UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058743
Receipt number R000067166
Scientific Title Exploratory Evaluation of the Feasibility and Effectiveness of a Patient Support Program Aimed at Improving Illness Recognition and Self-Care Behaviors in Patients With Early-Stage Diabetic Nephropathy:A Pilot Randomized Controlled Trial
Date of disclosure of the study information 2025/08/08
Last modified on 2025/08/08 16:52:34

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Basic information

Public title

Research to Investigate the Feasibility and Effectiveness of a Support Program for Patients With Early-Stage Kidney Disease

Acronym

Pilot Study of a Self-Care Support Program for Patients With Early Diabetic Nephropathy

Scientific Title

Exploratory Evaluation of the Feasibility and Effectiveness of a Patient Support Program Aimed at Improving Illness Recognition and Self-Care Behaviors in Patients With Early-Stage Diabetic Nephropathy:A Pilot Randomized Controlled Trial

Scientific Title:Acronym

Nephropathy Early-Stage Awareness and Self-care-Pilot: NESA-P

Region

Japan


Condition

Condition

diabetic nephropathy

Classification by specialty

Endocrinology and Metabolism Nephrology Nursing
Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to explore the feasibility and effectiveness of an online support program that promotes disease awareness and self-care behaviors in patients with early-stage diabetic nephropathy.
The main objectives are to explore (1) the feasibility of recruitment and consent, (2) program completion, (3) the acceptability of evaluation indicators, (4) program acceptability, and (5) the potential effects of the program on disease awareness, self-efficacy, and self-care abilities.

Basic objectives2

Others

Basic objectives -Others

completion rate of research participation

Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

completion rate of research participation (One month after intervention)

Key secondary outcomes

Feasibility indicators
Practicality of eligibility criteria, recruitment rate, consent rate
Follow-up rate, understanding of reasons for dropout
Acceptability of support programs
Satisfaction, appropriateness of the program, ease of participation, barriers to participation
Evaluation of educational materials (readability, clarity, volume)
Difficulty in using Zoom
Other evaluation items (exploratory indicators of intervention effectiveness):
-CKD self-care ability (Japanese version of the CKD Self-Care Scale)
-Disease perception (Brief Illness Perception Questionnaire (B-IPQ) (Broadbent, Petrie, Main, & Weinman, 2006) Japanese version) (Hashimoto, 2013)
-Self-Efficacy (Chronic Disease Self-Efficacy Scale for Health Behaviors) (Kim et al., 1996)
-PAID Japanese Version (Hayashino et al., 2024)
-QOL (WHO-QOL26)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking


Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Intervention group: Distribution of pamphlets + implementation of support program (three remote group sessions every two weeks) (approximately one month)

Interventions/Control_2

Control group: Distribution of pamphlets + usual care + implementation of a support program after the study period (a total of three remote group sessions) (approximately one month)

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

30 years-old <=

Age-upper limit

64 years-old >=

Gender

Male and Female

Key inclusion criteria

1)Patients who have been informed by their attending physician that they have nephropathy(including those informed at the time of the request for participation in this study)
2)Individuals capable of making independent decisions regarding treatment
3)Individuals capable of independently accessing the remote program
4)Individuals in middle age(30-64 years old)
5)Individuals who have provided written content to participate in this study



Key exclusion criteria

1) Individuals who are unable to make independent decisions regarding treatment due to cognitive impairment or other reasons
2) Individuals who have difficulty accessing remote programs
3) Individuals who have not been informed by their attending physician about their kidney disease
4) Individuals currently receiving diabetes dialysis prevention guidance and management fees and undergoing medical care guidance
5) Individuals who have reached end-stage renal failure and have undergone artificial dialysis or kidney transplantation
6) Individuals currently receiving active treatment for conditions other than diabetes, such as malignant diseases

Target sample size

24


Research contact person

Name of lead principal investigator

1st name Yuka
Middle name
Last name Fujisawa

Organization

Iwate Prefectural University

Division name

Faculty of Nursing

Zip code

020-0693

Address

152-52 Sugo, Takizawa City, Iwate Prefecture

TEL

0196942222

Email

f_yuka@iwate-pu.ac.jp


Public contact

Name of contact person

1st name Yuka
Middle name
Last name Fujisawa

Organization

Iwate Prefectural University

Division name

Faculty of Nursing

Zip code

020-0693

Address

152-52 Sugo, Takizawa City, Iwate Prefecture

TEL

0196942222

Homepage URL


Email

f_yuka@iwate-pu.ac.jp


Sponsor or person

Institute

Iwate Prefectural University

Institute

Department

Personal name

Yuka Fujisawa


Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology (MEXT)

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Iwate Prefectural University Research Ethics Review Committee

Address

152-52 Sugo, Takizawa City, Iwate Prefecture

Tel

0196943330

Email

k-sien@ml.iwate-pu.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

2025 Year 08 Month 08 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 06 Month 10 Day

Date of IRB

2025 Year 07 Month 28 Day

Anticipated trial start date

2025 Year 08 Month 08 Day

Last follow-up date

2026 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

2025 Year 08 Month 08 Day

Last modified on

2025 Year 08 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067166