UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000061164
Receipt number R000069007
Scientific Title Implementation and operational evaluation of an ICT-based provider-to-provider remote clinical support system for labor analgesia: an observational study
Date of disclosure of the study information 2026/04/20
Last modified on 2026/04/05 20:41:24

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Basic information

Public title

Evaluation of an ICT-based provider-to-provider remote clinical support system for labor analgesia

Acronym

LARCS study

Scientific Title

Implementation and operational evaluation of an ICT-based provider-to-provider remote clinical support system for labor analgesia: an observational study

Scientific Title:Acronym

LARCS study

Region

Japan


Condition

Condition

None

Classification by specialty

Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to evaluate the usefulness of implementing a healthcare provider-to-provider remote clinical support system using telecommunication technologies for labor analgesia conducted during weekday off-hours, in which obstetric anesthesiologists provide support for labor analgesia management from outside the hospital. The study population includes healthcare professionals and patients involved in labor analgesia management under the remote support system during off-hours. The primary outcomes are the success rate of establishing remote support and the perceived usefulness of remote support as assessed by questionnaire surveys administered to healthcare professionals. Through this study, we aim to obtain insights that may contribute to reducing the workload burden of anesthesiologists during off-hours and improving the efficiency of labor analgesia management systems.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Healthcare professionals involved in the remote clinical support system (midwives, obstetricians, and anesthesiologists) will complete a questionnaire using a five-point Likert scale and free-text responses to evaluate satisfaction with the communication application, perceived usefulness and safety of the remote clinical support system, improvements in interprofessional communication, intention for continued use, and operational challenges.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

65 years-old >=

Gender

Male and Female

Key inclusion criteria

Healthcare professionals (midwives, anesthesiologists, and obstetricians) involved in cases of labor analgesia management conducted under the remote support system during weekday off-hours.
Individuals who received an explanation of the purpose of this study and the questionnaire survey from the principal investigator, fully understood the explanation, and provided informed consent to participate in the study.

Key exclusion criteria

Individuals involved in cases in which remote support was not implemented at any time due to communication failures or other technical problems.
Individuals involved in cases in which labor progressed rapidly after the initiation of anesthesia and delivery was completed within a short period without any remote support.
Individuals who declined participation in this study.
Individuals deemed inappropriate for inclusion as study participants by the principal investigator.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name MICHIKO
Middle name
Last name KANAZAWA

Organization

Kansai Medical University

Division name

Department of Anesthesiology

Zip code

573-1010

Address

2-5-1 Shinmachi, Hirakata City, Osaka, Japan

TEL

072-804-0101

Email

kanazawa.mic@kmu.ac.jp


Public contact

Name of contact person

1st name MICHIKO
Middle name
Last name KANAZAWA

Organization

Kansai Medical University

Division name

Department of Anesthesiology

Zip code

573-1010

Address

2-5-1 Shinmachi, Hirakata City, Osaka, Japan

TEL

09071119466

Homepage URL


Email

kanazawa.mic@kmu.ac.jp


Sponsor or person

Institute

Kansai Medical University

Institute

Department

Personal name



Funding Source

Organization

Kansai Medical 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

Kansai Medical University

Address

2-5-1 Shinmachi, Hirakata City, Osaka, Japan

Tel

072-804-0101

Email

kanazawa.mic@kmu.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

2026 Year 04 Month 20 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

Preinitiation

Date of protocol fixation

2026 Year 03 Month 01 Day

Date of IRB


Anticipated trial start date

2026 Year 04 Month 06 Day

Last follow-up date

2030 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is not an interventional study evaluating a new treatment or device, but an observational study assessing the operational performance and perceived usefulness of a remote support system implemented in routine clinical practice.


Management information

Registered date

2026 Year 04 Month 05 Day

Last modified on

2026 Year 04 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069007