ClinicalTrials.gg
Not yet recruitingNCT07653061CAREFITUpdated Jun 17, 2026

Physical Activity Intervention for Older Family Carers

An interventional study of Physical activity intervention for older family caregivers and Health education in Feasibility Studies and Physical Activity and Wellbeing, sponsored by Tampere University. Not yet recruiting at 1 site in Finland. Open to participants aged 65 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-17.

Primary conditionMotor Activity(the registry's first term)UnverifiedIs this wrong?Motor Activity is a broad heading, used only when no more specific condition is named. No better condition is named, so the registry's term is kept.

Sponsored by Tampere University · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Study summary

The goal of this pilot trial is to learn whether a six-month physical activity program tailored for older family caregivers can be successfully delivered and whether participants are willing and able to take part in it. The study will also explore possible effects of the programme on physical activity, physical function, health, and well-being.

The main questions it aims to answer are:

  • Can enough participants be recruited to the study?
  • Do participants adhere to the study and complete follow-up assessments?
  • How often do participants take part in the program activities?
  • How acceptable and useful do participants find the program?
  • What are the possible effects of the programme on physical activity, health, and wellbeing.

Researchers will compare the physical activity program with a control group that receives health information and education about healthy ageing.

Participants will:

  • Complete health, physical functioning, and questionnaire assessments at the beginning of the study, after 6 months, and after 12 months
  • Wear an activity monitor on their wrist for 7 days and nights at the beginning of the study and after 6 months
  • Will be randomly assigned to either a six-month physical activity program designed for older family caregivers, or a control group that receives health information and education about healthy ageing.
  • If assigned to the physical activity program, participants will take part in weekly group-based and remote exercise sessions for 6 months.
  • Provide feedback about their experiences of the program
Read the detailed description

Family caregivers provide substantial support to older adults living at home. Many caregivers are themselves older adults and may experience challenges in maintaining their own health and well-being while providing care. Caregiving responsibilities may limit opportunities for physical activity due to time constraints, competing demands, and the need to remain available for the care recipient. Despite the potential benefits of physical activity for maintaining physical function, mental well-being, and overall health, relatively little is known about how to design and deliver physical activity interventions that are feasible and acceptable for older family caregivers.

The CAREFIT study is a randomized controlled pilot trial designed to evaluate the feasibility and acceptability of a physical activity intervention tailored for older family caregivers. The study will provide information on recruitment, retention, adherence, and participant acceptability to support the planning of a future larger-scale trial. The study will also explore potential effects of the intervention on physical activity, physical functioning, motivation, stress, well-being, caregiving experience, cognitive function, and other health-related outcomes.

Participants are randomly allocated in a 1:1 ratio to either an intervention group or a control group. The intervention group receives a six-month multi-component physical activity programme specifically designed for older family caregivers. The programme combines supervised group-based exercise sessions with remotely delivered sessions to increase accessibility and accommodate caregiving responsibilities. Exercise activities focus on strength, balance, functional exercise, and light-to-moderate intensity aerobic activity and are adapted to participants' functional abilities. Participants also receive individualized goal-setting and motivational support at the beginning of the programme. In addition, the intervention includes brief guided relaxation exercises and education on themes related to healthy ageing, recovery, musculoskeletal health, and well-being.

The control group receives health education, including general information on healthy lifestyle behaviors and educational material related to healthy ageing and brain health, but does not participate in the structured physical activity programme during the intervention period.

Outcome assessments are conducted at baseline, after the six-month intervention period, and at a twelve-month follow-up. Post-intervention and follow-up assessments are conducted by study personnel who are not involved in delivering the intervention. The primary purpose is to evaluate the feasibility and acceptability of study procedures and intervention delivery, while generating preliminary data to inform the design and implementation of a future definitive randomized controlled trial.

02

Conditions studied

  • Feasibility Studies
  • Physical Activity and Wellbeing

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Keywords

  • family caregivers
  • older adults
  • physical activity
  • exercise
  • physical functioning
  • feasibility
  • pilot study
  • health behavior
  • positive mental health
  • cognition
  • stress
03

In context

Motor Activity Unverified

9,798 studies on the registry are indexed under Motor Activity; 1,910 are open to participants now.

This study's planned enrollment of 50 is below the median of 60 across 8,388 interventional studies indexed under Motor Activity.

Browse Motor Activity studies →

Lead sponsor

Tampere University is the lead sponsor of 63 studies on the registry; 11 are open to participants now.

