Ginkgo Active App-Based Exercise Training

Gingko Active App-based Personalized Exercise Training for Middle-Aged and Older Adults

The purpose of this study is to investigate the effectiveness and usability of a Gingko app based exercise training in middle and older aged adults. The main question it aims to answer is if the personalized Gingko app-based exercise is more effective in improving overall physical function than self-guided training with the NIA exercise booklet.

Individuals aged >45 years will be recruited. All participants will complete app-based and other assessments at 3 time points(baseline, 6 weeks into the intervention, and after 12 weeks of intervention). Each participant will be asked to perform 3-4 sessions of exercise per week for 12 weeks. Participants will be randomly assigned to receive either the Gingko app-based exercise raining or NIA booklet based exercise training.

The following assessments will be performed: App-based physical assessments of strength, aerobic capacity, and balance, International Physical Activity Questionnaire (IPAQ) to assess physical activity levels, Short Form-12 (SF-12) to assess the quality of life ,Likert scale ratings and open-ended questions to assess user satisfaction and acceptability, Self-Efficacy Exercise Scale (SEE) to assess patient reported exercise self-efficacy.

Inclusion Criteria:

• Age ≥ 45 years
• Independent community ambulation with or without straight cane
• Able to follow 3 step commands
• WiFi access at home

Exclusion Criteria:

• Medical contraindications to exercise (including terminal illness, uncontrolled arrhythmias, recent myocardial infarction, unstable angina, unstable cardiovascular disease or other unstable medical condition)
• Significant musculoskeletal or neurological disorders as indicated by limitations in activities of daily life (i.e., <6 score on the Katz Index)
• Participation in other clinical trial within 6 weeks