants to report the types and frequency of physical activities they have participated in over 7 days. IPAQ score is expressed as median(MET)-min per week: \[MET level\] x \[minutes of activity/day\] x \[days per week\]. It is scored as follows: High: Any one of the following two criteria: Vigorous-intensity activity on at least 3 days and accumulating at least 1500 MET-minutes/week OR 7+ days of walking, moderate-intensity or vigorous intensity activities achieving a minimum of at least 3000 MET-minutes/week Moderate: Any one of the following three criteria: 3+ days of vigorous activity, at least 20 minutes per day OR 5+ days of moderate-intensity activity or walking of at least 30 minutes per day OR 5+ days of walking, moderate-intensity or vigorous intensity activities achieving a minimum of 600 MET-min/week. Low: Individuals who do not meet criteria for either category

    Time frame: Baseline and follow-up between weeks 10-12

07

Results

Posted Nov 21, 2025

Participant flow

Participant flow — Overall Study
MilestoneControl Arm: Fitness Classes OnlyComparator Arm: Fitness Classes + ChildcareEnhanced Intervention Arm: Fitness Classes + Childcare + Peer Support
Started263123
Completed12188
Not completed141315

Outcome measures

PrimaryTotal Minutes of Time Spent in Moderate to Vigorous Physical Activity (MVPA)

Weekly MVPA, total physical activity, sedentary time, and sleep will be objectively assessed using a blinded research-grade wrist-worn accelerometer (Axivity AX3) in all groups.

Time frame:
Baseline and follow-up between weeks 10-12
Reported as:
Least squares mean · minutes of MVPA per week
Total Minutes of Time Spent in Moderate to Vigorous Physical Activity (MVPA)
minutes of MVPA per weekControl Arm: Fitness Classes OnlyComparator Arm: Fitness Classes + ChildcareEnhanced Intervention Arm: Fitness Classes + Childcare + Peer Support
Baseline548 ± 100.0512 ± 78.9354 ± 125.0
Follow-up737 ± 105.0479 ± 83.5404 ± 125.0
SecondaryEQ5D-5L Score

The EQ5D-5L standardized survey is a generic measure of health status that includes five dimensions: mobility, self-care, usual activities, pain, and anxiety/depression. The EQ-5D-5L index is measured on a total scale from 0 to 1, whereby 0 indicates death and 1 perfect health.

Time frame:
At baseline and follow-up between weeks 10-12
Reported as:
Mean · score on a scale
EQ5D-5L Score
score on a scaleControl Arm: Fitness Classes OnlyComparator Arm: Fitness Classes + ChildcareEnhanced Intervention Arm: Fitness Classes + Childcare + Peer Support
Baseline0.86 ± 0.020.89 ± 0.020.90 ± 0.02
Follow-up0.87 ± 0.020.91 ± 0.020.92 ± 0.02
SecondaryICEpop CAPability Measure for Adults (ICECAP-A) Score

The ICECAP-A standardized survey captures the broader concept of well-being via five dimensions: feeling settled and secure; love, friendship, and support; being independent; achievement and progress; and enjoyment and pleasure. The ICECAP-A also generates a score between 0 to 1 where one equals 'full capability' and zero equals 'completely incapable'.

Time frame:
At baseline and follow-up between weeks 10-12
Reported as:
Mean · score on a scale
ICEpop CAPability Measure for Adults (ICECAP-A) Score
score on a scaleControl Arm: Fitness Classes OnlyComparator Arm: Fitness Classes + ChildcareEnhanced Intervention Arm: Fitness Classes + Childcare + Peer Support
Baseline0.39 ± 0.050.36 ± 0.040.44 ± 0.06
Follow-up0.41 ± 0.050.32 ± 0.050.34 ± 0.06
SecondaryAttendance

Shape Up NYC takes attendance at each fitness class, and community champions will take attendance at the peer support activities to understand participation, retention, and attrition levels. Attendance rate of all fitness classes will be presented as the mean percent of attendance (\[# of participants present in class\] divided by \[# of available slots\] multiplied by 100) over 12 weeks.

Time frame:
12 weeks
Reported as:
Mean · percent
Attendance
percentControl Arm: Fitness Classes OnlyComparator Arm: Fitness Classes + ChildcareEnhanced Intervention Arm: Fitness Classes + Childcare + Peer Support
Attendance0.13 (0.07 to 0.21)0.19 (0.11 to 0.30)0.22 (0.14 to 0.35)
SecondaryGeneralized Anxiety Disorder 2-item (GAD-2) Score

The GAD-2 is a brief questionnaire that assesses patient anxiety. The total score range is 0-6, with a higher score indicating worse anxiety.

Time frame:
Baseline and follow-up between weeks 10-12
Reported as:
Mean · score on a scale
Generalized Anxiety Disorder 2-item (GAD-2) Score
score on a scaleControl Arm: Fitness Classes OnlyComparator Arm: Fitness Classes + ChildcareEnhanced Intervention Arm: Fitness Classes + Childcare + Peer Support
Baseline1.6 ± 0.321.6 ± 0.291.5 ± 0.35
Follow-up1.8 ± 0.321.3 ± 0.301.4 ± 0.36
SecondaryPatient Health Questionnaire-2 (PHQ-2)

PHQ-2 is a brief questionnaire that assesses frequency of depressed mood and anhedonia. The total score range is 0-6, with a higher score indicating worsening feelings of depression.

