ClinicalTrials.gg
Not yet recruitingNCT07919171Updated Nov 5, 2026

Advancing Cardiovascular Health Among Adolescents With Intellectual Disabilities: Co-Development of Technology Interventions to Enhance Physical Activity

An interventional study of Virtual reality physical activity health promotion intervention in Physical Activity, Intellectual Disabilities and Cardiovascular Health, sponsored by Michigan State University. Not yet recruiting. Open to participants aged 11 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-05.

Primary conditionIntellectual DisabilityRegistry: Motor ActivityReclassifiedWhy we changed it
Registry
Motor Activity — the first condition term the registry derived for this study.
ClinicalTrials.gg
Intellectual Disability
Why
  1. Motor Activity is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Intellectual Disability.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Michigan State University · Not applicable, Interventional, and Prevention

Updated Nov 5, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
77
Allocation
Not applicable
Ages
11 Years and older
Sex
All
01

Study summary

Adolescents with intellectual disabilities (ID) face significant health issues, particularly in managing chronic conditions such as cardiovascular (CV) health risks. These issues are exacerbated by limited physical activity (PA), health literacy challenges, and a lack of evidence-based health interventions. This project aims to address these gaps by engaging adolescents with ID and their stakeholders supporting ID as co-researchers to design, adapt, and pilot-test a virtual reality (VR)-based PA intervention tailored to their needs. The long-term goal is to dismantle factors to improve health outcomes for adolescents with ID through innovative, collaborative research that enhances health literacy, increases PA, and lowers CV health risks. The objectives of this study will address three specific aims: 1) adapt and validate research instruments by collaborating with adolescents with ID and their ID stakeholders to incorporate common language in measures for assessing health outcomes; 2) evaluate and select VR-based PA programs by engaging co-researchers in identifying effective VR exergame interventions for improving health outcomes through PA; and 3) pilot-test the VR PA intervention, which incorporates peer support. We will assess feasibility, acceptability, and preliminary efficacy of our 16-week VR exergame PA intervention using co-adapted measures and biologic CV risk measures. A quasi-experimental mixed-methods approach will be used, guided by our Logic Model. Preliminary evidence highlights the potential of interactive, technology-driven PA to address CV risks while fostering peer engagement and optimal self-efficacy to manage health. The expected outcomes are: 1) validated measures through greater health literacy, and 2) a co-designed intervention to reduce CV risks that helps adolescents with ID to take an active role in their health. By addressing critical gaps in health literacy, self-efficacy, and PA, this work advances healthcare practices and supports long-term improvements in public health.

02

Conditions studied

  • Physical Activity
  • Intellectual Disabilities
  • Cardiovascular Health

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Keywords

  • Intellectual Disability
  • Adolescent
  • Virtual Reality
  • Health Literacy
03

In context

Intellectual Disability Reclassified

387 studies on the registry are indexed under Intellectual Disability; 105 are open to participants now.

This study's planned enrollment of 77 is above the median of 58 across 248 interventional studies indexed under Intellectual Disability.

Browse Intellectual Disability studies →

Lead sponsor

Michigan State University is the lead sponsor of 143 studies on the registry; 27 are open to participants now.

Compared within Intellectual Disability, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Motor Activity. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

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

Eligibility criteria

Inclusion Criteria: The study will be offered to adolescents with ID who meet eligibility criteria and provide assent and parental consent. Adolescents aged 11-17 years will be eligible if: 1) diagnosed with mild to moderate ID, 2) able to communicate through spoken language or use of augmentative and alternative communication (AAC), 3) understand spoken English, 4) absence of medical to PA and playing VR games, 5) parent/guardian agrees to attend virtual meetings and adolescents, and 6) internet access.

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Exclusion Criteria:

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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.

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.

