UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057399
Receipt number R000065586
Scientific Title The Impact of Intensive Exercise Therapy on Exercise Self-Efficacy and Adherence in Patients with Type 2 Diabetes: A Prospective Cohort Study
Date of disclosure of the study information 2025/04/01
Last modified on 2025/03/29 07:39:15

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Basic information

Public title

The Impact of Intensive Exercise Therapy on Motivation and Continuation of Exercise in Patients with Type 2 Diabetes

Acronym

"Diabetes Exercise Continuation Support" Study

Scientific Title

The Impact of Intensive Exercise Therapy on Exercise Self-Efficacy and Adherence in Patients with Type 2 Diabetes: A Prospective Cohort Study

Scientific Title:Acronym

Type 2 Diabetes Exercise Therapy Adherence Study

Region

Japan


Condition

Condition

Type 2 Diabetes Mellitus

Classification by specialty

Endocrinology and Metabolism Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to clarify the impact of inpatient exercise therapy on exercise self-efficacy and exercise adherence in patients with type 2 diabetes who are hospitalized for diabetes education at Osaka Saiseikai Ibaraki Hospital.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The Exercise Adherence Rating Scale (EARS) and the International Physical Activity Questionnaire (IPAQ) will be used to evaluate the continuity of exercise therapy. EARS will be assessed at discharge and 6 months after discharge, while IPAQ will be assessed at admission and 6 months after discharge.

Key secondary outcomes

At admission and discharge, patients' physical and mental functions will be evaluated using the Japanese version of the Self-Efficacy for Exercise Scale (SEE), the presence or absence of frailty (based on J-CHS criteria), the presence or absence of sarcopenia (based on AWGS2019), the presence or absence of locomotive syndrome, calf circumference, grip strength, 10-meter walking time, knee extension strength, grip strength (again), the two-step test, the Michigan Neuropathy Screening Instrument (MNSI), and ankle dorsiflexion range of motion.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

YES

Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

During a multi-week hospital stay, intensive exercise therapy will be conducted as part of physical therapy. The program includes strength training (Borg Scale 14-16), aerobic exercise (Borg Scale 12-14), balance exercises (e.g., single-leg standing), and range of motion exercises (e.g., ankle dorsiflexion). Each session lasts about 40 minutes per day. On the first day, a physical therapist will customize the program based on the patient's physical function and lifestyle history.
1.Emphasize that exercise therapy is as important as pharmacotherapy and dietary therapy in managing diabetes. If needed, explain the acute and chronic effects of exercise.
2.Ask if the patient has an exercise habit. If not, gauge their willingness to begin and whether home-based exercise is an option.
3.If they already exercise, gather details (type, duration, timing) and offer adjustments if suitable. If they do not exercise but are open to starting, provide appropriate recommendations.
For patients struggling to adopt a routine, encourage them to track daily activity after discharge and gradually increase steps by about 500-1000 over time.
4.Regardless of exercise habits, advise all patients on simple bodyweight strength exercises tailored to their function, ensuring minimal fall risk.

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

Patients with type 2 diabetes hospitalized for diabetes education at Osaka Saiseikai Ibaraki Hospital.

Key exclusion criteria

Patients who suffer from excessive pain or motor paralysis that makes various motor function evaluations difficult. In addition, patients with an HDS-R score of 20 or below, whose accuracy in completing questionnaires is expected to be significantly reduced.

Target sample size

85


Research contact person

Name of lead principal investigator

1st name Kenichi
Middle name
Last name Fudeyasu

Organization

Osaka Saiseikai Ibaraki Hospital

Division name

Department of Rehabilitation Medicine

Zip code

567-0035

Address

2-1-45, Mitsukeyama, Ibaraki, Osaka 567-0035, Japan

TEL

072-622-8651

Email

kenichi.fudeyasu@gmail.com


Public contact

Name of contact person

1st name Yuka
Middle name
Last name Ito

Organization

Osaka Saiseikai Ibaraki Hospital

Division name

Department of Rehabilitation Medicine

Zip code

567-0035

Address

2-1-45, Mitsukeyama, Ibaraki, Osaka 567-0035, Japan

TEL

072-622-8651

Homepage URL


Email

youcan.one@gmail.com


Sponsor or person

Institute

Osaka Saiseikai Ibaraki Hospital

Institute

Department

Personal name



Funding Source

Organization

Public Interest Incorporated Foundation Osaka Gas Group Welfare Foundation

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka Saiseikai Ibaraki Hospital Ethics Committee

Address

2-1-45, Mitsukeyama, Ibaraki, Osaka 567-0035, Japan

Tel

072-622-8651

Email

info@ibaraki.saiseikai.or.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

大阪府済生会茨木病院 (大阪府)


Other administrative information

Date of disclosure of the study information

2025 Year 04 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

Open public recruiting

Date of protocol fixation

2025 Year 03 Month 25 Day

Date of IRB

2024 Year 02 Month 27 Day

Anticipated trial start date

2025 Year 03 Month 25 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry

2028 Year 04 Month 30 Day

Date trial data considered complete

2028 Year 05 Month 31 Day

Date analysis concluded

2028 Year 09 Month 30 Day


Other

Other related information



Management information

Registered date

2025 Year 03 Month 25 Day

Last modified on

2025 Year 03 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065586

Research Plan
Registered date File name
2025/03/27 研究計画書.doc
Research case data specifications
Registered date File name
2025/03/27 research data specification document.docx
Research case data
Registered date File name
2025/03/27 case.csv

Single case data URL

Value
https://center6.umin.ac.jp/ice/65586