UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000040697
Receipt number R000046458
Scientific Title The psychology of patients before and after implentation biofeedback therapy after stoma closure surgery -Suevey on patients with ultra low anterior resection and intersphincteric resection-
Date of disclosure of the study information 2020/06/10
Last modified on 2021/12/22 17:54:08

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Basic information

Public title

The psychology of patients before and after implentation biofeedback therapy after stoma closure surgery
-Suevey on patients with ultra low anterior resection and intersphincteric resection-

Acronym

The psychology of patients before and after implentation biofeedback therapy after stoma closure surgery
-Suevey on patients with ultra low anterior resection and intersphincteric resection-

Scientific Title

The psychology of patients before and after implentation biofeedback therapy after stoma closure surgery
-Suevey on patients with ultra low anterior resection and intersphincteric resection-

Scientific Title:Acronym

The psychology of patients before and after implentation biofeedback therapy after stoma closure surgery
-Suevey on patients with ultra low anterior resection and intersphincteric resection-

Region

Japan


Condition

Condition

Stoma closure

Classification by specialty

Nursing

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Targeting patients undergoing stoma closure after intersphincteric or ultra-low anterior resection, and conducting biofeedback therapy using anal electromyography to examine the psychology of the patient before and after implementation.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Linguistic data related to psychological and perception of pelvic floor gymnastics generated by biofeedback therapy

Key secondary outcomes

anal sphincter function
Wexner Score
LARS Score
Modified Fecal incontinence Quality of Life Scale


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Conduct biofeedback therapy once a month for 3 months

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

65 years-old >

Gender

Male and Female

Key inclusion criteria

1)Patients under the age of 65 who underwent stoma closure after intersphincteric resection or ultra-low anterior resection at Sapporo Medical University Hospital
2)Those who are within 6 months after surgery at the start of biofeedback therapy

Key exclusion criteria

1)Those who have problems with movement of limbs due to cerebrovascular disease etc. and are using assistive devices
2)Persons with diseases that impede the implementation of pelvic floor muscle exercises
3)Those who have symptoms during exercise due to cardiovascular disease
4)Person diagnosed with dementia

Target sample size

5


Research contact person

Name of lead principal investigator

1st name Shigeyuki
Middle name
Last name Saito

Organization

Sapporo Medical University

Division name

Department of nursing, Third course

Zip code

060-0061

Address

291, Minami 1-jo Nishi 16-chome, Chuo-ku,Sapporo-shi,Hokkaidou

TEL

011-611-2111

Email

ssaitoh@sapmed.ac.jp


Public contact

Name of contact person

1st name Kaori
Middle name
Last name Nakano

Organization

Sapporo Medical University

Division name

Department of Nursing, Graduate School of Health Sciences

Zip code

060-0061

Address

291, Minami 1-jo Nishi 16-chome, Chuo-ku,Sapporo-shi,Hokkaido

TEL

011-611-2111

Homepage URL


Email

kaori_0824_ch@sapmed.ac.jp


Sponsor or person

Institute

Sapporo Medical University
Department of Nursing, Graduate School of Health Sciences

Institute

Department

Personal name



Funding Source

Organization

Sapporo Medical University
Department of Nursing, Graduate School of Health Sciences

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

No

Name of secondary funder(s)

No


IRB Contact (For public release)

Organization

Sapporo Medical University Institutional Review Board

Address

291, Minami 1-jo Nishi 16-chome, Chuo-ku,Sapporo-shi,Hokkaido

Tel

011-611-2111

Email

ji-rskk@sapmed.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

札幌医科大学附属病院(北海道)


Other administrative information

Date of disclosure of the study information

2020 Year 06 Month 10 Day


Related information

URL releasing protocol

https://

Publication of results

Unpublished


Result

URL related to results and publications

https://

Number of participants that the trial has enrolled

5

Results

The study showed that visually understanding the contraction of the anal sphincter by the BF may help patients restore their sense of ability to perform contractions. Further, it was found that the feeling of recovery of the anal sphincter function by the BF affects the increased motivation toward performing exercises such as pelvic floor muscle exercises, and this is again related to the feeling of improvement in muscle strength due to the exercises.

Results date posted

2021 Year 12 Month 22 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2021 Year 08 Month 10 Day

Baseline Characteristics

The study participants were five male patients, aged 53.8 years. For the types of rectal resection, four participants underwent inter-sphincter resection and one super-low anterior resection.

Participant flow

We provided biofeedback interventions once a month for three months for five patients who underwent stoma closure after inter-sphincter resection or super-low anterior resection. Semi-structured interviews were conducted before and after the BF to collect data on the psychological effects of defecation disorder and the psychology caused by the BF. A qualitative descriptive analysis identified codes from the interview data, and subcategories and categories were created.

Adverse events

Nothing

Outcome measures

Semi-structured interviews were conducted before and after the BF to collect data on the psychological effects of defecation disorder and the psychology caused by the BF. A qualitative descriptive analysis identified codes from the interview data, and subcategories and categories were created. Further, we obtained the results of the anorectal manometry from the electronic medical records of the participants and administered a questionnaire yielding a Low Anterior Resection Syndrome (LARS) Score that shows their severity of the defecation disorder. T

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 01 Month 31 Day

Date of IRB

2020 Year 03 Month 03 Day

Anticipated trial start date

2020 Year 03 Month 11 Day

Last follow-up date

2020 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2021 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2020 Year 06 Month 09 Day

Last modified on

2021 Year 12 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046458


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name