Mobility LimitationStepping-UpNCT04368949

Stepping-Up: Partnering With the Community to Prevent Early Mobility Decline

A study testing Stepping-Up, Telephone-Based Coaching Walking Program and Chair-Based Yoga Program in people with Mobility Limitation, run by McMaster University at 1 site in Canada.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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Trial summary

Who is it for?: Ages 55 to 75 yearsHealthy volunteers can take part
Conditions the study is for: Mobility Limitation
What is being tested?: Stepping-Up, Telephone-Based Coaching Walking Program and Chair-Based Yoga Program
Could I receive a placebo?: Yes, some participants may receive a placebo
How many people: 249 participants
Where: 1 siteCanada
Study dates: 1 Apr 2021to 31 Mar 2027
Phase: Interventional
Are there results?: Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

Ages 55 to 75 years
All sexes
Healthy volunteers accepted
Adult, Older adult

Who may be able to join

Community-dwelling
Age ≥55-75 years
PCML as assessed using a questionnaire that requires respondents to self-report difficulties with their mobility (walking 2.0km). Respondents will be considered in a stage of PCML if they report no task difficulty but report modification of task performance (i.e. modify frequency, method or time to complete the task)
Understanding of spoken and written English
Own a laptop computer, have an email address and have internet capabilities of running the video-conferencing platform, Zoom©.
Resident of Ontario, Canada

Who cannot join

A score of <11 on the MoCA 5-Minute telephone screen
Major illness that would prevent participation

Trial locations and contacts

1 site in 1 country.

Canada1 site

McMaster University
Hamilton, Ontario, L8S 1C7

Other trials in Canada

About this study

Preclinical mobility limitations (PCML) manifest early in the process of declining mobility, and are not typically identified or acted upon by clinicians. These mobility limitations manifest as changes in how daily tasks such as walking are performed (slower speed, lower endurance). Persons in the PCML stage are at increased risk for the onset of disability and chronic disease. Persistent deterioration in mobility is a predictor of mortality and has been reported even in the absence of changes in activities of daily living over a two-year period. Further, older persons with mobility limitations, including reduced gait speed, are at risk for falls. These cumulative transitions of a person's life-long mobility form their mobility trajectory and preventing mobility decline at an early stage along this trajectory is the focus of this research initiative. This study will evaluate a novel intervention, STEPPING-UP, for improving walking ability in persons with PCML.

Conditions: Mobility Limitation
Being tested: Stepping-Up, Telephone-Based Coaching Walking Program, Chair-Based Yoga Program
Keywords: Preclinical mobility limitation, Walking ability, Physical function, Task-oriented motor learning, Self-management
Medical subject headings: Mobility Limitation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Stepping-UpOther
The intervention group will receive STEPPING-UP, a virtual 12-week, multicomponent intervention that includes tailored task-oriented motor learning exercise and a mobility self-management (SM) program.
Telephone-Based Coaching Walking ProgramOther
The participants assigned to this group will receive a 12-week Telephone-Based Coaching Walking Program (TELE) delivered by a PT who will help participants set short and long term walking goals.
Chair-Based Yoga ProgramOther
Participants assigned to this group will receive a virtual 12-week Chair-Based Yoga Program (YOGA), a group-based exercise control where participants will undertake a seated exercise program that includes: warm up, seated and standing yoga poses, cool down.

Study groups in NCT04368949
Study group	Role	What they receive
Stepping-Up Group	Experimental	Participants will attend one 2-hour virtual session (1-hour exercise and 1-hour SM) per week. Each class of 6-8 participants is supervised by a Physiotherapist (PT) and kinesiologist who will individually tailor the exercises for each participant. Receives: Other: Stepping-Up
TELE Group	Active comparator	The initial telephone session will be 20-30 minutes, with subsequent weekly calls will be approximately 10 minutes. Receives: Other: Telephone-Based Coaching Walking Program
Chair-Based Yoga Group	Placebo comparator	Participants will attend two 1-hour virtual sessions per week to ensure this group is matched for attention to STEPPING-UP. Receives: Other: Chair-Based Yoga Program

What is being measured

The primary outcome is the main question the study is designed to answer.

