UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058421
Receipt number R000066784
Scientific Title A Randomized Controlled Trial of a Group-Based Psychosocial Support Program for People with Mild Cognitive Impairment or Dementia and Their Carers
Date of disclosure of the study information 2025/07/10
Last modified on 2025/07/10 14:30:45

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Basic information

Public title

A Randomized Controlled Trial of a Psychosocial Support Program Using a Recreation-Based Approach with Music and Comedy for People with Mild Cognitive Impairment or Dementia and Their Carers

Acronym

REJOICE:Recreation-based psychosocial support using music and comedy

Scientific Title

A Randomized Controlled Trial of a Group-Based Psychosocial Support Program for People with Mild Cognitive Impairment or Dementia and Their Carers

Scientific Title:Acronym

GRASP Trial:Group-based psychosocial support program for people with MCI or dementia and their carers: A randomized controlled trial

Region

Japan


Condition

Condition

Mild Cognitive Impairment, Dementia

Classification by specialty

Neurology Geriatrics Nursing

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

A randomized controlled trial will be conducted to evaluate the effectiveness of a psychosocial support program for individuals with mild cognitive impairment or dementia

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Depression among family carers of people with mild cognitive impairment (MCI) and dementia

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

No treatment

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

1: Participants in the intervention program will consist of pairs of individuals with dementia and their family caregivers.
2: The program is a psychosocial support program composed of a hybrid team of professionals and non-professionals, delivered as a multi-component intervention consisting of six sessions: three music sessions and three comedy (manzai) sessions.
3: Each session will be held once every two weeks, lasting 120 minutes per session, for a total of six sessions over a 12-week period.
4: The program is based on reminiscence therapy, stress management theory, and a recreation-based approach that incorporates the elicitation of laughter.
5: Of the 120 minutes, a 40-minute separate session will be included. During this time, the individual with dementia will continue with the main joint session activities, while the family caregiver will participate in a group session where they (a) observe the individual's behavior during the session, (b) reflect and share their impressions, and (c) engage in discussion with care professionals to explore better caregiving approaches for persons with MCI or dementia. The session will also include peer interaction where caregivers can exchange concerns and support each other. The text used for this part is the caregiver support guide.

Interventions/Control_2

*Educational materials selected from the following sources will be adapted to align with the intervention sessions and distributed every two weeks at each intervention site: Introductory Textbook for People with Dementia and Their Family Caregivers and For Family Members Supporting a Person with Dementia both distributed at the Memory Clinic of the National Center for Geriatrics and Gerontology as well as handouts used in the control group of the Petit Salon psychosocial educational support program for individuals with mild cognitive impairment or dementia and their family caregivers.

*A total of six handouts will be distributed. For the first and sixth distributions, a follow-up phone call will be made a few days after the materials are handed out to confirm whether the recipients have read them. For the second through fifth distributions, at the time of handout delivery, participants will be asked to share their impressions of the previous material, and their responses will be used to assess whether the content was read, based on the level of consistency.

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

20 years-old <=

Age-upper limit

90 years-old >

Gender

Male and Female

Key inclusion criteria

[Individuals with MCI or Dementia]
Eligible participants are those aged 65-90, living at home, with a clinical diagnosis of MCI or mild to moderate dementia (MMSE >= 15), and who consent to participate (either directly or via a legal representative). They must meet at least one of the following:

- Outpatient at the National Center for Geriatrics and Gerontology (NCGG)
- Completed caregiver education or "Petit Salon" at NCGG
- Applied via NCGG website or posters
- Applied via Kyoto City public notice
- Applied via Ritsumeikan University website
- Receiving support from dementia coordinators or care managers in Kyoto Prefecture
- Applied via Kusatsu City public notice
- Receiving support from coordinators or care managers in Kusatsu City

[Families]
- Aged 20-90, family caregiver of a person meeting the above criteria, able to attend all sessions with the individual, and has consented to join
- Main caregiver providing daily support, regardless of co-residence

Key exclusion criteria

[Individuals with MCI or Dementia]

*MMSE score of 14 or lower

*Individuals with severe aphasia

*Individuals with severe visual and auditory impairments

*Individuals with severe neurodegenerative diseases or psychiatric disorders who are deemed by their primary physician to be unsuitable for participation

*Individuals with progressive illnesses (e.g., cancer) for whom long-term survival is unlikely

*Individuals unable to understand the purpose of the study

*Individuals who cannot provide informed consent or whose legal representative cannot provide proxy consent

*Individuals currently residing in care facilities

*Individuals currently participating in any of the following programs at the National Center for Geriatrics and Gerontology:
(A) Cognitive and Physical Vitalization Rehabilitation Program
(B) Art Appreciation and Self-Expression Program

[Family Caregivers] - Exclusion Criteria

*Individuals working as medical or long-term care professionals

*Individuals with severe aphasia

*Individuals with severe visual and auditory impairments

*Individuals with severe neurodegenerative diseases or psychiatric disorders who are deemed by their primary physician to be unsuitable for participation

*Individuals with progressive illnesses (e.g., cancer) for whom long-term survival is unlikely

*Individuals unable to understand the purpose of the study

*Individuals currently participating in any of the following programs at the National Center for Geriatrics and Gerontology:
(A) Cognitive and Physical Vitalization Rehabilitation Program
(B) Art Appreciation and Self-Expression Program

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Aya
Middle name
Last name Seike

Organization

National Center for Geriatrics and Gerontology

Division name

The Center for Comprehensive Care and Research on Memory Disorders

Zip code

474-0038

Address

7-430,Morioka-cho,Ohbu City, Aichi

TEL

0562-87-2500

Email

ayahime@ncgg.go.jp


Public contact

Name of contact person

1st name Aya
Middle name
Last name Seike

Organization

National Center for Geriatrics and Gerontology

Division name

The Center for Comprehensive Care and Research on Memory Disorders

Zip code

474-0038

Address

7-430,Morioka-cho,Ohbu City, Aichi

TEL

0562-87-2500

Homepage URL


Email

ayahime@ncgg.go.jp


Sponsor or person

Institute

National Center for Geriatrics and Gerontology

Institute

Department

Personal name



Funding Source

Organization

Japan Science and Tecnology Agency

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor

Ritsumeikan University

Name of secondary funder(s)

THE UEHIRO FOUNDATION ON ETHICS AND EDUCATION


IRB Contact (For public release)

Organization

Ethics and Conflict of Interest Committee of the National Center for Geriatrics and Gerontology

Address

7-430,Morioka-cho,Ohbu City, Aichi

Tel

0562-87-2500

Email

hendo2@ncgg.go.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

BKC-LSMH-2022-082

Org. issuing International ID_1

Ritsumeikan University

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 07 Month 10 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

200

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

No longer recruiting

Date of protocol fixation

2022 Year 08 Month 15 Day

Date of IRB

2022 Year 12 Month 13 Day

Anticipated trial start date

2023 Year 01 Month 10 Day

Last follow-up date

2025 Year 10 Month 11 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 07 Month 10 Day

Last modified on

2025 Year 07 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066784