BandPass: A Remote Monitoring System for Sarcopenia and Functional Decline Phase II Aim 4

This study evaluates a home-based strengthening program supported by the BandPass system, which includes a Bluetooth-enabled resistance exercise band, a mobile app that provides real-time feedback, and a clinician dashboard for remote monitoring. The goal of this clinical trial is to determine whether older adults living independently can feasibly use the BandPass system and whether participation in a BandPass-guided strengthening program improves functional performance. The main questions this study seeks to answer are: Whether older adults can independently and consistently use the BandPass system as part of a structured home-based strengthening program (feasibility and acceptability). Whether the BandPass-guided program improves functional outcomes, including lower-extremity strength, mobility, and gait performance. Participants will complete a 12-week home strengthening program using the BandPass system, attend in-person and virtual assessment visits to measure strength and mobility, and complete questionnaires related to usability, safety, and overall experience. If successful, this study will provide preliminary evidence supporting the use of remote monitoring technologies to promote strength, mobility, and independence in aging adults and inform the design of future larger-scale trials.