Walking speed
The 4-Metre Gait Speed Test (4MGS) is a performance-based measure of walking speed. The 4MGS test will be performed from a standing start at both a self-selected (usual) and fastest walking speed.
Measured: Baseline
Change in walking speed from baseline
The 4-Metre Gait Speed Test (4MGS) is a performance-based measure of walking speed. The 4MGS test will be performed from a standing start at both a self-selected (usual) and fastest walking speed.
Measured: 12 weeks

Secondary outcomes (60)

Change in walking speed from baseline
The 4-Metre Gait Speed Test (4MGS) is a performance-based measure of walking speed. The 4MGS test will be performed from a standing start at both a self-selected (usual) and fastest walking speed.
Measured: 24 weeks
Change in walking speed from baseline
The 4-Metre Gait Speed Test (4MGS) is a performance-based measure of walking speed. The 4MGS test will be performed from a standing start at both a self-selected (usual) and fastest walking speed.
Measured: 36 weeks
Exercise capacity
2-Minute Step Test (TMST): The TMST is a test of exercise capacity that can be used as an alternative to a timed long-distance walking test when assessment space is limited. Individuals are required to march in place as quickly as possible for 2 minutes while lifting their knees to a height midway between their patella and iliac crest when standing.
Measured: Baseline
Change in exercise capacity from baseline
2-Minute Step Test (TMST): The TMST is a test of exercise capacity that can be used as an alternative to a timed long-distance walking test when assessment space is limited. Individuals are required to march in place as quickly as possible for 2 minutes while lifting their knees to a height midway between their patella and iliac crest when standing.
Measured: 12 weeks
Change in exercise capacity from baseline
2-Minute Step Test (TMST): The TMST is a test of exercise capacity that can be used as an alternative to a timed long-distance walking test when assessment space is limited. Individuals are required to march in place as quickly as possible for 2 minutes while lifting their knees to a height midway between their patella and iliac crest when standing.
Measured: 24 weeks
Change in exercise capacity from baseline
2-Minute Step Test (TMST): The TMST is a test of exercise capacity that can be used as an alternative to a timed long-distance walking test when assessment space is limited. Individuals are required to march in place as quickly as possible for 2 minutes while lifting their knees to a height midway between their patella and iliac crest when standing.
Measured: 36 weeks
Lower body strength
30-Second Chair Stand Test (CST): The 30-Second CST is used to assess lower body strength and power and is measured by the number of chair stand repetitions in a 30-second period.
Measured: Baseline
Change in lower body strength from baseline
30-Second Chair Stand Test (CST): The 30-Second CST is used to assess lower body strength and power and is measured by the number of chair stand repetitions in a 30-second period.
Measured: 12 weeks
Change in lower body strength from baseline
30-Second Chair Stand Test (CST): The 30-Second CST is used to assess lower body strength and power and is measured by the number of chair stand repetitions in a 30-second period.
Measured: 24 weeks
Change in lower body strength from baseline
30-Second Chair Stand Test (CST): The 30-Second CST is used to assess lower body strength and power and is measured by the number of chair stand repetitions in a 30-second period.
Measured: 36 weeks
Dual task cost
Difference in time between the Timed Up and Go (TUG) and the TUG Cognitive.
Measured: Baseline
Change in dual task cost from baseline
Difference in time between the Timed Up and Go (TUG) and the TUG Cognitive.
Measured: 12 weeks
Change in dual task cost from baseline
Difference in time between the Timed Up and Go (TUG) and the TUG Cognitive.
Measured: 24 weeks
Change in dual task cost from baseline
Difference in time between the Timed Up and Go (TUG) and the TUG Cognitive.
Measured: 36 weeks
Self-reported change in mobility
Global Mobility Change Rating: A single question, ''Since your last visit, has there been any change in your mobility?'' will be asked. The response will be made on a 11-point self-reported Likert scale: - 5 = very much worse; 0 = unchanged; 5 = very much better.
Measured: 12 weeks
Change in self-reported change in mobility from basseline
Global Mobility Change Rating: A single question, ''Since your last visit, has there been any change in your mobility?'' will be asked. The response will be made on a 11-point self-reported Likert scale: - 5 = very much worse; 0 = unchanged; 5 = very much better.
Measured: 24 weeks
Change in self-reported change in mobility from basseline
Global Mobility Change Rating: A single question, ''Since your last visit, has there been any change in your mobility?'' will be asked. The response will be made on a 11-point self-reported Likert scale: - 5 = very much worse; 0 = unchanged; 5 = very much better.
Measured: 36 weeks
Balance self-efficacy
Activities-specific Balance Confidence (ABC) Scale: The ABC Scale is a self-report measure of balance confidence. Individuals are asked to rate their confidence in completing 16 common tasks without losing balance, on a scale from 0% (no confidence) to 100% (complete confidence).
Measured: Baseline
Change in balance self-efficacy from baseline
Activities-specific Balance Confidence (ABC) Scale: The ABC Scale is a self-report measure of balance confidence. Individuals are asked to rate their confidence in completing 16 common tasks without losing balance, on a scale from 0% (no confidence) to 100% (complete confidence).