Compared within Motor Activity, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →

04

Who can participate

Ages eligible
65 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

  • Aged 65 years or older
  • Spousal family caregiver living in the same household as the care recipient (a formal caregiving agreement is not required)
  • Participating in moderate- or vigorous-intensity physical activity fewer than two times per week
  • Able to safely engage in light-to-moderate physical activity based on self-report and health screening conducted by the study nurse, with consultation from the study physician if required
  • Able to understand study procedures and provide written

Exclusion criteria

Exclusion Criteria:

  • Diagnosed dementia, substantial cognitive impairment, or other significant neurological disease that would interfere with participation in the study
  • Inability to provide or complete study assessments, as determined by study personnel
  • Medical conditions that may compromise safe participation in physical activity, including but not limited to active malignant disease, severe major depression, symptomatic cardiovascular disease, or coronary or vascular revascularization within the previous 12 months
  • Severe visual, hearing, speech, or other sensory or communication impairments that would prevent meaningful participation in the intervention, as determined by the study nurse
  • Concurrent participation in another interventional clinical trial
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Caregiver-tailored physical activity intervention

    Participants assigned to this arm will receive a six-month physical activity intervention designed for older family caregivers. The intervention includes weekly supervised group-based exercise sessions and weekly remotely delivered exercise sessions. The exercise program focuses on strength, balance, and light-to-moderate intensity aerobic activity and is adapted to participants' functional abilities. Participants will also receive individualized goal-setting and motivational support, as well as thematic content related to health, recovery, and well-being.

    Behavioral: Physical activity intervention for older family caregivers

  • Active comparator
    Health education control

    Participants in the control group receive general health advice during the baseline visit. This advice is delivered verbally by study staff and focuses on lifestyle factors relevant to healthy aging. In addition, control group participants are referred to a FINGER-ABC web-based education program, which provides evidence-based guidance on how to support brain health through lifestyle choices.

    Behavioral: Health education

Interventions

  • BehavioralPhysical activity intervention for older family caregivers

    The intervention consists of a six-month physical activity program designed for older family caregivers. The program combines weekly supervised group-based exercise sessions and weekly remotely delivered exercise sessions. Exercise sessions include strength, balance, functional, and light-to-moderate intensity aerobic activities and are adapted to participants' functional abilities. Participants receive individualized goal-setting and motivational support at the beginning of the program. The intervention also includes brief guided relaxation exercises and thematic content related to healthy ageing, recovery, musculoskeletal health, physical activity, and well-being. The program is designed to support regular physical activity while accommodating caregiving responsibilities and potential barriers to participation.

  • BehavioralHealth education

    General health advice provided at baseline and referral to a web-based educational programme

06

What researchers measure

Primary outcomes

  1. Number of participants successfully recruited

    Ability to enroll the planned number of participants (n=50) within the recruitment period.

    Time frame: 3-month recruitment period

  2. Retention rate

    Proportion of participants completing the six-month trial, with a target retention rate of ≥70%.

    Time frame: From enrollment to the end of intervention at 6 months

  3. Adherence

    Attendance at scheduled intervention sessions (in-person and remote), with an indicative target of ≥40% participation.

    Time frame: From enrollment to the end of intervention at 6 months

  4. Acceptability using the Theoretical Framework of Acceptability (TFA)

    Theoretical Framework of Acceptability (TFA) (Sekhon et al., 2017). The questionnaire includes items representing the seven TFA constructs, each rated on a 1-5 Likert scale.

    Time frame: From enrollment to the end of intervention at 6 months

Secondary outcomes

  1. Change in Physical Activity

    Change in self-reported physical activity assessed using the International Physical Activity Questionnaire (IPAQ). Higher scores indicate higher levels of physical activity.

    Time frame: Baseline and 6 months

  2. Change in Step Count Measured by Accelerometer

    Change in daily step count measured using the ActiGraph Link GT9X accelerometer worn continuously for seven consecutive days and nights

    Time frame: Baseline and 6 months

  3. Change in Self-Determined Motivation for Physical Activity

    Change in Behavioral Regulation in Exercise Questionnaire (BREQ2), which consists of 19 items representing five types of motivational regulation. An overall measure of autonomous motivation for exercise is calculated for the Relative Autonomy Index (RAI). The index score ranges from -24 to 20, where higher values represent more autonomous motivation.

    Time frame: Baseline and 6 months

  4. Change in Chronic Stress

    Change in hair cortisol concentration (HCC) measured from hair samples.

    Time frame: Baseline and 6 months

  5. Change in Stress-Related Symptoms

    Change in Perceived Stress Scale (PSS-14). Values ranging 0-56, with lower scores indicating a better outcome.

    Time frame: Baseline and 6 months

  6. Change in Positive Mental Health

    Change in Warwick-Edinburgh Mental Well-being Scale. Scores range from 14 to 70 and higher scores indicate greater positive mental wellbeing.

    Time frame: Baseline and 6 months

  7. Change in Depressive Symptoms

    Change in Geriatric Depression Scale (GDS-15). Values ranging 0-15, with lower scores indicating a better outcome.

    Time frame: Baseline and 6 months

  8. Change in Physical functioning

    Change in Short Physical Performance Battery (SPPB) total score, including balance, chair stand performance, and walking speed tests under single-task and dual-task conditions. Range 0-12, higher scores indicate better physical functioning.

    Time frame: Baseline and 6 months

  9. Change in Hand Grip Strength

    Change in maximum hand grip strength assessed using a hydraulic hand dynamometer. Higher values indicate greater muscle strength.

    Time frame: Baseline and 6 months

  10. Change in Mobility

    Change in time required to complete the Timed Up and Go test. Lower values indicate better mobility.

