UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056282
Receipt number R000059945
Scientific Title Comprehensive exploration for patterns of multimorbidity and health-related outcomes in home care patients
Date of disclosure of the study information 2024/11/27
Last modified on 2025/11/28 10:12:09

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Basic information

Public title

Comprehensive exploration for patterns of multimorbidity and health-related outcomes in home care patients

Acronym

Multimorbidity and health-related outcomes in home care patients

Scientific Title

Comprehensive exploration for patterns of multimorbidity and health-related outcomes in home care patients

Scientific Title:Acronym

Multimorbidity and health-related outcomes in home care patients

Region

Japan


Condition

Condition

multimorbidity

Classification by specialty

Not applicable Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The main objective of this study is to analyze and describe the disease patterns of patients with multimorbidity receiving home care.

Basic objectives2

Others

Basic objectives -Others

We will clarify the association between the quality of multidisciplinary care and the quality of life of patients and their family caregivers, as well as the association between the complexity of prescriptions, adherence to medication, and caregivers' attitudes toward medication burden and deprescribing.

Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Quality of life of patients with multimorbidity receiving home care and their family caregivers.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Adult patients over 18 years old
Patients who are receiving home care to their own home

Key exclusion criteria

Patients who newly started home care in February 2024 or later
Residents of institutional facilities
If the patient does not agree to participate in the study
Patients whose physical symptoms are unstable or whose prognosis is limited, and whose responses are judged to be psychologically or physically burdensome.

Target sample size

600


Research contact person

Name of lead principal investigator

1st name Shoichi
Middle name
Last name Masumoto

Organization

University of Tsukuba

Division name

Institute of Medicine

Zip code

305-8575

Address

1-1-1 Tennodai, Tsukuba, Ibaraki

TEL

0298533189

Email

smash422@md.tsukuba.ac.jp


Public contact

Name of contact person

1st name Shoichi
Middle name
Last name Masumoto

Organization

University of Tsukuba

Division name

Institute of Medicine

Zip code

305-8575

Address

1-1-1 Tennodai, Tsukuba, Ibaraki

TEL

0298533189

Homepage URL


Email

smash422@md.tsukuba.ac.jp


Sponsor or person

Institute

University of Tsukuba

Institute

Department

Personal name



Funding Source

Organization

Grants-in-Aid for Scientific Research Japan society of the promotion of science

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics committee of the Institute of Medicine, University of Tsukuba

Address

1-1-1, Tennnodai, Tsukuba, Ibaraki, Japan

Tel

0298533189

Email

smash422@md.tsukuba.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

2024 Year 11 Month 27 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

Among home-care patients, 96.4% had two or more comorbidities, and 84.8% had three or more comorbidities.

Results date posted

2025 Year 11 Month 28 Day

Results Delayed

Delay expected

Results Delay Reason

Delay of analysis

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

Preinitiation

Date of protocol fixation

2023 Year 11 Month 21 Day

Date of IRB


Anticipated trial start date

2024 Year 02 Month 01 Day

Last follow-up date

2024 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Data collection items:
Physician-in-charge evaluation items (extract the situation at the most recent clinic visit)
-Patient's age, gender
-Diseases, Type of medical treatment, Average time of visit, Level of care required, ADL (Clinical Frailty Scale)
-Cognitive function (level of independence in daily living for the elderly with dementia)
-Number of monthly home visits (once, twice, three or more times)
-Number of home visits per month (once, twice, three or more times)
-Difficulties with medical treatment, Prescription drugs
-Use of home nursing care

Questionnaire survey of the patient
-Quality of Life (QOL-HC)
-Attitude toward deprescribing (using one question from the PATD)
-Burden of taking medications (using the item on difficulty in taking medications in the MTBQ)
-Medication adherence (Ueno et al. scale)
-Patient experience (JPCAT-SF)
Questionnaire survey of family caregivers
-Characteristics of family caregivers: age, gender, relationship with patient, caregiving time, educational background, annual household income
-J-IEXPAC CAREGIVERS
-Time of certification as requiring care, medical care environment prior to introduction of home-visit care
-Services used (home nursing, home pharmaceuticals, home care, etc.)
-Burden of caregiving (BIC-11)
-Caregiver QOL (ASCOT Carer)
-Pharmacy manager (patient/caregiver)
-Caregiver Perceived Burden of Medication (using MTBQ items on medication)
-Attitude toward deprescribing (using one question from the rPATD)


Management information

Registered date

2024 Year 11 Month 27 Day

Last modified on

2025 Year 11 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059945