UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000061278
Receipt number R000069544
Scientific Title Effects of Small-Group Recreation for Older Adults with Moderate to Severe Dementia: An analysis of social proximity and interaction in daily life
Date of disclosure of the study information 2026/04/16
Last modified on 2026/04/15 17:13:19

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Basic information

Public title

How does small-group recreation affect social interaction in daily life for older adults with dementia?

Acronym

A Study on Recreation and Social Interaction among Older Adults with Dementia

Scientific Title

Effects of Small-Group Recreation for Older Adults with Moderate to Severe Dementia: An analysis of social proximity and interaction in daily life

Scientific Title:Acronym

Evaluation of Interpersonal Proximity Changes in Dementia Recreation (ABA' Design)

Region

Japan


Condition

Condition

Alzheimer's disease

Classification by specialty

Neurology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to examine how small-group recreational activities influence interpersonal distance and patterns of social engagement in daily life among older adults with moderate to severe dementia.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes in interpersonal relationships in daily life are evaluated through direct observation during free-time periods (30 minutes each in the morning and afternoon).
Proximity behavior is defined as being within 1.2 meters, maintained for at least 5 seconds, with reciprocal interaction present. Observations are recorded using a 5 minute interval time-sampling method (12 samples per day).
The quality of proximity is assessed using a simplified Dyadic Code, classifying interactions during proximity as Positive, Neutral, or Negative.
For comparison, two non-participants living in the same environment are observed using the same procedures and treated as pseudo-controls.

Key secondary outcomes

Quality of activities (A-QOA), Psychological and Behavioral Symptoms (BPSD+Q), Cognitive Function (HDS-R)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -but assessor(s) are blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

Small-group recreational activities

Interventions/Control_2

Observation only

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

65 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Residents of the dementia ward in the facility.
2) Aged 65 years or older.
3) Diagnosed with Alzheimer's disease by a physician.
4) A score of 15 or below on the Hasegawa Dementia Scale-Revised (HDS-R).
5) Able to move within shared spaces independently or with distal supervision.
6) The primary daytime activity location is the shared space (not the private room).
7) Not belonging to any existing small-group activity program.
8) No planned discharge at the start of the study.
9) After receiving sufficient explanation about the study, participants who provide voluntary assent and whose proxy provides informed consent; if the participant's capacity to consent is judged insufficient, inclusion is based on proxy consent alone.

Key exclusion criteria

1) Deemed unsuitable for participation by the attending physician.
2) Due to sensory impairments, the attending physician or a nurse, care worker, or therapist not involved in the study judged that the participant had marked difficulty engaging in conversation at a normal speaking volume, recognizing others' positions or facial expressions, or establishing reciprocal interaction, making participation in small-group activities or observation of interpersonal interactions inappropriate.
3) Presence of cognitive impairment caused by conditions other than Alzheimer's disease, or a medical history strongly suggesting such causes (e.g., cerebrovascular disease, Parkinson's disease, normal-pressure hydrocephalus, severe psychiatric disorders).
4) Proxy consent could not be obtained.
5) Any other case deemed inappropriate for inclusion by the principal investigator.

Target sample size

5


Research contact person

Name of lead principal investigator

1st name Ayumi
Middle name
Last name Ikeda

Organization

Tokushukai Medical Corporation, Geriatric Health Services Facility Ajisai

Division name

Rehabilitation

Zip code

421-0421

Address

3208-1, Hosoe, Makinohara City, Shizuoka, Japan

TEL

0548-23-0231

Email

Ikedaayumi315@gmail.com


Public contact

Name of contact person

1st name Ayumi
Middle name
Last name Ikeda

Organization

Tokushukai Medical Corporation, Geriatric Health Services Facility Ajisai

Division name

Rehabilitation

Zip code

421-0421

Address

3208-1, Hosoe, Makinohara City, Shizuoka, Japan

TEL

0548-23-0231

Homepage URL


Email

Ikedaayumi315@gmail.com


Sponsor or person

Institute

Tokushukai Medical Corporation, Geriatric Health Services Facility Ajisai

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

The Tokushukai Group Ethics Committee

Address

Tokyodo Chiyoda Bldg. 15F, 1-3-1, Kudan-minami, Chiyoda-ku, Tokyo 102-0074, Japan

Tel

03-3263-4801

Email

mirai-ec1@mirai-iryo.com


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

医療法人徳洲会 介護老人保健施設あじさい(静岡県)


Other administrative information

Date of disclosure of the study information

2026 Year 04 Month 16 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 04 Month 08 Day

Date of IRB

2026 Year 04 Month 08 Day

Anticipated trial start date

2026 Year 04 Month 20 Day

Last follow-up date

2026 Year 09 Month 20 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This observational component examines the relationship between participation in small-group recreational activities and changes in interpersonal proximity and social engagement in daily life. Interpersonal proximity is recorded using a 5-minute interval time-sampling method, and the quality of interaction is coded as Positive, Neutral, or Negative. Two non-participants living in the same environment are observed as pseudo-controls for comparison.


Management information

Registered date

2026 Year 04 Month 16 Day

Last modified on

2026 Year 04 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069544