    Time frame: Baseline and 6 months

  11. Change in Daily functioning

    Change in Basic and Instrumental Activities of Daily Living (I/ADL). Higher scores indicate greater independence.

    Time frame: Baseline and 6 months

  12. Change in Balance Confidence

    Activities-specific Balance Confidence (ABC) Scale (0-100%). Higher scores indicate greater confidence.

    Time frame: Baseline and 6 months

  13. Falls

    Self-reported incidence of falls

    Time frame: Baseline to 12 months

Other outcomes

  1. Change in Bodily Pain

    Change in bodily pain subscale of the RAND-36 Health Survey. Pain intensity during the past 4 weeks, rated on a 6-point scale ranging from no pain to very severe pain.

    Time frame: Baseline, 6 months, and 12 months

  2. Change in Caregiving Experience

    Change in Carers of Older People in Europe Index (COPE). A 15-item questionnaire in which each item is scored on a 1-4 scale.

    Time frame: Baseline, 6 months, and 12 months

  3. Change in Sleep Duration

    Change in self-reported hours of sleep per night.

    Time frame: Baseline, 6 months, and 12 months

  4. Change in Blood Pressure

    Systolic and diastolic blood pressure measured using standardized procedures

    Time frame: Baseline, 6 months, and 12 months

  5. Change in Physical activity

    Change in self-reported physical activity assessed using the International Physical Activity Questionnaire (IPAQ). Higher scores indicate higher levels of physical activity.

    Time frame: 12 months

  6. Change in Self-Determined Motivation for Physical Activity

    Change in Behavioral Regulation in Exercise Questionnaire (BREQ2), which consists of 19 items representing five types of motivational regulation. An overall measure of autonomous motivation for exercise is calculated for the Relative Autonomy Index (RAI). The index score ranges from -24 to 20, where higher values represent more autonomous motivation.

    Time frame: 12 months

  7. Change in Stress-Related Symptoms

    Change in Perceived Stress Scale (PSS-14). Values ranging 0-40, with lower scores indicating a better outcome.

    Time frame: 12 months

  8. Change in Positive Mental Health

    Change in Warwick-Edinburgh Mental Well-being Scale. Scores range from 14 to 70 and higher scores indicate greater positive mental wellbeing.

    Time frame: 12 months

  9. Change in Depressive Symptoms

    Change in Geriatric Depression Scale (GDS-15). Values ranging 0-15, with lower scores indicating a better outcome.

    Time frame: 12 months

  10. Change in Physical functioning

    Change in Short Physical Performance Battery (SPPB) total score, including balance, chair stand performance, and walking speed tests under single-task and dual-task conditions. Range 0-12, higher scores indicate better physical functioning.

    Time frame: 12 months

  11. Change in Hand Grip Strength

    Change in maximum hand grip strength assessed using a hydraulic hand dynamometer. Higher values indicate greater muscle strength.

    Time frame: 12 months

  12. Change in Timed Up and Go (TUG) test under single-task and dual-task conditions.

    Change in time required to complete the Timed Up and Go test. Lower values indicate better mobility.

    Time frame: 12 months

  13. Change in Daily functioning

    Change in Basic and Instrumental Activities of Daily Living (I/ADL). Higher scores indicate greater independence.

    Time frame: 12 months

  14. Change in Balance confidence

    Activities-specific Balance Confidence (ABC) Scale (0-100%). Higher scores indicate greater confidence.

    Time frame: 12 months

  15. Change in Cognitive performance

    Change in Montreal Cognitive Assessment (MoCA) total score (range 0-30). Higher scores indicate better cognitive function.

    Time frame: Baseline, 6 months, and 12 months

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided — IPD may not be shared due to privacy considerations

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

Start is estimated for Jun 2026; primary completion for Aug 2027, 14 months later.

Of 5,147 non-industry interventional studies with no phase under Motor Activity, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 36. This study's planned 14 months is below that.

Counting every sponsor, half of 5,207 studies reached it within 17 months; a quarter within 7 and three quarters within 36.

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

Registered
Jun 4, 2026
First posted
Jun 17, 2026
StartEst.
Jun 15, 2026
Primary completionEst.
Aug 31, 2027
CompletionEst.
Aug 31, 2027
Last update
Jun 17, 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 Jun 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07653061
Lead sponsor
Tampere University
Collaborators
Finnish Institute for Health and Welfare, Karolinska Institutet, University of Eastern Finland
Responsible party
Jenni Kulmala (Professor, Tampere University) — Principal investigator
First posted
Jun 17, 2026
Start date
Jun 15, 2026 (estimated)
Primary completion
Aug 31, 2027 (estimated)
Completion
Aug 31, 2027 (estimated)
Last update
Jun 17, 2026

Study contacts

Jenni Kulmala, Professor
Contact
jenni.kulmala@tuni.fi
+358 50 4395422
Tiia Ngandu, MD, PhD
Contact
tiia.ngandu@thl.fi
+358 29 524 7716

Oversight

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

Not currently enrolling

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