UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061920
Receipt number R000068962
Scientific Title Effectiveness of a Multidisciplinary Bowel Support Team for Bowel Dysfunction in Stroke Patients: A Stepped Wedge Cluster Randomized Trial
Date of disclosure of the study information 2026/06/15
Last modified on 2026/06/15 22:16:42

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Basic information

Public title

A study to evaluate the effects of a multidisciplinary bowel support team for patients after stroke

Acronym

STROKE-BOWEL Study

Scientific Title

Effectiveness of a Multidisciplinary Bowel Support Team for Bowel Dysfunction in Stroke Patients: A Stepped Wedge Cluster Randomized Trial

Scientific Title:Acronym

SW-CRT

Region

Japan


Condition

Condition

Bowel functional dysfunction associated with stroke

Classification by specialty

Neurology Neurosurgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effects of a multidisciplinary bowel support team intervention on bowel function in patients with bowel functional dysfunction associated with stroke.

Basic objectives2

Others

Basic objectives -Others

To clarify the effects of a bowel support team intervention on quality of life (QOL), bowel care practices, and medication use in patients with stroke.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Number of normal stools (Bristol Stool Form Scale types 3-5) per week

Key secondary outcomes

Quality of life assessed


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment Behavior,custom Maneuver

Interventions/Control_1

Comprehensive bowel care intervention by a multidisciplinary bowel support team

A multidisciplinary bowel support team, consisting of physicians, nurses, physical therapists, occupational therapists, pharmacists, and dietitians, provides comprehensive bowel care for hospitalized patients with bowel functional dysfunction associated with stroke.
The intervention is conducted for 4 weeks, during which the following components are continuously implemented:

Daily recording of bowel habits using a bowel diary

Assessment of bowel function using abdominal ultrasound (iViz air), approximately once per week as needed

Guidance on defecation posture and toilet environment

Nutritional guidance regarding meals and fluid intake

Rehabilitation interventions to promote bowel motility

Review and optimization of the use of existing laxatives and constipation-related medications

Interventions/Control_2

Usual bowel care (control)

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

Hospitalized patients with stroke admitted to Fujita Health University Nanakuri Memorial Hospital

Patients with bowel functional dysfunction associated with stroke who are receiving bowel care

Written informed consent obtained from the patient or a legally authorized representative

Key exclusion criteria

Patients with a history of organic bowel disease

Patients at risk of colorectal bleeding

Patients receiving nutrition exclusively via parenteral nutrition

Patients who do not wish to modify their bowel care

Patients deemed inappropriate for participation by the investigators

Target sample size

240


Research contact person

Name of lead principal investigator

1st name Junko
Middle name
Last name Sugama

Organization

Fujita Health University

Division name

Center for Social Implementation Nursing Science

Zip code

470-1192

Address

1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi 470-1192, Japan

TEL

0562-93-2506

Email

ishikame@fujita-hu.ac.jp


Public contact

Name of contact person

1st name Keiko
Middle name
Last name Ishikame

Organization

Fujita Health University

Division name

School of Health Sciences, Department of Nursing

Zip code

470-1192

Address

1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi 470-1192, Japan

TEL

0562-93-2506

Homepage URL


Email

ishikame@fujita-hu.ac.jp


Sponsor or person

Institute

Fujita Health University

Institute

Department

Personal name



Funding Source

Organization

Fujita Health 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

Institutional Review Board, Fujita Health University

Address

1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi 470-1192, Japan

Tel

0562-93-2315

Email

rinri@fujita-hu.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 06 Month 15 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

73

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

Completed

Date of protocol fixation

2026 Year 06 Month 10 Day

Date of IRB

2025 Year 05 Month 01 Day

Anticipated trial start date

2026 Year 06 Month 10 Day

Last follow-up date

2026 Year 07 Month 01 Day

Date of closure to data entry

2028 Year 03 Month 31 Day

Date trial data considered complete

2028 Year 03 Month 31 Day

Date analysis concluded

2028 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2026 Year 06 Month 15 Day

Last modified on

2026 Year 06 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000068962