UMIN-CTR Clinical Trial

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

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Basic information

Public 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

Acronym

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

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

Scientific Title:Acronym

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

Region

Japan


Condition

Condition

Cardiovascular disease patients with subthreshold depression

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

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.

Key secondary outcomes

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.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

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.

Interventions/Control_2

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.

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

110 years-old >=

Gender

Male and Female

Key inclusion criteria

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.

Key exclusion criteria

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.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Kazuki
Middle name
Last name Hirao

Organization

Gunma University

Division name

Graduate School of Health Sciences

Zip code

371-8514

Address

3-39-22 Showa, Maebashi, Gunma, Japan

TEL

027-220-8952

Email

kazuki.hirao@gunma-u.ac.jp


Public contact

Name of contact person

1st name Masataka
Middle name
Last name Sakimoto

Organization

Gunma University

Division name

Graduate School of Health Sciences

Zip code

371-8514

Address

3-39-22 Showa, Maebashi, Gunma, Japan

TEL

027-220-8952

Homepage URL


Email

h231c010@gunma-u.ac.jp


Sponsor or person

Institute

Gunma University

Institute

Department

Personal name



Funding Source

Organization

Gunma University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical Review Board for Medical Research Involving Human Subjects of Gunma University

Address

3-39-15 Showa, Maebashi, Gunma, Japan

Tel

027-220-8740

Email

hitotaisho-ciru@ml.gunma-u.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



Other administrative information

Date of disclosure of the study information

2023 Year 10 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled

30

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

2023 Year 09 Month 01 Day

Date of IRB

2023 Year 08 Month 30 Day

Anticipated trial start date

2023 Year 10 Month 01 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 09 Month 08 Day

Last modified on

2025 Year 09 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059526