Measured: 12 weeks
Change in balance self-efficacy from baseline
Activities-specific Balance Confidence (ABC) Scale: The ABC Scale is a self-report measure of balance confidence. Individuals are asked to rate their confidence in completing 16 common tasks without losing balance, on a scale from 0% (no confidence) to 100% (complete confidence).
Measured: 24 weeks
Change in balance self-efficacy from baseline
Activities-specific Balance Confidence (ABC) Scale: The ABC Scale is a self-report measure of balance confidence. Individuals are asked to rate their confidence in completing 16 common tasks without losing balance, on a scale from 0% (no confidence) to 100% (complete confidence).
Measured: 36 weeks
Mobility patterns
The Life-Space Assessment (LSA): The LSA measures a person's usual pattern of mobility during a 1-month period, documenting mobility based on how far and how often a person travels and any assistance required.
Measured: Baseline
Change in mobility patterns from baseline
The Life-Space Assessment (LSA): The LSA measures a person's usual pattern of mobility during a 1-month period, documenting mobility based on how far and how often a person travels and any assistance required.
Measured: 12 weeks
Change in mobility patterns from baseline
The Life-Space Assessment (LSA): The LSA measures a person's usual pattern of mobility during a 1-month period, documenting mobility based on how far and how often a person travels and any assistance required.
Measured: 24 weeks
Change in mobility patterns from baseline
The Life-Space Assessment (LSA): The LSA measures a person's usual pattern of mobility during a 1-month period, documenting mobility based on how far and how often a person travels and any assistance required.
Measured: 36 weeks
Knowledge, skill and confidence for self-management
Patient Activation Measure (PAM): The PAM is a 13-item measure of the patient's level of knowledge, skill and confidence for SM. An Activation Score is calculated as the sum of the 13 items. The Activation Score can then be converted into an Activation Level (Level 1 = low activation, Level 4 = high activation).
Measured: 12 weeks
Change in knowledge, skill and confidence for self-management from baseline
Patient Activation Measure (PAM): The PAM is a 13-item measure of the patient's level of knowledge, skill and confidence for SM. An Activation Score is calculated as the sum of the 13 items. The Activation Score can then be converted into an Activation Level (Level 1 = low activation, Level 4 = high activation).
Measured: Baseline
Change in knowledge, skill and confidence for self-management from baseline
Patient Activation Measure (PAM): The PAM is a 13-item measure of the patient's level of knowledge, skill and confidence for SM. An Activation Score is calculated as the sum of the 13 items. The Activation Score can then be converted into an Activation Level (Level 1 = low activation, Level 4 = high activation).
Measured: 24 weeks
Change in knowledge, skill and confidence for self-management from baseline
Patient Activation Measure (PAM): The PAM is a 13-item measure of the patient's level of knowledge, skill and confidence for SM. An Activation Score is calculated as the sum of the 13 items. The Activation Score can then be converted into an Activation Level (Level 1 = low activation, Level 4 = high activation).
Measured: 36 weeks
Balance
Unipedal Stance Test (UPST): The UPST is used to assess static balance. 68 Individuals are asked to stand barefoot on the limb of their choice until they (1) use their arms (i.e., uncross arms), (2) use their raised foot (i.e., move it toward or away from the standing limb or touched the floor), (3) move the weight-bearing foot to maintain their balance (i.e., rotate foot on the ground) or (4) maintain the position for a maximum of 45 seconds.
Measured: Baseline
Change in balance from baseline
Unipedal Stance Test (UPST): The UPST is used to assess static balance. 68 Individuals are asked to stand barefoot on the limb of their choice until they (1) use their arms (i.e., uncross arms), (2) use their raised foot (i.e., move it toward or away from the standing limb or touched the floor), (3) move the weight-bearing foot to maintain their balance (i.e., rotate foot on the ground) or (4) maintain the position for a maximum of 45 seconds.
Measured: 12 weeks
Change in balance from baseline
Unipedal Stance Test (UPST): The UPST is used to assess static balance. 68 Individuals are asked to stand barefoot on the limb of their choice until they (1) use their arms (i.e., uncross arms), (2) use their raised foot (i.e., move it toward or away from the standing limb or touched the floor), (3) move the weight-bearing foot to maintain their balance (i.e., rotate foot on the ground) or (4) maintain the position for a maximum of 45 seconds.
Measured: 24 weeks
Change in balance from baseline
Unipedal Stance Test (UPST): The UPST is used to assess static balance. 68 Individuals are asked to stand barefoot on the limb of their choice until they (1) use their arms (i.e., uncross arms), (2) use their raised foot (i.e., move it toward or away from the standing limb or touched the floor), (3) move the weight-bearing foot to maintain their balance (i.e., rotate foot on the ground) or (4) maintain the position for a maximum of 45 seconds.
Measured: 36 weeks
Health-related quality of life
EQ-5D-5L is a generic utility-based health related quality of life questionnaire. Respondents are asked to rate 5 dimensions of their health: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The five response levels are:no problems (1), slight problems (2), moderate problems (3), severe problems (4), unable to /extreme problems (5).