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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
77 participants (estimated)

Study arms

  • Experimental
    Single

    Single arm study participants will be asked to utilize a VR exercise program and complete pre/post surveys

    Behavioral: Virtual reality physical activity health promotion intervention

Interventions

  • BehavioralVirtual reality physical activity health promotion intervention

    The intervention will be delivered via home setting of the study participant (adolescent with ID). Baseline Home Visit; week 1: All pre-intervention baseline measures will be obtained, accelerometer will be fitted and applied. Home Visit 2; week 2: The participant will utilize the VR technology three sessions per week (weeks 3-16) for approximately 10 minutes per exercise session following instructions on use. Visit 3; Virtual; week 4: One of the three VR sessions per week will be virtual peer group interactions, guided by study staff. Virtual peer groups will utilize the VR technology together for at least one session of the three sessions per week for approximately 10 minutes per exercise session during weeks 4-16. Educational materials include: visual supports to guide VR use along with study team's contact information throughout the intervention. Study Completion Home Visit; after week 15: Follow up data collection. Virtual Week 16; Optional: Qualitative follow-up data collection.

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What researchers measure

Primary outcomes

  1. Physical Activity

    Measure of number of steps per day, minutes of moderate/vigorous physical activity per week utilizing an ActiGraph.

    Time frame: Baseline and at 16 weeks

Secondary outcomes

  1. Feasibility of Intervention

    4-item, validated measure to evaluate the feasibility of immersive VR intervention.

    Time frame: At 4 weeks, 8 weeks, 12 weeks, and 16 weeks

  2. Acceptability of Intervention

    4-item, validated measure to evaluate the acceptability of immersive VR intervention

    Time frame: At 4 weeks, 8 weeks, 12 weeks, and 16 weeks

  3. Virtual Reality Symptoms

    4-item, to measure the symptoms one experiences while or after being in a VR environment. Symptoms that have been associated with VR use (general discomfort, fatigue, eyestrain, difficulty focusing, headache, fullness of head, blurred vision, dizziness with eyes closed, vertigo)

    Time frame: At baseline, 4 weeks, 8 weeks, 12 weeks, and 16 weeks

  4. Multidimensional Scale of Perceived Social Support (MSPSS)

    12-item, validated measure to assess perceptions of social support adequacy from three sources: family, friends, and significant other (subscales)

    Time frame: At baseline, 4 weeks, 8 weeks, 12 weeks, and 16 weeks

  5. Multidimensional Self-efficacy for Exercise (MSES)

    9-item, measure to assess three behavioral domains (i.e., task efficacy, coping efficacy, scheduling efficacy) that relate to exercise behavior among individuals and exercise contexts. The three behavioral domains are useful in determining the dimensions that influence exercise in a particular population segment

    Time frame: At baseline, 4 weeks, 8 weeks, 12 weeks, and 16 weeks

  6. Body Mass Index (BMI)

    Measure of estimated body fat based on a person's height and weight. Portable stadiometer and scale use to measure height and weight

    Time frame: At baseline, 16 weeks

  7. Waist circumference

    Measure of the distance around a person's waist as a health indicator to assess risk of excess body fat for developing a chronic condition. Measuring tape utilized

    Time frame: At baseline, 16 weeks

  8. Calories Burned

    Measure of the rate at which an individual burns calories based on the height, weight, age, and gender entered into an individual's app account. Fitbit wearable activity monitor and mobile app utilized

    Time frame: At 4 weeks, 8 weeks, 12 weeks, and 16 weeks

  9. Heart Rate

    Measure of number of individual's heart beats per minute (bpm) with various activities. Fitbit wearable activity monitor and mobile app utilized

    Time frame: At 4 weeks, 8 weeks, 12 weeks, and 16 weeks

  10. Active Zone Minutes per Day

    Measure of the time an individual spends in different heart rate zones. Fitbit wearable activity monitor and mobile app utilized

