| Unique ID issued by UMIN | UMIN000052155 |
|---|---|
| Receipt number | R000059526 |
| Scientific Title | Effects of a video viewing intervention with positive-word stimulation on depressive symptoms in elderly cardiovascular patients with subthreshold depression: a pilot randomized controlled trial |
| Date of disclosure of the study information | 2023/10/01 |
| Last modified on | 2025/09/09 18:38:54 |
Effects of a video viewing intervention with positive-word stimulation on depressive symptoms in elderly cardiovascular patients with subthreshold depression: a pilot randomized controlled trial
Effects of a video viewing intervention with positive-word stimulation on depressive symptoms in elderly cardiovascular patients with subthreshold depression: a pilot randomized controlled trial
Effects of a video viewing intervention with positive-word stimulation on depressive symptoms in elderly cardiovascular patients with subthreshold depression: a pilot randomized controlled trial
Effects of a video viewing intervention with positive-word stimulation on depressive symptoms in elderly cardiovascular patients with subthreshold depression: a pilot randomized controlled trial
| Japan |
Cardiovascular disease patients with subthreshold depression
| Rehabilitation medicine |
Others
NO
Depression and heart disease are two diseases that generally affect a large number of people; depression is projected to be the second leading cause of the global burden of disease through 2030, and ischemic heart disease is projected to be the third. In addition, patients with depressive symptoms have a higher relative risk of myocardial infarction (1.5 to 4.5 times) compared to patients with depressive symptoms and those without depressive symptoms. Furthermore, depressed patients with cardiac disease are known to have an increased risk of cardiovascular events such as myocardial infarction and rehospitalization, as well as an increased risk of death.
Cardiac rehabilitation for cardiac patients includes a comprehensive program of exercise therapy, dietary and smoking guidance, and psychological support to improve lipid and weight loss, exercise tolerance, reduce depressive symptoms, improve quality of life, and decrease mortality. However, only a small percentage of cardiac patients with depressive symptoms receive comprehensive programs.
Preventive interventions for patients with subthreshold depression, the pre-depressive stage of depression, have been found to significantly reduce the incidence of depression compared to those without intervention. In addition, an intervention using video viewing on the Internet as one of the preventive interventions for depression has been found to reduce depressive symptoms, but the effect of a short-term intervention using video viewing on the Internet in cardiac patients with subthreshold depression has not been determined.
The purpose of this study was to determine the impact of an intervention using web-based video viewing on depressive symptoms in cardiac patients with subthreshold depression admitted to an acute care unit.
Efficacy
The primary outcome is the change in scores on the Japanese version of the Beck Depression Inventory-Second Edition one week after the baseline assessment.
Secondary outcomes are change in the minimum amount of exercise at which heart failure symptoms appear on the Specific Activity Scale, New York Heart Association functional class, and change in handgrip strength one week after the baseline assessment.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
2
Treatment
| Other |
In addition to general rehabilitation (muscle strengthening exercises, exercise therapy, daily living exercises, daily living guidance, etc.) in the acute care unit, the intervention group will access the SPSRS website, select videos of interest, and watch 10-minute videos once a day, five times a week for one week.
The control group will receive general rehabilitation in an acute care ward (muscle strengthening exercises, exercise therapy, daily living exercises, daily living guidance, etc.) In addition, after accessing the YouTube website, they will select videos of interest and watch a 10-minute video once a day, five times a week for one week.
| 65 | years-old | <= |
| 110 | years-old | >= |
Male and Female
The selection criteria were as follows: patients 65 years of age or older admitted to the acute care ward of with cardiac disease (myocardial infarction, coronary revascularization, angina pectoris, heart failure, valvular heart disease, atrial or ventricular arrhythmia), with a total score of at least 10 points on the Japanese version of the Beck Depression Inventory-Second Edition, and had a total score of at least 10 points on the Japanese version of the Beck Depression Inventory-Second Edition and a New York Heart Association cardiac function classification of degree I to III. The subjects had sufficient cognitive ability to understand the content and purpose of the study and to provide written consent prior to participation in the study.
Exclusion criteria were those who had been diagnosed with a mental disorder at least once in their lifetime regardless of the type of disorder, those who were currently receiving professional treatment for mental health problems, those with visual or hearing impairments that interfere with daily living, those who were assessed by M.I.N.I. to have had a major depressive episode in the past two weeks, and those with life The exclusion criteria were: those with serious life-threatening complications.
30
| 1st name | Kazuki |
| Middle name | |
| Last name | Hirao |
Gunma University
Graduate School of Health Sciences
371-8514
3-39-22 Showa, Maebashi, Gunma, Japan
027-220-8952
kazuki.hirao@gunma-u.ac.jp
| 1st name | Masataka |
| Middle name | |
| Last name | Sakimoto |
Gunma University
Graduate School of Health Sciences
371-8514
3-39-22 Showa, Maebashi, Gunma, Japan
027-220-8952
h231c010@gunma-u.ac.jp
Gunma University
Gunma University
Self funding
Ethical Review Board for Medical Research Involving Human Subjects of Gunma University
3-39-15 Showa, Maebashi, Gunma, Japan
027-220-8740
hitotaisho-ciru@ml.gunma-u.ac.jp
NO
| 2023 | Year | 10 | Month | 01 | Day |
Published
30
Completed
| 2023 | Year | 09 | Month | 01 | Day |
| 2023 | Year | 08 | Month | 30 | Day |
| 2023 | Year | 10 | Month | 01 | Day |
| 2027 | Year | 03 | Month | 31 | Day |
| 2023 | Year | 09 | Month | 08 | Day |
| 2025 | Year | 09 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059526