| Unique ID issued by UMIN | UMIN000051904 |
|---|---|
| Receipt number | R000058951 |
| Scientific Title | Mobile app-based peer support to increase walking steps for older people: a cluster-randomized controlled trial |
| Date of disclosure of the study information | 2023/08/14 |
| Last modified on | 2026/08/16 09:51:41 |
Mobile app-based peer support to increase walking steps for older people
Mobile app-based peer support to increase walking steps for older people
Mobile app-based peer support to increase walking steps for older people: a cluster-randomized controlled trial
Mobile app-based peer support to increase walking steps for older people: a cluster-randomized controlled trial
| Japan |
ADL and IADL disabilities
| Adult |
Others
NO
To assess whether mobile app-based peer support increases walking steps among older people.
Efficacy
Confirmatory
Explanatory
Changes in walking steps per a week from baseline to three months after installation of the peer support app
Changes in walking steps per a week from baseline to one month after installation of the peer support app
Changes in subjective health, well-being, loneliness, social isolation, blood pressure, and etc.
Interventional
Parallel
Randomized
Cluster
Open -but assessor(s) are blinded
No treatment
NO
NO
Institution is not considered as adjustment factor.
YES
Central registration
2
Prevention
| Behavior,custom |
Two lectures of a peer support app; installing a health care app (Google Fit (Android) or The Apple Health (iPhone) and a peer support app (Minchale)
Two lectures of smartphone; installing a health care app (Google Fit (Android) or The Apple Health (iPhone))
| 60 | years-old | <= |
| Not applicable |
Male and Female
(1) Those who are using a smartphone when consent is obtained
(2) Those who can communicate in Japanese
(3) Those who are 60 years or older
(4) Those who have obtained consent for participation in the research from the research subjects themselves
(1) Those who do not have a smartphone by which the peer support app can be installed.
(2) Those who do not consent to participate in this study
(3) Those who cannot walk with their smartphone
(4) Those who have a walking restriction by a doctor
200
| 1st name | Atsushi |
| Middle name | |
| Last name | Nakagomi |
Center for Preventive Medical Sciences, Chiba University, Chiba, Japan
Department of Social Preventive Medical Sciences
263-8522
1-33 Yayoicho, Inage Ward, Chiba
043-251-1111
anakagomi0211@chiba-u.jp
| 1st name | Atsushi |
| Middle name | |
| Last name | Nakagomi |
Center for Preventive Medical Sciences, Chiba University, Chiba, Japan
Department of Social Preventive Medical Sciences
263-8522
1-33 Yayoicho, Inage Ward, Chiba
043-251-1111
anakagomi0211@chiba-u.jp
Chiba University
Atsushi Nakagomi
Japan Science and Technology
Japanese Governmental office
A10 Lab Inc.
Research ethics committee of Chiba University
1-8-1Inohaba, Chuo-ku, Chiba, Chiba
043-251-1111
inohana-rinri@chiba-u.jp
NO
| 2023 | Year | 08 | Month | 14 | Day |
https://www.jmir.org/2026/1/e75708/
Published
https://www.jmir.org/2026/1/e75708/
156
For the primary outcome, change in weekly average daily steps from baseline to Week 12, the unadjusted MMRM showed a significantly greater increase in the intervention arm (difference=579 steps, 95% CI 36-1123, P=.04); sensitivity analyses were consistent. No significant difference was found for total MET-minutes/week (P=.054) or walking 30 min/day or more (P=.33), whereas daily smartphone use (OR 4.10, P=.03) and number of use purposes (P=.01) were higher.
| 2026 | Year | 08 | Month | 16 | Day |
The analytic sample was 117 participants (control n=53, intervention n=64). Mean age was 81.2 (SD 4.7) vs 79.0 (SD 4.5) years (P=.009). Men 32.1% vs 28.1%, iOS 17.0% vs 28.1%, almost-daily smartphone use 77.4% vs 85.9%, college or above 47.2% vs 31.7%, married 49.1% vs 48.4%, self-rated health 6.8 in both, total MET 3274 vs 3372, walking 30 min/day or more 69.8% vs 67.2%, baseline daily steps 3951 vs 4583. Apart from age, arms were well balanced.
From September 2023 to June 2024, 177 were assessed for eligibility and 21 excluded (declined 12, app already installed 8, did not attend information session 1). The 156 remaining formed 40 clusters of 3-5 and were randomized by cluster (intervention 20 clusters, n=80; control 20 clusters, n=76). Sixteen per arm were lost to follow-up; 124 (79.5%) completed the 3-month follow-up (n=64 and n=60). A linkage error lost step data for 7 controls, leaving 117 analyzed.
No intervention-related adverse events were reported during the trial.
Primary outcome: change in weekly average daily step count from baseline to Week 12, measured by smartphone, with days under 1000 steps treated as missing. Secondary outcomes: weekly steps at Weeks 1-11 and monthly averages (Months 1-3), total physical activity (MET-minutes/week, IPAQ short form), self-reported walking 30 min/day or more, almost-daily smartphone use, and number of smartphone use purposes (12-item checklist), assessed by questionnaire at Week 12.
Completed
| 2023 | Year | 07 | Month | 07 | Day |
| 2023 | Year | 07 | Month | 07 | Day |
| 2023 | Year | 08 | Month | 19 | Day |
| 2024 | Year | 12 | Month | 31 | Day |
| 2023 | Year | 08 | Month | 14 | Day |
| 2026 | Year | 08 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000058951