    Time frame: At 4 weeks, 8 weeks, 12 weeks, and 16 weeks

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

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  • Hauck, J., Fisher, M., & West, P. (2024-2025). Health and the Role of Employment Among Young Adults with Intellectual and Developmental Disabilities [Grant]. Michigan State University Research Foundation and TETRAD Program. https://research.msu.edu/news/tetrad-awards-announced-2024
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  • Rodgers WM, Wilson PM, Hall CR, Fraser SN, Murray TC. Evidence for a multidimensional self-efficacy for exercise scale. Res Q Exerc Sport. 2008 Jun;79(2):222-34. doi: 10.1080/02701367.2008.10599485. PubMed 18664046 ↗
  • Zimet, G.D., Dahlem, N.W, Zimet, S.G., & Farley, G.K. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1), 30-41. https://doi.org/10.1207/s15327752jpa5201_2
  • Kim HK, Park J, Choi Y, Choe M. Virtual reality sickness questionnaire (VRSQ): Motion sickness measurement index in a virtual reality environment. Appl Ergon. 2018 May;69:66-73. doi: 10.1016/j.apergo.2017.12.016. Epub 2018 Jan 16. PubMed 29477332 ↗
  • Weiner BJ, Lewis CC, Stanick C, Powell BJ, Dorsey CN, Clary AS, Boynton MH, Halko H. Psychometric assessment of three newly developed implementation outcome measures. Implement Sci. 2017 Aug 29;12(1):108. doi: 10.1186/s13012-017-0635-3. PubMed 28851459 ↗
  • Pett MA, Guo JW, Cardell B, Johnson EP, Guerra N, Clark L. Psychometric properties of a brief self-reported health-related quality of life measure (HRQoL-IDD) for persons with intellectual and developmental disabilities. J Appl Res Intellect Disabil. 2021 May;34(3):877-890. doi: 10.1111/jar.12831. Epub 2021 Jan 31. PubMed 33522020 ↗
  • Hartley SL, MacLean WE Jr. A review of the reliability and validity of Likert-type scales for people with intellectual disability. J Intellect Disabil Res. 2006 Nov;50(Pt 11):813-27. doi: 10.1111/j.1365-2788.2006.00844.x. PubMed 16999781 ↗
  • Holmes HM, Mortenson WB. What makes life better or worse: Quality of life according to people with intellectual disabilities. J Appl Res Intellect Disabil. 2024 Sep;37(5):e13280. doi: 10.1111/jar.13280. PubMed 39073193 ↗
  • Light J, McNaughton D, Caron J. New and emerging AAC technology supports for children with complex communication needs and their communication partners: State of the science and future research directions. Augment Altern Commun. 2019 Mar;35(1):26-41. doi: 10.1080/07434618.2018.1557251. Epub 2019 Jan 16. PubMed 30648902 ↗
  • Vagel, M.D. (2016). Data gathering and analysis in crafting phenomenological research. Routledge.
  • American Association on Intellectual and Developmental Disabilities (2023) Defining criteria for intellectual disability. Available at: https://www.aaidd.org/intellectual-disability/definition
  • National Center for Education Statistics (2023) Students with disabilities: condition of education. U.S. Department of Education, Institute of Education Sciences. Available at: https://nces.ed.gov/programs/coe/indicator/cgg (Accessed: 1 February 2024).
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  • National Institute of Nursing Research [NINR]. (2024). Scientific strategy: NINR's research framework. https://www.ninr.nih.gov/aboutninr/ninr-mission-and-strategic-plan/research-framework
  • Vetter NS, Ilskens K, Seidl N, Latteck AD, Bruland D. Health Literacy of People with Intellectual Disabilities: How Meaningful Is the Social Context for a Target Group-Oriented Model of Health Literacy? Int J Environ Res Public Health. 2022 Nov 30;19(23):16052. doi: 10.3390/ijerph192316052. PubMed 36498123 ↗
