ClinicalTrials.gg
RecruitingNCT07593677MATCH AIMUpdated Jul 31, 2026

Motivating Activity Through Text Communications - Helping Adults Increase Movement

An interventional study of Text Messaging Intervention in Physical Inactivity, Aging and Cognitive Ability, sponsored by University of Michigan. Recruiting at 1 site in United States. Open to participants aged 40 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-31.

Sponsored by University of Michigan · Not applicable, Interventional, and Other

From the registry’s dates

  • Started May 2026; still recruiting 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to compare the effect of different types of text messages on physical activity levels of middle-aged and older adults and to determine whether these messages are effective in adults age 40 and older who are engaging in less than 90 minutes per week of moderate or higher intensity physical activity. The main questions it aims to answer are:

  • Which types of motivational messages show the greatest effects on changes in daily step counts in a 3-month precision text messaging intervention?
  • What are the effects of personalized text messages on automatic affective evaluations, habit strength (experienced automaticity), exercise identity, working memory capacity, and processing speed?

Participants will:

  • Wear a Fitbit activity tracker continuously for 3 months and are encouraged to continue wearing it through 6 months.
  • Wear an activPAL activity monitor on their thigh for 7-day assessment periods at the beginning of the study, at 3 months, and at 6 months.
  • Complete 3 cognitive assessments ("brain games") per day on their smartphone during the 7-day assessment periods at baseline, 3 months, and 6 months.
  • Be asked to set goals to increase their daily steps over the first 3 months of the study.
  • Receive up to 4 motivational text messages per day for 3 months to encourage physical activity.
  • Keep study-related apps (Fitbit app, AIM app, MetricWire app) open in the background on their smartphone.
  • Complete questionnaires at the beginning of the study, at 3 months, and at 6 months
02

Conditions studied

  • Physical Inactivity
  • Aging
  • Cognitive Ability
  • Behavior Change

Keywords

  • physical activity
  • behavioral adherence
  • motivation
  • cognitive function
  • aging
  • older adults
  • text messaging
03

In context

Sedentary Behavior

1,273 studies on the registry are indexed under Sedentary Behavior; 300 are open to participants now.

This study's planned enrollment of 150 is above the median of 60 across 1,076 interventional studies indexed under Sedentary Behavior.

Browse Sedentary Behavior studies →

Lead sponsor

University of Michigan is the lead sponsor of 1,506 studies on the registry; 192 are open to participants now.

Of its 169 completed or terminated interventional studies of FDA-regulated products, 133 (79%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Be 40 years of age or older
  • Own a smartphone running an Android or iOS operating system
  • Have proficiency with the English language
  • Be capable of providing
  • Be able to perform moderate physical activity without restrictions
  • Be willing to complete the entire 6-month protocol
  • Be willing to establish a 12-hour window - beginning no later than 9:45 am and ending no later than 9:45 pm - for receiving text messages.

Exclusion criteria

Exclusion Criteria:

  • Residing outside of the continental United States
  • Self-reporting 90 minutes or more of moderate-to-vigorous intensity physical activity per week
  • to normal physical activity as identified on the Physical Activity Readiness Questionnaire (PAR-Q)
  • Mobility restrictions that interfere with unassisted physical activity
  • Being pregnant or planning to become pregnant during the study
  • Planning to undergo surgery during the course of the study protocol
  • Having a prior diagnosis of Alzheimer's disease or a related dementia
  • Evidence of mild cognitive impairment as indicated by a mini- (MoCA) test score of 12 or higher
  • Concurrent participation in another study involving weight loss or physical activity
  • Failure to respond to at least 85% of Ecological Momentary Assessment (EMA) prompts during the 7-day qualification phase.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
150 participants (estimated)

Study arms

  • Active comparator
    Validated library of text messages

    Participants in this arm will receive motivational text messages that have been written and used in previous studies.

    Behavioral: Text Messaging Intervention

  • Experimental
    Newly created text messages

    Participants in this arm will receive motivational text messages that have not been used in previous studies.

    Behavioral: Text Messaging Intervention

Interventions

  • BehavioralText Messaging Intervention

    Participants will receive up to 4 motivational text messages per day during a self-selected 12-hour window. These messages focus on two content areas: 1) Move more, and 2) sit less. Delivery of these messages occurs in two phases: 1. Random AIM (month 1): Messages are sent at random times within the participant's window to collect baseline data on their behavioral responses. 2. Precision AIM (months 2 and 3): Messages are sent at optimized times based on person-specific models that are created from the individual's previous responses to text messages from month 1.

06

What researchers measure

Primary outcomes

  1. Daily Step Count

    The primary outcome measure is the average daily step count, which is assessed using a blinded, research-grade activPAL activity monitor, worn on the thigh for a 7-day assessment period.

