UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054471
Receipt number R000062075
Scientific Title An effect evaluation of community organizing intervention by accompanied support with local municipalities for the promotion of a healthy aging society: a protocol for a cluster randomized controlled trials.
Date of disclosure of the study information 2024/06/01
Last modified on 2025/12/12 11:07:08

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Basic information

Public title

Municipal Support for Advancing Data-Driven Management of Community-based Integrated Care: A Cluster Randomized Controlled Trial

Acronym

MUSUBI Study

Scientific Title

An effect evaluation of community organizing intervention by accompanied support with local municipalities for the promotion of a healthy aging society: a protocol for a cluster randomized controlled trials.

Scientific Title:Acronym

An effect evaluation of community organizing intervention by accompanied support with local municipalities for the promotion of a healthy aging society: a protocol for a cluster randomized controlled trials.

Region

Japan


Condition

Condition

Functional Ability

Classification by specialty

Not applicable

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To promote a healthy aging society, we clarify effective municipal support methods and evaluate their intervention effects.For this purpose, we use JAGES-HEART, a support tool designed for the development of a comprehensive community care system based on the social determinants of health (SDH).This tool facilitates data utilization and organizational collaboration, enabling local government staff and residents to organize community efforts towards healthier towns.We evaluate the intervention effects through a cluster-randomized controlled trial using the Functional Ability Index of older people who have not received long-term care certification as the primary outcome measure. We will also assess the effects of the intervention on broader community issues beyond health, such as environmental awareness and disaster preparedness, as well as its co-benefits in participating municipalities.Additionally, the study will evaluate the effects on the prevention of need for care, work engagement of municipal elderly care staff, policy-making capabilities, and the status of multidisciplinary collaboration within these municipalities.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Functional Ability Index

Key secondary outcomes

Individual level:
1)Social Isolation 2)Loneliness 3)Poverty 4)Social Withdrawal 5)Cognitive Function 6)Higher-level Functional Capacity 7)Functional Ability Index Domain Score 8)JAGES Human Flourishing Score
Municipality Level:
1)Long-term Care Benefit 2)Community Social Capital 3)Rate of Social Participation 4)Incentive Grant Score 5)Long-term Care Prevention Program Report Points 6)Rate of New Long-term Care Certification
7)Medical and Long-term Care Benefits 8)Estimated Reduction in Greenhouse Gas Emissions Through Energy Sharing in Community Settings
Municipal staff evaluation:
1)9 items Utrecht Work Engagement Scale Japanese version 2)Workplace Social Capital 3)Administrative Execution Capability Scale 4)Subjective and Objective Multidisciplinary Collaboration 5)Longitudinal and Transversal Organizational Collaboration


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Other

Interventions/Control_1

Both the intervention group and the comparison group will receive the following interventions.
-Provision of Epidemiological Evidence
-Peer Support and Information Provision via Mailing List
-Provision of Community Diagnosis Data and Target Area Selection Sheets
-Organization of Joint Research Meetings for mucipalities

Interventions/Control_2

In addition to the intervention described in Intervention 1, the intervention group will receive the following interventions.
-Assign a responsible researcher in each municipality and provide hands-on support tailored to the situation of each municipality to promote community organization.
-Support for identifying community issues and resources by actively utilizing the provided community diagnosis data
-Support for inter-organizational collaboration and multi-departmental collaboration
-Support for planning and implementing long-term care prevention measures

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

[Evaluation for older people (census survey)]
1)They are participating in the JAGES cohort study conducted in 2022.
2)They are 65 years or older at the time of participation in the study.
3)They are not certified as needing long-term care insurance (support levels 1-2 and care levels 1-5) at the time of participation in the study.

[Evaluation for older people (Sample Survey Municipalities)]
1)They are 65 years or older at the time of participation in the study.
2)They are not certified as needing long-term care insurance (support levels 1-2 and care levels 1-5) at the time of participation in the study.
3)Those who meet criteria 1) and 2) are randomly selected from each elementary school district within the municipality, with a minimum of 150 individuals. If fewer than 150 individuals meet these criteria in a district, all eligible individuals residing in that district are included in the study.
4)Among those sampled in 3), only those who responded to the distributed questionnaire are included.

[Municipal Staff Evaluation]
1)They are employees of the municipal community-based integrated care promotion department.

Key exclusion criteria

[Evaluation for older people (Census Survey)]
1)They are under 65 years old at the time of participation in the study.
2)They are certified as needing long-term care insurance at the time of participation in the study.

[Evaluation for older people (Sample Survey Municipalities)]
1)They are under 65 years old at the time of participation in the study.
2)They are certified as needing long-term care insurance at the time of participation in the study.
3)If there are more than 150 individuals who meet criteria 1) and 2) in the elementary school district of the municipality, 150 individuals are randomly selected, and those who are not selected in this random sampling.

[Municipal Staff Evaluation]
None

Target sample size

92000


Research contact person

Name of lead principal investigator

1st name Naoki
Middle name
Last name Kondo

Organization

Graduate School of Medicine and School of Public Health, Kyoto university

Division name

Department of Social Epidemiology

Zip code

606-8501

Address

Science Frontier Laboratory Floor 2, Yoshida-konoe-cho, Sakyo-ku, Kyoto 606-8501

TEL

075-753-4355

Email

contact@socepi.med.kyoto-u.ac.jp


Public contact

Name of contact person

1st name Ryohei
Middle name
Last name Oda

Organization

Graduate School of Medicine, Kyoto University

Division name

Department of Social Epidemiology

Zip code

606-8501

Address

Science Frontier Laboratory Floor 2, Yoshida-konoe-cho, Sakyo-ku, Kyoto 606-8501

TEL

075-753-4355

Homepage URL


Email

jagesmusubi@socepi.med.kyoto-u.ac.jp


Sponsor or person

Institute

Kyoto University

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyoto University Ethics Committee

Address

Yoshida Konoe-cho, Sakyo-ku, Kyoto 606-8501 JAPAN

Tel

81757534680

Email

ethcom@kuhp.kyoto-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

2024 Year 06 Month 01 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

Enrolling by invitation

Date of protocol fixation

2024 Year 06 Month 01 Day

Date of IRB

2025 Year 07 Month 15 Day

Anticipated trial start date

2024 Year 08 Month 01 Day

Last follow-up date

2029 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

2024 Year 05 Month 24 Day

Last modified on

2025 Year 12 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062075