Time frame:
Baseline and follow-up between weeks 10-12
Reported as:
Mean · score on a scale
Patient Health Questionnaire-2 (PHQ-2)
score on a scaleControl Arm: Fitness Classes OnlyComparator Arm: Fitness Classes + ChildcareEnhanced Intervention Arm: Fitness Classes + Childcare + Peer Support
Baseline1.1 ± 0.271.3 ± 0.251.7 ± 0.30
Follow-up1.2 ± 0.281.2 ± 0.261.3 ± 0.31
SecondaryInternational Physical Activity Questionnaire (IPAQ) Score

Self-reported physical activity data will be collected using IPAQ. IPAQ asks participants to report the types and frequency of physical activities they have participated in over 7 days. IPAQ score is expressed as median(MET)-min per week: \[MET level\] x \[minutes of activity/day\] x \[days per week\]. It is scored as follows: High: Any one of the following two criteria: Vigorous-intensity activity on at least 3 days and accumulating at least 1500 MET-minutes/week OR 7+ days of walking, moderate-intensity or vigorous intensity activities achieving a minimum of at least 3000 MET-minutes/week Moderate: Any one of the following three criteria: 3+ days of vigorous activity, at least 20 minutes per day OR 5+ days of moderate-intensity activity or walking of at least 30 minutes per day OR 5+ days of walking, moderate-intensity or vigorous intensity activities achieving a minimum of 600 MET-min/week. Low: Individuals who do not meet criteria for either category

Time frame:
Baseline and follow-up between weeks 10-12
Reported as:
Mean · MET-min per week
International Physical Activity Questionnaire (IPAQ) Score
MET-min per weekControl Arm: Fitness Classes OnlyComparator Arm: Fitness Classes + ChildcareEnhanced Intervention Arm: Fitness Classes + Childcare + Peer Support
Baseline3065 ± 5472840 ± 4892449 ± 605
Follow-up2652 ± 5312054 ± 4892088 ± 618

Adverse events

Collected over 3 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Control Arm: Fitness Classes Only0/26 (0%)0/26 (0%)0/26 (0%)
Comparator Arm: Fitness Classes + Childcare0/31 (0%)0/31 (0%)0/31 (0%)
Enhanced Intervention Arm: Fitness Classes + Childcare + Peer Support0/23 (0%)0/23 (0%)0/23 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Control Arm: Fitness Classes OnlyComparator Arm: Fitness Classes + ChildcareEnhanced Intervention Arm: Fitness Classes + Childcare + Peer SupportTotal
<=18 years0000
Between 18 and 65 years26312380
>=65 years0000
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Control Arm: Fitness Classes OnlyComparator Arm: Fitness Classes + ChildcareEnhanced Intervention Arm: Fitness Classes + Childcare + Peer SupportTotal
Female25312379
Male0000
Unknown/Not reported1001
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Control Arm: Fitness Classes OnlyComparator Arm: Fitness Classes + ChildcareEnhanced Intervention Arm: Fitness Classes + Childcare + Peer SupportTotal
Hispanic or Latino12201749
Not Hispanic or Latino1211528
Unknown or Not Reported2013
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Control Arm: Fitness Classes OnlyComparator Arm: Fitness Classes + ChildcareEnhanced Intervention Arm: Fitness Classes + Childcare + Peer SupportTotal
American Indian or Alaska Native0112
Asian5207
Native Hawaiian or Other Pacific Islander0000
Black or African American3238
White1212630
More than one race0415
Unknown or Not Reported6101228
Region of Enrollment
Region of Enrollment(participants)Control Arm: Fitness Classes OnlyComparator Arm: Fitness Classes + ChildcareEnhanced Intervention Arm: Fitness Classes + Childcare + Peer SupportTotal
United States26312380
08

Study locations

3 sites
  • Astoria Park
    Astoria, New York 11105, United States
  • Crocheron Park
    Bayside, New York 11361, United States
  • Forest Park
    Richmond Hill, New York 11418, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Oct 10, 2025

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — Based on ethical considerations, only the quantitative aggregated data produced in the course of the project will be preserved and shared. The final dataset will include self-reported demographic and behavioral data from surveys and accelerometer data aggregated at the cluster level. To facilitate interpretation of the data, a data dictionary and copies of blank questionnaires will be created, shared, and associated with the relevant datasets.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06474715
Lead sponsor
Columbia University
Collaborators
Monash University, Loughborough University, University of Iowa, Public Health Institute, Jovie USA, LLC, West Side Campaign Against Hunger, New York City Parks and Recreation, National Institute on Minority Health and Health Disparities (NIMHD)
Responsible party
Lauren C. Houghton (Assistant Professor of Epidemiology, Columbia University) — Principal investigator
First posted
Jun 26, 2024
Start date
May 30, 2024
Primary completion
Oct 14, 2024
Completion
Apr 1, 2025
Results posted
Nov 21, 2025
Last update
Apr 24, 2026

Study contacts

Lauren C Houghton, PhD, MSc
principal investigator · Dept of Epidemiology, MSPH

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion