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Mobility LimitationNCT06245135

TIME™ at Home Randomized Controlled Trial

A study testing TIME at Home in people with Mobility Limitation, run by University of Toronto at 4 sites in Canada.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this randomized controlled trial is to compare the short-term effects of a virtual, community-based, task-oriented group exercise program (TIME™ at Home) with a waitlist control in community-dwelling adults with balance and mobility limitations. The main questions the trial aims to answer are: 1. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Mobility Limitation
What is being tested?
TIME at Home
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
4 sitesCanada
Study dates
19 Jul 2024to Mar 2026
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • adult defined as age 18 years or older;
  • mobility limitations (eg, need to use a walking aid, difficulty stepping onto curbs, ramps, stairs, or walk on uneven surfaces);
  • living independently in the community (in own home or assisted living settings);
  • able to walk a minimum of 10 metres independently (with walking aids if used) without assistance and/or supervision from another person;
  • able to stand up from and sit down onto a chair independently, without supervision;
  • able to maintain balance while exercising in standing (e.g., marching on the spot) holding onto the back of a chair or a sturdy countertop;
Show all 10Show fewer
  • has a study partner (e.g., caregiver, family member or friend) willing to be present, at minimum, during the first evaluation in the home via Zoom;
  • able to speak and read English to understand informed consent and follow instructions for study procedures and exercises;
  • caregiver defined as an individual who helps the exercise participant to live at home by providing support and assistance with at least one basic (e.g., self-care) and/or instrumental activity of daily living (e.g., doing groceries, cleaning, managing finances, making meals, doing laundry, etc.) at least once a week;
  • able to speak and read English.

Who cannot join

  • involvement in another formal exercise or rehabilitation program in the next 2 months;
  • previous participation in the TIME at Home exercise program;
  • health conditions or symptoms preventing participation in exercise;
  • cognitive impairment, defined as a score of <11/15 on the 5-minute Montreal Cognitive Assessment (MoCA);
  • severe visual impairment;
  • severe hearing impairment
  • Caregivers
  • 1. Is a paid personal support worker.

Trial locations and contacts

4 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Renato Barbosa dos Santos, MSc contact

416-946-7579

timestudy@utoronto.ca

Nancy Salbach, PhD contact

416-946-8558

nancy.salbach@utoronto.ca

Canada4 sites, 4 recruiting
  • University of Alberta

    Edmonton, Alberta, T6G 2G5

    Doyeon Hwang, MScPH, (825) 975-4800, rehab.timestudy@ualberta.ca

    Recruiting
  • Bruyère Research Institute

    Ottawa, Ontario, K1N 5C8

    Asefeh Memarian, MSc, (613) 562-6262 ext. 1419, amemarian@bruyere.org

    Recruiting
  • University of Toronto

    Toronto, Ontario, M5G 1V7

    Renato Barbosa dos Santos, MSc, (416) 946-7579, timestudy@utoronto.ca

    Nancy Salbach, PhD

    Recruiting
  • University of Manitoba

    Winnipeg, Manitoba, R3E 0T6

    Roheema Ewesesan, MD, (204) 787-8015, Roheema.Ewesesan@umanitoba.ca

    Recruiting

Other trials in Canada

About this study

Official title: Short-term Effects of a Virtual, Community-based, Task-oriented Group Exercise Program Compared to a Waitlist Control in Increasing Function Among Adults With Balance and Mobility Limitations: The TIME™ at Home Randomized Controlled Trial

The goal of this randomized controlled trial is to compare the short-term effects of a virtual, community-based, task-oriented group exercise program (TIME™ at Home) with a waitlist control in community-dwelling adults with balance and mobility limitations.

The main questions the trial aims to answer are:

Read more
  1. Will there be improvements in physical and mental health outcomes, and caregiver mood and assistance, following participation in the TIME™ at Home exercise program that are greater than in the waitlist control group?
  2. Will level of mobility limitation, sex, or gender influence the experiences of people in the exercise program?
  3. What will be the costs of the TIME™ at Home exercise program for the organization delivering the program, and the people who are in the exercise program?

Participants and their caregivers will be asked to complete 3 evaluations using Zoom at study entry and 2 and 5 months later.

  • Participants will complete tests of balance and walking and questionnaires.
  • Caregivers will only complete questionnaires.

After the first evaluation, participants will be randomly assigned to either participate in:

  • the 8-week TIME™ at Home exercise program from their homes using Zoom, or
  • to wait 5 months (waitlist control group) before beginning the 8-week TIME™ at Home exercise program
Read the detailed description

Mobility limitations are highly prevalent, limit everyday functioning, and increase the need for caregiver assistance in people with chronic health conditions, such as stroke, and multiple sclerosis. While community exercise programs have been shown to improve physical and mental health, older adults with mobility limitations face numerous challenges with attending in-person community exercise programs. Challenges relate to the availability and cost of transportation, inclement weather, inadequate building access, program cost, risk of infection, and pandemic-related program closures. In addition, caregivers commonly need to provide transportation, which can take time away from paid employment and other daily activities. Some recreation centres do not have the funding to operate exercise programs for people with balance and mobility limitations that require instructors with specialized skills and a high level of exercise supervision.

The objectives of the TIME™ at Home randomized controlled trial are:

  1. To estimate the short-term effects of a virtual, community-based, task-oriented group exercise program (TIME™ at Home) compared to a waitlist control on improving everyday function (primary outcome), mobility, well-being, reliance on walking aids, caregiver assistance, caregiver mood, and caregiver confidence in care-recipient balance (secondary outcomes) in community-dwelling adults with mobility limitations;
  2. To determine whether level of mobility limitation, sex, or gender, modifies the effect of the TIME™ at Home program compared to a waitlist control in improving everyday function;
  3. To assess the cost-effectiveness of the TIME™ at Home program from a societal perspective; and
  4. To explore exercise participants', caregivers' and program providers' experiences during the intervention phase.
Being tested
TIME at Home
Keywords
Virtual Exercise, Community-based Exercise, Mobility, Balance, Randomized Controlled Trial
Medical subject headings
Mobility Limitation

What participants receive

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

  • TIME at HomeBehavioural

    Sessions involve a 15-minute pre-video safety check and social time; streaming a 1-hour pre-recorded exercise video; and a 15-minute post-video social time. Two trained facilitators run each class, with a maximum group size of 10 people.

    The 1-hour exercise videos include a seated warm-up and cooldown, and 40 minutes of functional, self-paced exercises. In the video, 2 healthcare professionals demonstrate a lower and higher difficulty level of each exercise. The program starts with a level 1 video and switches to a level 2 video midway.

    A registered healthcare professional, called the healthcare partner, visits select classes and serves as a resource to participants and facilitators.

Study groups in NCT06245135
Study groupRoleWhat they receive
TIME at HomeExperimentalTIME at Home is a virtual, group, task-oriented exercise program targeting balance and mobility. A community organization delivers two 1.5-hour sessions per week, for 8 weeks using Zoom.
Receives: Behavioral: TIME at Home
WaitlistNo interventionIndividuals in the waitlist control group will receive the TIME at Home program following the final 5-month evaluation.

What is being measured

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

  1. Change in Subjective Index of Physical and Social Outcome-Physical scale (SIPSO-P) from baseline to 2 months

    Score from 0 to 20 points, 5-item self-report scale measuring everyday functioning

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

Secondary outcomes (17)
  1. 7-item Berg balance scale (7BBS)

    Score from 0 to 28 points on 7-item performance-based measure

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

  2. 30-second sit-to-stand test (30STS)

    Number of stands completed in 30 seconds

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

  3. Timed 'up and go' (TUG) test

    Time in seconds, taken to stand up from a standard armchair, walk a distance of 3 metres, turn around, walk back to the chair, and sit down again

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

  4. 3-metre walk test (3mWT, comfortable pace)

    Comfortable walking speed in metres/second based on time taken to walk 3 metres

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

  5. 3-metre walk test (3mWT, fast pace)

    Fast walking speed in metres/second based on time taken to walk 3 metres

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

  6. 2-minute step test (2ST)

    Number of times the knee reaches the required height in 2 minutes

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

  7. Activities-specific balance confidence (ABC) scale

    Score from 0 to 100 points on the 16-item self-report scale

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

  8. Center for epidemiological studies depression (CES-D) scale

    Score from 0 to 60 points on the 20-item self-report scale

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

  9. PROMIS v2.0 Social Isolation short form

    Score from 0 to 20 points on the 4-item self-report scale

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

  10. EuroQoL-5D-5L visual analog scale (EQ-VAS)

    Score from 0 to 100 points on the visual analog scale

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

  11. Caregiver Assistance Scale (CAS)

    Score from 0 to 102 points on the 17-item self-report scale, completed by caregiver

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

  12. Center for epidemiological studies depression (CES-D) scale-Caregiver

    Score from 0 to 60 points on the 20-item self-report scale, completed by caregiver

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

  13. Activities-specific balance confidence (ABC) scale-Caregiver

    Score from 0 to 100 points on the 16-item self-report scale, completed by caregiver

    Measured: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)

  14. Program delivery cost

    Cost ($) for community organizations to run the TIME at Home program in the Experimental group

    Measured: 2 months (immediately post-intervention)

  15. Cost ($) of exercise participation

    Cost ($) for a participant in the Experimental group to participate in the TIME at Home program

    Measured: 2 months (immediately post-intervention)

  16. Amount ($) willing to pay to register for TIME at Home

    Amount ($) that participants in the Experimental group would be willing to pay out-of-pocket to receive the program

    Measured: 2 months (immediately post-intervention)

  17. Quality-adjusted life-years (QALYs)

    Scores on the EQ-5D-5L convert to a single index value used to calculate quality-adjusted life-years (QALYs)

    Measured: 2 months (immediately post-intervention)

Timeline

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

  1. First posted7 Feb 2024
  2. Study start19 Jul 2024
  3. Primary completionMar 2026 (estimated)
  4. Study completionMar 2026 (estimated)

Resources

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Parallel assignment
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06245135
Sponsor's protocol ID
45343
Status last verified
Dec 2024
First submitted
29 Jan 2024
Last updated
30 Dec 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The anonymized data collected during the study, the trial protocol, statistical analysis plan, and informed consent form, will be shared with qualified researchers engaging in REB-approved independent scientific research, upon request to the research team.

Publications

  • Salbach NM, Jones CA, Barclay R, Sveistrup H, Sheehy L, Bayley MT, Inness EL, Legasto-Mulvale JM, Barbosa Dos Santos R, Fung J, Moineddin R, Teasell RW, Catizzone M, Hovanec N, Cameron JI, Munce S, O'Neil J, Jaglal SB, Aravind G, Su TT, Hanson HM. Short-term effects of a virtual, community-based, task-oriented group exercise programme incorporating a healthcare-community partnership compared to a waitlist control on increasing everyday function among adults with mobility limitations: protocol for the TIME at Home randomised controlled trial. BMJ Open. 2025 Jul 28;15(7):e102694. doi: 10.1136/bmjopen-2025-102694.

    PubMed 40721264

Questions about this trial

What is this clinical trial studying?

A study testing TIME at Home in people with Mobility Limitation, run by University of Toronto at 4 sites 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 10 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 30 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites 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. 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?

Contact Renato Barbosa dos Santos, MSc (416-946-7579, timestudy@utoronto.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Subjective Index of Physical and Social Outcome-Physical scale (SIPSO-P) from baseline to 2 months (time frame: 0 months (baseline), 2 months (immediately post-intervention), and 5 months (3 months post-intervention)). 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 NCT06245135, 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 30 Dec 2024.

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