Personalized Exercise Recommendations for Chronic Pelvic Pain Using Reinforcement Learning

NCT07810218 · ctgov recruiting

Enrollment: 45
Start: 2026-02-06
Completion: 2027-08-01
Last updated: 2026-09-09
Has results: False
Countries: United States

Conditions

Pelvic PainEndometriosisChronic Pelvic Pain

Tagged with

endometriosis

Interventions

Reinforcement Learning (RL)-Based Personalized Exercise Recommendations BEHAVIORAL
Daily exercise recommendations (using type, intensity, and duration) are generated by a contextual bandit reinforcement learning agent, based on the implementation described in Meier et al. 2023. Recommendations are personalized using each participant's initially generated list of exercises based on their physical ability and resources available, as well as contextual daily factors including pain symptoms, prior exercise compliance, and their feedback to the previous exercise recommendation.
Generic Exercise Recommendation BEHAVIORAL
Participants receive exercise recommendations from a standardized, set list of exercise recommendations that are based on USDHHS physical activity guidelines (Piercy et al., 2020). Recommendations are not personalized based on participant contextual information and do not adapt over the course of the study.

Eligibility criteria

Inclusion criteria: * Self-reported CPPD (e.g., endometriosis, adenomyosis, fibroids, etc.) based on clinician diagnosis * Aged 18-55 years. * Ownership of an iOS or Android smartphone. * Willingness to self-track daily symptoms, exercise activities, and self-management behaviors using a smartphone research app. * Willingness to wear an activity tracker for the study duration. * Willingness to follow exercise recommendations from a smartphone research app, provided no adverse symptoms occur. * Ability to read and write in English sufficient to understand study materials and communications. * At least intermittently physically active (e.g., ≥30 minutes of walking twice per week). Exclusion criteria: * Absolute contraindications to PA (e.g., recent myocardial infarction, complete heart block, acute congestive heart failure, unstable angina, or uncontrolled severe hypertension, BP ≥180/110 mm Hg). * More than two "Yes" responses on the Physical Activity Readiness Questionnaire (PAR-Q) (16) without physician clearance. * Major life events expected during the next 10 weeks (e.g., pregnancy, planned surgery, or extended travel likely to interfere with participation). * Current or planned pregnancy within the next 6 months. * Having given birth in the past 6 months or currently nursing. * Inability to wear an activity tracker or use the app for the study duration. * Complete inactivity (i.e., \<60 minutes of moderate-intensity PA per week).

License: public-domain-us · commercial use OK · attribution required
Courtesy of ClinicalTrials.gov / U.S. National Library of Medicine