    Time frame: The activPAL is worn on the thigh for a 7-day assessment period before the intervention begins (baseline), after 3 months of intervention, and then again 3 months after the intervention is complete. The total time frame is 6 months.

Secondary outcomes

  1. Mechanisms of Behavior Change for Adherence: Habit Strength

    Habit Strength will be assessed using the Behavioral Automaticity Index from the Self-Report Habit Index to measure how automatic the exercise behavior has become. Scores are calculated as the average item responses and range from 1 to 7 with higher scores reflecting greater experienced automaticity (i.e., stronger habits).

    Time frame: These secondary outcomes are collected at the same major time points as the primary outcome: baseline (month 0), post-intervention (month 3), and follow-up (month 6).

  2. Mechanisms of Behavior Change for Adherence: Exercise Identity (Reflective)

    Exercise Identity will be assessed using the Exercise Identity Scale to see how much participants view themselves as "exercisers". Scores are based on the average item response and range from 1 to 7 with higher scores representing a stronger exercise identity.

    Time frame: These secondary outcomes are collected at the same major time points as the primary outcome: baseline (month 0), post-intervention (month 3), and follow-up (month 6).

  3. Mechanisms of Behavior Change for Adherence: Automatic Affective Evaluations

    Automatic Affective Evaluations will be assessed using a Single-Category Implicit Association Test (SCIAT) to assess non-conscious attitudes toward physical activity. Scores are standardized mean differences of response times between blocks of trials where physical activity is paired with unpleasant attributes and blocks of trials where physical activity is paired with pleasant attributes. Higher scores indicate more favorable automatic affective evaluations of physical activity.

    Time frame: These secondary outcomes are collected at the same major time points as the primary outcome: baseline (month 0), post-intervention (month 3), and follow-up (month 6).

  4. Ambulatory Cognitive Function: Processing Speed

    Processing Speed will be assessed with the Mobile Monitoring of Cognitive Change (M2C2) Symbol Search Task. Scores are based on response times for accurate trials so there is no fixed range for scores. Shorter response times indicate faster (better) processing speed; longer response times indicate slower (worse) processing speed.

    Time frame: These secondary outcomes are collected at the same major time points as the primary outcome: Baseline (month 0), post-intervention (month 3), and follow-up (6 month).

  5. Ambulatory Cognitive Function: Working Memory Capacity

    Working Memory Capacity will be measured using the M2C2 Grid Memory Task. Scores are based on response accuracy measured as a Euclidean distance score. Shorter distance scores indicate more working memory capacity; longer distance scores indicate less working memory capacity.

    Time frame: These secondary outcomes are collected at the same major time points as the primary outcome: Baseline (month 0), post-intervention (month 3), and follow-up (6 month).

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — De-identified individual participant data (IPD) underlying the results reported in primary and secondary publications will be shared. This includes baseline behavioral metrics, coarsened demographics, post-intervention outcomes, and follow-up data. To protect participant privacy, all data will be stripped of direct identifiers, ages will be binned into 5-to-10-year bands, geographic markers restricted to broad regions, and timeline dates converted to "days since randomization." Raw, free-text qualitative journal entries will be suppressed entirely due to re-identification risks.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Data and supporting documentation will be made available concurrently with the primary peer-reviewed publication of the trial results and will remain accessible for 5 years post-publication. This immediate availability complies with the NIH Data Management and Sharing Policy.

Access criteria: Access is restricted to qualified external researchers affiliated with an accredited academic or non-profit research institution. Applicants must submit a formal, written research proposal detailing a sound scientific hypothesis and an analytical plan, alongside documentation of local IRB approval/waiver. Approved requestors and their sponsoring institutions must sign a legally binding Data Use Agreement (DUA) that strictly prohibits any re-identification or external data-linking attempts.

Data sharing details ↗ · www.osf.io

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2026 (actual). Primary completion is estimated for May 2027, 11 months after the start.

Of 733 non-industry interventional studies with no phase under Sedentary Behavior, half reached primary completion within 14 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 31. This study's planned 11 months is below that.

Counting every sponsor, half of 741 studies reached it within 14 months; a quarter within 6 and three quarters within 31.

How these figures are worked out, and which studies are left out of them.

Registered
May 4, 2026
First posted
May 18, 2026
StartActual
May 11, 2026
Primary completionEst.
May 3, 2027
CompletionEst.
Aug 2, 2027
Last update
Jul 31, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 31, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07593677
Responsible party
David Conroy (Bickner Chair of Kinesiology and Professor of Kinesiology, School of Kinesiology, University of Michigan) — Principal investigator
First posted
May 18, 2026
Start date
May 11, 2026
Primary completion
May 3, 2027 (estimated)
Completion
Aug 2, 2027 (estimated)
Last update
Jul 31, 2026

Study contacts

Ann M Mehringer
Contact
amehring@umich.edu
734-647-6050
David E Conroy, PhD
principal investigator · University of Michigan

Oversight

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

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