Measured: Baseline
Change in health-related quality of life from baseline
EQ-5D-5L is a generic utility-based health related quality of life questionnaire. Respondents are asked to rate 5 dimensions of their health: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The five response levels are:no problems (1), slight problems (2), moderate problems (3), severe problems (4), unable to /extreme problems (5).
Measured: 12 weeks
Change in health-related quality of life from baseline
EQ-5D-5L is a generic utility-based health related quality of life questionnaire. Respondents are asked to rate 5 dimensions of their health: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The five response levels are:no problems (1), slight problems (2), moderate problems (3), severe problems (4), unable to /extreme problems (5).
Measured: 24 weeks
Change in health-related quality of life from baseline
EQ-5D-5L is a generic utility-based health related quality of life questionnaire. Respondents are asked to rate 5 dimensions of their health: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The five response levels are:no problems (1), slight problems (2), moderate problems (3), severe problems (4), unable to /extreme problems (5).
Measured: 36 weeks
Self-efficacy for physical activity:
Participants will be asked to rate how confident they are that they could participate in moderate intensity physical activity for 150 minutes per week using a single question on a scale of 1-10. Higher values indicate greater self-efficacy.
Measured: Baseline
Change in self-efficacy for physical activity from baseline
Participants will be asked to rate how confident they are that they could participate in moderate intensity physical activity for 150 minutes per week using a single question on a scale of 1-10. Higher values indicate greater self-efficacy.
Measured: 12 weeks
Change in self-efficacy for physical activity from baseline
Participants will be asked to rate how confident they are that they could participate in moderate intensity physical activity for 150 minutes per week using a single question on a scale of 1-10. Higher values indicate greater self-efficacy.
Measured: 24 weeks
Change in self-efficacy for physical activity from baseline
Participants will be asked to rate how confident they are that they could participate in moderate intensity physical activity for 150 minutes per week using a single question on a scale of 1-10. Higher values indicate greater self-efficacy.
Measured: 36 weeks
Self-reported mobility
Mobility Assessment Tool (MAT-sf): The MAT-sf is a video-animated tool for assessing mobility. It consists of 10 animated video clips that assess an individuals' perceived level of proficiency in performing each task.
Measured: Baseline
Change in self-reported mobility from baseline
Mobility Assessment Tool (MAT-sf): The MAT-sf is a video-animated tool for assessing mobility. It consists of 10 animated video clips that assess an individuals' perceived level of proficiency in performing each task.
Measured: 12 weeks
Change in self-reported mobility from baseline
Mobility Assessment Tool (MAT-sf): The MAT-sf is a video-animated tool for assessing mobility. It consists of 10 animated video clips that assess an individuals' perceived level of proficiency in performing each task.
Measured: 24 weeks
Change in self-reported mobility from baseline
Mobility Assessment Tool (MAT-sf): The MAT-sf is a video-animated tool for assessing mobility. It consists of 10 animated video clips that assess an individuals' perceived level of proficiency in performing each task.
Measured: 36 weeks
Emergency room visits
Healthcare utilization data collected using self-report self-report.
Measured: Baseline to 12 weeks
Emergency room visits
Healthcare utilization data collected using self-report self-report.
Measured: 12 weeks to 24 weeks
Emergency room visits
Healthcare utilization data collected using self-report self-report.
Measured: 24 weeks to 36 weeks
Hospitalizations
Healthcare utilization data collected using self-report self-report.
Measured: Baseline to 12 weeks
Hospitalizations
Healthcare utilization data collected using self-report self-report.
Measured: 12 weeks to 24 weeks
Hospitalizations
Healthcare utilization data collected using self-report self-report.
Measured: 24 weeks to 36 weeks
Family doctor visits
Healthcare utilization data collected using self-report self-report.
Measured: Baseline to 12 weeks
Family doctor visits
Healthcare utilization data collected using self-report self-report.
Measured: 12 weeks to 24 weeks
Family doctor visits
Healthcare utilization data collected using self-report self-report.
Measured: 24 weeks to 36 weeks
Specialist physician visits visits
Healthcare utilization data collected using self-report self-report.
Measured: Baseline to 12 weeks
Specialist physician visits visits
Healthcare utilization data collected using self-report self-report.
Measured: 12 weeks to 24 weeks
Specialist physician visits visits
Healthcare utilization data collected using self-report self-report.
Measured: 24 weeks to 36 weeks
Medical tests or procedures
Healthcare utilization data collected using self-report self-report.
Measured: Baseline to 12 weeks
Medical tests or procedures
Healthcare utilization data collected using self-report self-report.
Measured: 12 weeks to 24 weeks
Medical tests or procedures
Healthcare utilization data collected using self-report self-report.
Measured: 24 weeks to 36 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

