UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000047109
Receipt number R000053739
Scientific Title Development of a multifactorial program for frail older adults: a feasibility study
Date of disclosure of the study information 2022/03/08
Last modified on 2022/09/07 07:58:35

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Basic information

Public title

A feasibility study for a multifactorial Intervention in outpatients with frailty (pilot study)

Acronym

A feasibility study for a multifactorial Intervention in outpatients with frailty (pilot study)

Scientific Title

Development of a multifactorial program for frail older adults: a feasibility study

Scientific Title:Acronym

Development of a multifactorial program for frail older adults: a feasibility study

Region

Japan


Condition

Condition

Frailty

Classification by specialty

Geriatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the potential effects and feasibility of a multifactorial intervention in frail outpatients.

Basic objectives2

Others

Basic objectives -Others

Feasibility

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Rate of participation in the program

Key secondary outcomes

Frailty phenotype
Revised J-CHS

Motor function
Short Physical Performance Battery

Cognitive function
1) MMSE-J
2) Word fluency
3) Logical Memory 1, 2
4) Digit Symbol Substitution Test
5) Trail Making Test Part A, B
6) Digit Span Test
7) Composite score calculated from MMSE, DSST, TMT, logical memory, number counting, and word recall tests
8) DASC-21

Nutrition and oral function
1) Dietary variety score
2) Council on Nutrition Appetite Questionnaire-J
3) Oral function

Body composition
Percent fat mass and fat-free mass measured by InBody770

Blood test
WBC, RBC, PLT, Hb, Ht, MCV, MCH, MCHC, differential count of leukocytes, TP, ALB, A/G, CRP, T-Bil, AST, ALT, LDH, gamma-GTP, CK, BUN, CRE, eGFR-CRE, UA, NA, K, Cl, TG, T-Chol, LDL-Chol, HDL-Chol, BG, Ft, Zn, HbA1c, GA, cystatin c, F-T3, F-T4, TSH

Urine analysis
Qualitative urine analysis, urinary sediment analysis, urinary microalbumin, U-CRE, U-Na, U-Cl, U-K

Mental Health
1) S-WHO-5-J
2) Japanese version of the UCLA Loneliness Scale
3) Subjective well-being

Social function and functional capacity
1) TMIG-IC
2) JST-IC
3) Japanese version of the Lubben Social Network Scale (LSNS-6)
4) Frequency of social interaction
5) Frequency of going out
6) Frequency of social participation
7) Smartphone use
8) Use of social networking services (SNS)
9) Willingness to continue using SNS
10) SNS use during the course

Impression of the programs/satisfaction level

Safety
Incidences of diseases or disorders developed during the intervention period will be checked.

Adherence
Withdrawal/dropout rates

Reasons for dropout
The reasons for dropouts, such as relocation, hospitalization, poor health, or busy schedule, will be clarified.


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

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Multifactorial intervention composed of exercise, nutrition, oral health, and social interaction programs

Exercise program
Multifactorial exercise program (once a week, 60 min/session) + exercise diary

Nutrition program
Lectures by a registered dietitian (two sessions), healthy meal delivery/trying ready-to-eat meals + food diary

Oral health program
Lectures by a dentist (one session), oral care practice

Social interaction program
Face-to-face lectures (five sessions), interactions using SNS, face-to-face social events

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

65 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Men and women aged 65 and older
2) Outpatients with frailty
3) Those who fall under the pre-frailty (4 - 7 points) or frailty (8 points or more) categories on the basic checklist
4) Smartphone users

Key exclusion criteria

Persons:
1) who have been diagnosed with dementia or prescribed anti-dementia medications
2) who have a disability affecting basic activities of daily living
3) who are prohibited from exercising (except for light exercise) by their family physician
4) who are on restricted protein diets for disease management and those with eGFR below 30
5) who have had angina, severe heart failure, terminal illness, myocardial infarction or cardiac surgery, or have been in palliative care within the past three months
6) who need to change their medications at the time of enrollment
7) who are participating in a specific rehabilitation program
8) who cannot walk more than 10 meters without assistance
9) who suffered a femoral neck fracture in the past
10) participating in other clinical research, and those participating-or who plan to participate-in a clinical trial
11) who have difficulty communicating in Japanese
12) who are deemed ineligible to be research participants at the discretion of the principal investigator and physician (co-investigator)
13) whose informed consent cannot be obtained

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Atsushi
Middle name
Last name Araki

Organization

Tokyo Metropolitan Geriatric Hospital

Division name

Diabetes, Metabolism, and Endocrinology

Zip code

173-0015

Address

35-2, Sakae-cho, Itabashi-ku, Tokyo, Japan

TEL

03-3964-1141

Email

aaraki@tmghig.jp


Public contact

Name of contact person

1st name Keiko
Middle name
Last name Motokawa

Organization

Tokyo Metropolitan Institute of Gerontology

Division name

Research Team for Promoting Independence and Mental Health

Zip code

173-0015

Address

35-2, Sakae-cho, Itabashi-ku, Tokyo, Japan

TEL

03-3964-1141

Homepage URL


Email

kmoto@tmig.or.jp


Sponsor or person

Institute

Tokyo Metropolitan Institute of Gerontology

Institute

Department

Personal name



Funding Source

Organization

Tokyo Metropolitan Institute of Gerontology

Organization

Division

Category of Funding Organization

Local Government

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board of Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology

Address

35-2, Sakae-cho, Itabashi-ku, Tokyo

Tel

03-3964-1141

Email

rinsyoushiken@tmghig.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

東京都健康長寿医療センター研究所


Other administrative information

Date of disclosure of the study information

2022 Year 03 Month 08 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2022 Year 03 Month 08 Day

Date of IRB

2022 Year 01 Month 06 Day

Anticipated trial start date

2022 Year 03 Month 09 Day

Last follow-up date

2022 Year 07 Month 13 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 03 Month 07 Day

Last modified on

2022 Year 09 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053739