| Unique ID issued by UMIN | UMIN000062264 |
|---|---|
| Receipt number | R000071250 |
| Scientific Title | Effects of a Comprehensive Oral Frailty Prevention Program Targeting Behavioral Change in Oral Health, Mastication, and Nutrition in a Super-Aged Rural Mountain Community: A Multi-Site Pre-Post Study in Chizu Town, Japan |
| Date of disclosure of the study information | 2026/07/17 |
| Last modified on | 2026/07/17 10:23:55 |
Multicomponent Behavioral Intervention for Oral Frailty Prevention in Older Adults of Chizu Town, Japan
Multicomponent Behavioral Intervention for Oral Frailty Prevention in Older Adults of Chizu Town, Japan
Effects of a Comprehensive Oral Frailty Prevention Program Targeting Behavioral Change in Oral Health, Mastication, and Nutrition in a Super-Aged Rural Mountain Community: A Multi-Site Pre-Post Study in Chizu Town, Japan
Effects of a Comprehensive Oral Frailty Prevention Program Targeting Behavioral Change in Oral Health, Mastication, and Nutrition in a Super-Aged Rural Mountain Community: A Multi-Site Pre-Post Study in Chizu Town, Japan
| Japan |
Oral frailty (prevention among community-dwelling older adults)
| Dental medicine |
Others
NO
This study aims (1) to evaluate the feasibility and preliminary effects of a comprehensive oral frailty prevention program targeting behavioral change in oral health, mastication, and nutrition - on oral frailty (the primary outcome) and on oral function, dietary variety, physical function, and health-related quality of life (secondary outcomes) - among community-dwelling older adults in Chizu Town, and (2) to explore the program's cost-effectiveness.
Efficacy
Exploratory
Pragmatic
Not applicable
Oral frailty assessed using the Oral Frailty Index-8 (OFI-8), at baseline (0 months), post-intervention (3 months), and annually at years 1 to 5.
Oral diadochokinesis (ODK), Dietary Variety Score (DVS), grip strength, and health-related quality of life (HRQOL; EQ-5D-5L), assessed at baseline (0 months), post-intervention (3 months), and annually at years 1 to 5. Participant satisfaction (5 items: program comprehensibility, overall satisfaction, willingness to participate again, likelihood of recommending the program, and motivation for behavior change in dietary and oral health practices), assessed at 3 months and annually at years 1 to 5 (6 times in total). Long-term outcomes (administrative data, up to 10 years): long-term care certification and care-need level changes, hospitalization for pneumonia (including aspiration pneumonia), residential status, and vital status.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Prevention
| Behavior,custom |
A community-adapted version of the CAMCAM program (developed by Professor Koichiro Matsuo, Institute of Science Tokyo): a three-component combined intervention targeting behavioral change in oral health, mastication, and nutrition. Year 1: four monthly group sessions (approximately 2 hours each) at community centers or other local gathering places. In every session, participants eat the CAMCAM textured lunch - a textured meal designed to promote chewing - and receive education aligned with that session's theme. The 4 sessions cover, in order, an introduction to the link between healthy longevity and oral health, mastication, and nutrition; nutrition and dietary variety; oral health and mastication; and a review of the whole program for integration into daily life. Year 2 onward: an annual consolidated session (approximately 2 to 3 hours) repeated 5 times, for a total of 5 years of in-person delivery per district.
| 60 | years-old | <= |
| Not applicable |
Male and Female
Community-dwelling adults aged 60 years or older residing in Chizu Town who intend to attend all four program sessions and provide written informed consent (primary target population: aged 65 or older, with a planned subgroup analysis).
(1) Certification at Long-Term Care Insurance Care Level 3 or above; (2) serious medical conditions (eg, malignancy or severe cardiac disease) that preclude participation; (3) being judged by the investigator to lack the capacity to provide informed consent (eg, due to dementia); (4) plans to relocate or move to a care facility during the study period.
110
| 1st name | Katsuyuki |
| Middle name | |
| Last name | Kubo |
National Health Insurance Chizu Hospital
Department of Dentistry
689-1402
1875 Chizu, Chizu-cho, Yazu-gun, Tottori 689-1402, Japan
0858-75-3211
chizu.research2026kubo@gmail.com
| 1st name | Katsuyuki |
| Middle name | |
| Last name | Kubo |
National Health Insurance Chizu Hospital
Department of Dentistry
689-1402
1875 Chizu, Chizu-cho, Yazu-gun, Tottori 689-1402, Japan
0858-75-3211
chizu.research2026kubo@gmail.com
National Health Insurance Chizu Hospital
Chizu Town
Local Government
Japan
Public Health Research Foundation (PHRF) Ethics Review Committee
1-1-7 Nishiwaseda, Shinjuku-ku, Tokyo 169-0051, Japan
03-5287-5070
N/A
NO
国民健康保険智頭病院(鳥取県)
| 2026 | Year | 07 | Month | 17 | Day |
Unpublished
No
The datasets generated and analyzed during this study will not be publicly available, because participant consent does not include public data sharing and because individual-level data from a small, super-aged community could be identifiable. Deidentified aggregate data may be made available by the corresponding author upon reasonable request, subject to approval by the PHRF Ethics Review Committee.
Preinitiation
| 2026 | Year | 07 | Month | 07 | Day |
| 2026 | Year | 07 | Month | 08 | Day |
| 2026 | Year | 09 | Month | 16 | Day |
| 2038 | Year | 02 | Month | 28 | Day |
| 2026 | Year | 07 | Month | 17 | Day |
| 2026 | Year | 07 | Month | 17 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071250