1 Apr 202131 Mar 2027

First posted30 Apr 2020
Study start1 Apr 2021
Primary completion1 Oct 2025
Study completion31 Mar 2027 (estimated)

Resources

Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
Publications (1)Papers the sponsor has linked to this study.
Other trials for Mobility LimitationStudies of the same condition, open and under way.
More trials run by McMaster UniversityThe sponsor's other registered studies.
What the trial phases meanHow a treatment moves from first tests in people to approval.

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design

Study type: Interventional
Phase: Phase N/A
Primary purpose: Prevention
Allocation: Randomised
Intervention model: Parallel groups
Masking: Single blind
Who is masked: Outcomes assessor
Enrolment: 249 participants (estimated)

IDs, dates and publications

ClinicalTrials.gov ID: NCT04368949
Sponsor's protocol ID: PJT-169034
Acronym: Stepping-Up
Status last verified: Jun 2026
First submitted: 23 Apr 2020
Last updated: 17 Jun 2026
Results posted: No
Data monitoring committee: No
FDA-regulated drug: No
FDA-regulated device: No
Individual data sharing: No

Publications

Richardson J, Kuspinar A, Sinclair S, Beauchamp M, Dufour S, Tang A, MacDermid J, Durocher E, Thabane L, Xie F, Costa A. Effect of an Online Mobility Self-Management Program on Walking Speed in Older Adults With Preclinical Mobility Limitation: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2025 May 21;14:e72585. doi: 10.2196/72585.
PubMed 40397951

Want to know more?

