UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000062527
Receipt number R000062910
Scientific Title Evaluation of the Effectiveness and Feasibility of a Nurse-led General Advance Care Planning Booklet for Stroke Survivors at home
Date of disclosure of the study information 2026/08/09
Last modified on 2026/08/09 17:11:55

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Basic information

Public title

Evaluation of the Effectiveness and Feasibility of a Nurse-led General Advance Care Planning Booklet for Stroke Survivors at home

Acronym

Evaluation of the Effectiveness and Feasibility of a Nurse-led General Advance Care Planning Booklet for Stroke Survivors at home

Scientific Title

Evaluation of the Effectiveness and Feasibility of a Nurse-led General Advance Care Planning Booklet for Stroke Survivors at home

Scientific Title:Acronym

Evaluation of the Effectiveness and Feasibility of a Nurse-led General Advance Care Planning Booklet for Stroke Survivors at home

Region

Japan


Condition

Condition

stroke

Classification by specialty

Nursing

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To develop a Nursing Practice Model to Promote Advance Care Planning for Stroke Survivors at home,and to Evaluate the Effectiveness and Feasibility of a Nurse-led General Advance Care Planning Booklet for Stroke Survivors at home

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Readiness for Advance care planning

Key secondary outcomes

Communication between stroke survivors ans Nurses


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking


Concealment

No need to know


Intervention

No. of arms

1

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Home care nurses will provide support to stroke survivors using a ACP booklet based on the nursing practice model on three occasions during regular home care visits.A questionnaire survey will be administered to the stroke survivors before and after the intervention. After the intervention, interviews will be conducted with the subjects (stroke survivors and nurses who provided support) whose consent was obtained.

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

45 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Nurses: 5-10 individuals meeting the following criteria

1 Working at a home-visit nursing station
2 At least three years of clinical experience as a nurse
3 Able to communicate in Japanese

Stroke Survivors: 10-20 individuals meeting the following criteria

1 Those who have been diagnosed with a stroke (with a history of cerebral infarction, cerebral hemorrhage, or subarachnoid hemorrhage; the number of years since onset is not specified)
2 Utilizing home-visit nursing services
3 No apparent decline or loss of cognitive function
4 Able to communicate in Japanese

Key exclusion criteria

1 Apparent decline or loss of cognitive function
2 Inability to communicate in Japanese

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Satoko
Middle name
Last name Usui

Organization

Chiba University

Division name

Graduate school of Nursing

Zip code

260-0856

Address

1-8-1, Inohana, Chuo-ku, Chiba-shi, Chiba, Japan

TEL

043-251-1111

Email

s-usui@chiba-u.jp


Public contact

Name of contact person

1st name Satoko
Middle name
Last name Usui

Organization

Chiba University

Division name

Gradate school of Nursing

Zip code

260-0856

Address

1-8-1, Inohana, Chuo-ku, Chiba-shi, Chiba, Japan

TEL

043-251-1111

Homepage URL


Email

s-usui@chiba-u.jp


Sponsor or person

Institute

Chiba University

Institute

Department

Personal name

Satoko Usui


Funding Source

Organization

Chiba University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Chiba University

Address

1-8-1, Inohana, Chuo-ku, Chiba-shi, Chiba, Japan

Tel

043-251-1111

Email

s-usui@chiba-u.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

2026 Year 08 Month 09 Day


Related information

URL releasing protocol

The protocol is not publicly available.

Publication of results

Unpublished


Result

URL related to results and publications

The results is not publicly available.

Number of participants that the trial has enrolled

14

Results

A total of 14 participants (six visiting nurses and eight stroke survivors) completed the study. RACP and ACPE scores improved significantly after the intervention (RACP: p = 0.04; ACPE: p = 0.02). Interviews revealed that stroke survivors used the practice guide to reflect on and document value sharing and the selection of a substitute decision-maker. Nurses assessed ACP feasibility in advance and used the guide to elicit patients' wishes and values.

Results date posted

2026 Year 08 Month 09 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

6 home-visit nurses,8 stroke survivors

Participant flow

Intervention providers: 6 home-visit nurses
Participants: 9 stroke survivors
Completed the intervention: 8
Withdrew or dropped out: 1
Included in the analysis: 8 stroke survivors

Adverse events

No adverse events were observed in this study.

Outcome measures

1.Readiness for Advance Care Planning (RACP) using the RACP scale
2.Engagement in Advance Care Planning (ACP) using the Advance Care Planning Engagement Survey (ACPE)
3.Perceptions of and perceived usefulness of the intervention, as assessed through semi-structured interviews following the intervention

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2024 Year 07 Month 24 Day

Date of IRB

2024 Year 07 Month 02 Day

Anticipated trial start date

2024 Year 07 Month 24 Day

Last follow-up date

2025 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

2026 Year 08 Month 09 Day

Last modified on

2026 Year 08 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062910