| 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 |
How does small-group recreation affect social interaction in daily life for older adults with dementia?
A Study on Recreation and Social Interaction among Older Adults with Dementia
Effects of Small-Group Recreation for Older Adults with Moderate to Severe Dementia: An analysis of social proximity and interaction in daily life
Evaluation of Interpersonal Proximity Changes in Dementia Recreation (ABA' Design)
| Japan |
Alzheimer's disease
| Neurology |
Others
NO
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.
Efficacy
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.
Quality of activities (A-QOA), Psychological and Behavioral Symptoms (BPSD+Q), Cognitive Function (HDS-R)
Interventional
Parallel
Non-randomized
Open -but assessor(s) are blinded
No treatment
2
Treatment
| Behavior,custom |
Small-group recreational activities
Observation only
| 65 | years-old | <= |
| Not applicable |
Male and Female
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.
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.
5
| 1st name | Ayumi |
| Middle name | |
| Last name | Ikeda |
Tokushukai Medical Corporation, Geriatric Health Services Facility Ajisai
Rehabilitation
421-0421
3208-1, Hosoe, Makinohara City, Shizuoka, Japan
0548-23-0231
Ikedaayumi315@gmail.com
| 1st name | Ayumi |
| Middle name | |
| Last name | Ikeda |
Tokushukai Medical Corporation, Geriatric Health Services Facility Ajisai
Rehabilitation
421-0421
3208-1, Hosoe, Makinohara City, Shizuoka, Japan
0548-23-0231
Ikedaayumi315@gmail.com
Tokushukai Medical Corporation, Geriatric Health Services Facility Ajisai
None
Self funding
The Tokushukai Group Ethics Committee
Tokyodo Chiyoda Bldg. 15F, 1-3-1, Kudan-minami, Chiyoda-ku, Tokyo 102-0074, Japan
03-3263-4801
mirai-ec1@mirai-iryo.com
NO
医療法人徳洲会 介護老人保健施設あじさい(静岡県)
| 2026 | Year | 04 | Month | 16 | Day |
Unpublished
Preinitiation
| 2026 | Year | 04 | Month | 08 | Day |
| 2026 | Year | 04 | Month | 08 | Day |
| 2026 | Year | 04 | Month | 20 | Day |
| 2026 | Year | 09 | Month | 20 | Day |
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.
| 2026 | Year | 04 | Month | 16 | Day |
| 2026 | Year | 04 | Month | 15 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069544