The sponsor has not listed a contact. The official record may have more details.

Talk to your doctor first and take this page with you. Only the study team can confirm whether you can join.

Questions to ask the study team

What is the study trying to find out?
What would I need to do, and how often would I visit?
Could I receive a placebo instead of the treatment?
What are the possible risks and benefits for me?
Will it cost me anything? Are travel or time paid for?
Can I keep seeing my own doctor during the study?
What happens when the study ends?

See locations

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All Mobility Limitation trials

Study at a glance

From the registry record, last updated by the sponsor on 17 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.

Official title: Stepping-Up: Partnering With the Community to Prevent Early Mobility Decline
ClinicalTrials.gov ID: NCT04368949
Acronym / sponsor ID: Stepping-Up / PJT-169034
Conditions: Mobility Limitation
Keywords: Preclinical mobility limitation, Walking ability, Physical function, Task-oriented motor learning, Self-management
Study type: Interventional
Recruitment status: Active, not recruiting
Enrolment: 249 participants (estimated)
Lead sponsor: McMaster UniversityUniversity, hospital or other
Collaborators: YMCA Hamilton/Burlington/Brantford, City of Hamilton
Study start: 1 Apr 2021 (actual)
Primary completion: 1 Oct 2025 (actual)
Study completion: 31 Mar 2027 (estimated)
First posted: 30 Apr 2020 (actual)
Results: Not posted in the source record

Clinical summary

The research question as the sponsor registered it. This describes what the study plans to test, not what it found.

Study design

Primary purpose: Prevention
Allocation: Randomised
Intervention model: Parallel groups
Masking: Single blind (outcomes assessor)
Number of arms: 3

Arm	Type	Receives
Stepping-Up Group	Experimental	Other: Stepping-UpParticipants will attend one 2-hour virtual session (1-hour exercise and 1-hour SM) per week. Each class of 6-8 participants is supervised by a Physiotherapist (PT) and kinesiologist who will individually tailor the exercises for each participant.
TELE Group	Active comparator	Other: Telephone-Based Coaching Walking ProgramThe initial telephone session will be 20-30 minutes, with subsequent weekly calls will be approximately 10 minutes.
Chair-Based Yoga Group	Placebo comparator	Other: Chair-Based Yoga ProgramParticipants will attend two 1-hour virtual sessions per week to ensure this group is matched for attention to STEPPING-UP.

Who may qualify

Ages: 55 to 75 years
Sex: All
Healthy volunteers: Accepted
Age groups: Adult, Older adult

Key inclusion criteria (6 listed)

Community-dwelling
Age ≥55-75 years
PCML as assessed using a questionnaire that requires respondents to self-report difficulties with their mobility (walking 2.0km). Respondents will be considered in a stage of PCML if they report no task difficulty but report modification of task performance (i.e. modify frequency, method or time to complete the task)
Understanding of spoken and written English
Own a laptop computer, have an email address and have internet capabilities of running the video-conferencing platform, Zoom©.

Key exclusion criteria (2 listed)

A score of <11 on the MoCA 5-Minute telephone screen
Major illness that would prevent participation

Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.

Interventions

Intervention	Type	Arms
Stepping-UpThe intervention group will receive STEPPING-UP, a virtual 12-week, multicomponent intervention that includes tailored task-oriented motor learning exercise and a mobility self-management (SM) program.	Other	Stepping-Up Group
Telephone-Based Coaching Walking ProgramThe participants assigned to this group will receive a 12-week Telephone-Based Coaching Walking Program (TELE) delivered by a PT who will help participants set short and long term walking goals.	Other	TELE Group
Chair-Based Yoga ProgramParticipants assigned to this group will receive a virtual 12-week Chair-Based Yoga Program (YOGA), a group-based exercise control where participants will undertake a seated exercise program that includes: warm up, seated and standing yoga poses, cool down.	Other	Chair-Based Yoga Group

Primary outcome

Walking speed
Time frame: Baseline
The 4-Metre Gait Speed Test (4MGS) is a performance-based measure of walking speed. The 4MGS test will be performed from a standing start at both a self-selected (usual) and fastest walking speed.
Change in walking speed from baseline
Time frame: 12 weeks
The 4-Metre Gait Speed Test (4MGS) is a performance-based measure of walking speed. The 4MGS test will be performed from a standing start at both a self-selected (usual) and fastest walking speed.