  • Braddock D, Hemp R, Tanis ES, Wu J, Haffer L. (2017). The state of the states in intellectual and developmental disabilities.11th ed. Washington, DC: The American Association on Intellectual and Developmental Disabilities.
  • McDermott S, Royer J, Cope T, Lindgren S, Momany E, Lee JC, McDuffie MJ, Lauer E, Kurtz S, Armour BS. Using Medicaid Data to Characterize Persons With Intellectual and Developmental Disabilities in Five U.S. States. Am J Intellect Dev Disabil. 2018 Jul;123(4):371-381. doi: 10.1352/1944-7558-123.4.371. PubMed 29949427 ↗
  • Physical Activity Alliance. (2024). The 2024 United States report card on physical activity for children and youth. https://paamovewithus.org/wp-content/uploads/2024/10/2024-U.S.-Report-Card-on-Physical-Activity-for-Children-and-Youth.pdf
  • Friedman, C. & Spassiani, N.A. (2024). Making survey research accessible for people with intellectual and developmental disabilities. In: Bennett, G., Goodall, E. (eds) The Palgrave Encyclopedia of Disability. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-031-40858-8_77-1
  • Pitchford EA, Dixon-Ibarra A, Hauck JL. Physical Activity Research in Intellectual Disability: A Scoping Review Using the Behavioral Epidemiological Framework. Am J Intellect Dev Disabil. 2018 Mar;123(2):140-163. doi: 10.1352/1944-7558-123.2.140. PubMed 29480777 ↗
  • Di Lorito C, Bosco A, Birt L, Hassiotis A. Co-research with adults with intellectual disability: A systematic review. J Appl Res Intellect Disabil. 2018 Sep;31(5):669-686. doi: 10.1111/jar.12435. Epub 2017 Dec 12. PubMed 29231285 ↗
  • Shields N, Synnot AJ, Barr M. Perceived barriers and facilitators to physical activity for children with disability: a systematic review. Br J Sports Med. 2012 Nov;46(14):989-97. doi: 10.1136/bjsports-2011-090236. Epub 2011 Sep 26. PubMed 21948121 ↗
  • McGarty AM, Melville CA. Parental perceptions of facilitators and barriers to physical activity for children with intellectual disabilities: A mixed methods systematic review. Res Dev Disabil. 2018 Feb;73:40-57. doi: 10.1016/j.ridd.2017.12.007. Epub 2017 Dec 14. PubMed 29248807 ↗
  • Qian J, McDonough DJ, Gao Z. The Effectiveness of Virtual Reality Exercise on Individual's Physiological, Psychological and Rehabilitative Outcomes: A Systematic Review. Int J Environ Res Public Health. 2020 Jun 10;17(11):4133. doi: 10.3390/ijerph17114133. PubMed 32531906 ↗
  • Charlier N, Zupancic N, Fieuws S, Denhaerynck K, Zaman B, Moons P. Serious games for improving knowledge and self-management in young people with chronic conditions: a systematic review and meta-analysis. J Am Med Inform Assoc. 2016 Jan;23(1):230-9. doi: 10.1093/jamia/ocv100. Epub 2015 Jul 17. PubMed 26186934 ↗
  • Lieberman DA, Chamberlin B, Medina E Jr, Franklin BA, Sanner BM, Vafiadis DK; Power of Play: Innovations in Getting Active Summit Planning Committee. The power of play: Innovations in Getting Active Summit 2011: a science panel proceedings report from the American Heart Association. Circulation. 2011 May 31;123(21):2507-16. doi: 10.1161/CIR.0b013e318219661d. Epub 2011 Apr 25. PubMed 21518980 ↗
  • Mesa-Gresa P, Gil-Gomez H, Lozano-Quilis JA, Gil-Gomez JA. Effectiveness of Virtual Reality for Children and Adolescents with Autism Spectrum Disorder: An Evidence-Based Systematic Review. Sensors (Basel). 2018 Aug 1;18(8):2486. doi: 10.3390/s18082486. PubMed 30071588 ↗
  • McMahon, A.K. & McMahon, D.D. (2016). Exercise technology interventions and individuals with IDD. Division of Autism and Developmental Disabilities Online Journal, 3, 42-53.
