Using an NHS walking app to support physical activity in older adults during NHS health-checks: a feasibility study

ISRCTN ISRCTN10903632
DOI https://doi.org/10.1186/ISRCTN10903632
Central Portfolio Management System (CPMS) 58482
Sponsor University of Cambridge
Funders NIHR Cambridge Biomedical Research Centre, School for Public Health Research
Submission date
17/12/2025
Registration date
22/12/2025
Last edited
22/12/2025
Recruitment status
Not yet recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Older adults are not moving enough, leading to many problems common in older age. Current programs to get older adults moving more do not work long-term. Mobile apps could provide a cheaper alternative that works long-term, and might reach more people than current programs. The NHS runs an app to encourage walking (Active 10) but it is not used in GP clinics and has not been tested to see if it works. The aim of this study is to run a small study to check that a bigger study (testing to see if Active 10 works) will run smoothly.

Who can participate?
Adults aged 55 years and over who do not move enough

What does the study involve?
Half of the adults will be given the NHS Active 10 walking app for 3 months. The other half will be given a leaflet about exercise.

What are the possible benefits and risks of participating?
Participants may become more active and improve their health. They will also help research into preventing health problems that are linked to not being active enough. Other than the time it takes you to complete the questionnaires, there should be very little risk or disadvantage to taking part.

Where is the study run from?
The University of Cambridge (UK)

When is the study starting and how long is it expected to run for?
February 2026 to August 2027

Who is funding the study?
The study is funded by the NIHR Three Schools Prevention Programme and by the NIHR Cambridge Biomedical Research Centre (UK)

Who is the main contact?
Dr Dharani Yerrakalva, dy255@cam.ac.uk

Contact information

Dr Dharani Yerrakalva
Principal investigator, Public, Scientific

Department of Public Health and Primary Care, Forvie Site, Robinson Way
Cambridge
CB2 0SR
United Kingdom

ORCiD logoORCID ID 0000-0003-1830-5315
Phone +44 (0)7841713032
Email dy255@cam.ac.uk

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingOpen (masking not used)
ControlActive
AssignmentSingle
PurposePrevention
Scientific titleIntegrating a digitalised physical activity intervention into routine primary care services: Pilot feasibility study assessing the effectiveness of NHS Active 10 App for inactive older adults in NHS health checks
Study acronymAGILitY
Study objectivesThe primary objectives will be:
1. To determine whether an RCT assessing the effectiveness of Active 10 in adults is feasible e.g. through examining recruitment rates and retention rates.
2. To determine whether an RCT assessing the effectiveness of Active 10 in adults is acceptable e.g. through examining randomisation acceptability, intervention acceptability and fidelity.
3. To help determine sample size for a full RCT by using pilot retention rates and effect sizes for change in the primary outcome (change in MVPA).

The secondary objectives are to obtain data for change in secondary outcomes (e.g. sedentary time, HR-QoL outcomes, physical function).
Ethics approval(s)

Approved 17/12/2025, East of England- Cambridgeshire and Hertfordshire Research Ethics Committee (2 Redman Place, London, EC20 1JQ, United Kingdom; +44 (0)207 104 8000; cambsandherts.rec@hra.nhs.uk), ref: 25/EE/0245

Health condition(s) or problem(s) studiedPrevention of physical inactivity among older adults
InterventionThe method of randomisation will be block randomisation (allocation ratio 1:1) which will be conducted for each of four strata (age [<70 years and =>70 years] and sex).

The intervention group (12 weeks duration) will receive a physical activity prescription and will download Active 10.
They will receive emails with progress summaries and advice.

The control group will be given a leaflet about exercise.
Intervention typeMixed
Primary outcome measure(s)
  1. Feasibility and acceptability outcomes measured using Questionnaire at 3 months
Key secondary outcome measure(s)
  1. Moderate to vigorous physical activity measured using Accelerometer at Baseline and 3 months
  2. Health-related quality of life measured using EQ5D3L at Baseline and 3 months
  3. Usual walking speed measured using Accelerometry at Baseline and 3 months
  4. Sedentary time measured using Accelerometry at Baseline and 3 months
  5. BMI measured using Self-reported questionnaire at Baseline and 3 months
Completion date02/08/2027

Eligibility

Participant type(s)
Age groupMixed
Lower age limit55 Years
Upper age limit100 Years
SexAll
Target sample size at registration80
Key inclusion criteria1. Adults aged ≥55 years
2. Smartphone ownership
3. Can read English
4. Can provide informed consent
5. Inactive (<150 minutes activity/week)
6. Has an email address
Key exclusion criteriaCognitive impairment preventing app usage/walking, physical impairment preventing app usage/walking, already participating in exercise program/exercise app.
Date of first enrolment02/02/2026
Date of final enrolment09/02/2027

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centres

NHS Cambridgeshire and Peterborough Integrated Care Board
Gemini House, Bartholomew’s Walk
Cambridgeshire Business Park
Angel Drove
Ely
Cambridgeshire CB7 4EA
Ely
CB74EA
England
NHS North East London Icb
Unex Tower
5 Station Street
London
E15 1DA
England

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing plan

Editorial Notes

18/12/2025: Study's existence confirmed by the HRA.