60 secondary outcomes

Change in walking speed from baseline
Time frame: 24 weeks
Change in walking speed from baseline
Time frame: 36 weeks
Exercise capacity
Time frame: Baseline
Change in exercise capacity from baseline
Time frame: 12 weeks
Change in exercise capacity from baseline
Time frame: 24 weeks
Change in exercise capacity from baseline
Time frame: 36 weeks
Lower body strength
Time frame: Baseline
Change in lower body strength from baseline
Time frame: 12 weeks
Change in lower body strength from baseline
Time frame: 24 weeks
Change in lower body strength from baseline
Time frame: 36 weeks
Dual task cost
Time frame: Baseline
Change in dual task cost from baseline
Time frame: 12 weeks
Change in dual task cost from baseline
Time frame: 24 weeks
Change in dual task cost from baseline
Time frame: 36 weeks
Self-reported change in mobility
Time frame: 12 weeks
Change in self-reported change in mobility from basseline
Time frame: 24 weeks
Change in self-reported change in mobility from basseline
Time frame: 36 weeks
Balance self-efficacy
Time frame: Baseline
Change in balance self-efficacy from baseline
Time frame: 12 weeks
Change in balance self-efficacy from baseline
Time frame: 24 weeks
Change in balance self-efficacy from baseline
Time frame: 36 weeks
Mobility patterns
Time frame: Baseline
Change in mobility patterns from baseline
Time frame: 12 weeks
Change in mobility patterns from baseline
Time frame: 24 weeks
Change in mobility patterns from baseline
Time frame: 36 weeks
Knowledge, skill and confidence for self-management
Time frame: 12 weeks
Change in knowledge, skill and confidence for self-management from baseline
Time frame: Baseline
Change in knowledge, skill and confidence for self-management from baseline
Time frame: 24 weeks
Change in knowledge, skill and confidence for self-management from baseline
Time frame: 36 weeks
Balance
Time frame: Baseline
Change in balance from baseline
Time frame: 12 weeks
Change in balance from baseline
Time frame: 24 weeks
Change in balance from baseline
Time frame: 36 weeks
Health-related quality of life
Time frame: Baseline
Change in health-related quality of life from baseline
Time frame: 12 weeks
Change in health-related quality of life from baseline
Time frame: 24 weeks
Change in health-related quality of life from baseline
Time frame: 36 weeks
Self-efficacy for physical activity:
Time frame: Baseline
Change in self-efficacy for physical activity from baseline
Time frame: 12 weeks
Change in self-efficacy for physical activity from baseline
Time frame: 24 weeks

Results and safety

This study is still under way. Results are not available in the source record yet.

Research links

Official record on ClinicalTrials.govLast updated by the sponsor 17 Jun 2026.
Derived from this study: PubMed 40397951Richardson J, Kuspinar A, Sinclair S, Beauchamp M, Dufour S, Tang A, MacDermid J, Durocher E, Thabane L, Xie F, Costa A. Effect of an Online Mobility Self-Management Program on Walking Speed in Older Adults With Preclinical Mobility Limitation: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2025 May 21;14:e72585. doi: 10.2196/72585.
Individual participant dataSharing planned: No

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ACL Reconstruction
Active, not recruiting
Randomized Clinical Trial to Improve Mobility After Hospitalization
Hypertension, Diabetes

Referral and contact

AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.

Julie Richardson, PhD principal investigator

McMaster University

Ayse Kuspinar, PhD principal investigator

McMaster University

1 site in 1 country: see every site and its status.

Questions about this trial

What is this clinical trial studying?

A study testing Stepping-Up, Telephone-Based Coaching Walking Program and Chair-Based Yoga Program in people with Mobility Limitation, run by McMaster University at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 17 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Walking speed (time frame: Baseline). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04368949, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jun 2026.