  • Sandjojo J, Zedlitz AMEE, Gebhardt WA, Hoekman J, den Haan JA, Evers AWM. Effects of a self-management training for people with intellectual disabilities. J Appl Res Intellect Disabil. 2019 Mar;32(2):390-400. doi: 10.1111/jar.12536. Epub 2018 Oct 23. PubMed 30353637 ↗
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  • O'Leary L, Cooper SA, Hughes-McCormack L. Early death and causes of death of people with intellectual disabilities: A systematic review. J Appl Res Intellect Disabil. 2018 May;31(3):325-342. doi: 10.1111/jar.12417. Epub 2017 Oct 6. PubMed 28984406 ↗
  • McGarty AM, Downs SJ, Melville CA, Harris L. A systematic review and meta-analysis of interventions to increase physical activity in children and adolescents with intellectual disabilities. J Intellect Disabil Res. 2018 Apr;62(4):312-329. doi: 10.1111/jir.12467. Epub 2017 Dec 26. PubMed 29277930 ↗
  • Ailey SH, Bathje M, Ticha R, Abery B, Khuu BK, Angel L. Health professionals' education related to people with intellectual and developmental disabilities: A scoping review. J Appl Res Intellect Disabil. 2024 May;37(3):e13208. doi: 10.1111/jar.13208. PubMed 38382496 ↗
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  • Valdez RS, Swenor BK. Structural Ableism - Essential Steps for Abolishing Disability Injustice. N Engl J Med. 2023 May 18;388(20):1827-1829. doi: 10.1056/NEJMp2302561. Epub 2023 May 13. No abstract available. PubMed 37183982 ↗
  • Centers for Disease Control and Prevention. (2022). Equitable and inclusive access. https://www.cdc.gov/physicalactivity/community-strategies/equitable-and-inclusive-access.html
  • National Institute on Minority Health and Health Disparities [NIMHD]. (2023). National Advisory Council on Minority Health and Health Disparities (NACMHD) working group on persons living with disabilities. https://nimhd.nih.gov/docs/advisory-council/nacmhd_workGrpOnHealthDisparitiesAndPeopleWithDisabilities_report_2023sept.pdf
  • National Council on Disability (2023). Framework to end health disparities of people with disabilities. https://www.ncd.gov/report/framework-to-end-health-disparities-of-people-with-disabilities/
  • Iezzoni LI, Rao SR, Ressalam J, Bolcic-Jankovic D, Agaronnik ND, Donelan K, Lagu T, Campbell EG. Physicians' Perceptions Of People With Disability And Their Health Care. Health Aff (Millwood). 2021 Feb;40(2):297-306. doi: 10.1377/hlthaff.2020.01452. PubMed 33523739 ↗
  • Friedman, C. (2024) Disparities in social Determinants of health amongst people with disabilities. International Journal of Disability, Development and Education, 71(1), 101-117. https://doi.org/10.1080/1034912X.2021.2004299
  • Rimmer JH. Addressing Disability Inequities: Let's Stop Admiring the Problem and Do Something about It. Int J Environ Res Public Health. 2022 Sep 20;19(19):11886. doi: 10.3390/ijerph191911886. PubMed 36231189 ↗

Individual participant data

Plan to share: Yes

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 5, 2026
Show all 1 update
  1. Nov 5, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07919171
Responsible party
Patricia West (Assistant Professor, Michigan State University) — Principal investigator
First posted
Nov 5, 2026
Start date
Nov 30, 2026 (estimated)
Primary completion
Jan 31, 2029 (estimated)
Completion
Jan 31, 2029 (estimated)
Last update
Nov 5, 2026

Study contacts

Patricia M West, PhD, RN
Contact
westpatr@msu.edu
517-432-8356
Patricia M West, PhD, RN
principal investigator · Michigan State University

Oversight

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

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