UMIN-ICDS Clinical Trial

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

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Basic information

Public title

Multicomponent Behavioral Intervention for Oral Frailty Prevention in Older Adults of Chizu Town, Japan

Acronym

Multicomponent Behavioral Intervention for Oral Frailty Prevention in Older Adults of Chizu Town, Japan

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

Scientific Title:Acronym

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

Region

Japan


Condition

Condition

Oral frailty (prevention among community-dwelling older adults)

Classification by specialty

Dental medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

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.

Key secondary outcomes

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.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Behavior,custom

Interventions/Control_1

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.

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

60 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

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).

Key exclusion criteria

(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.

Target sample size

110


Research contact person

Name of lead principal investigator

1st name Katsuyuki
Middle name
Last name Kubo

Organization

National Health Insurance Chizu Hospital

Division name

Department of Dentistry

Zip code

689-1402

Address

1875 Chizu, Chizu-cho, Yazu-gun, Tottori 689-1402, Japan

TEL

0858-75-3211

Email

chizu.research2026kubo@gmail.com


Public contact

Name of contact person

1st name Katsuyuki
Middle name
Last name Kubo

Organization

National Health Insurance Chizu Hospital

Division name

Department of Dentistry

Zip code

689-1402

Address

1875 Chizu, Chizu-cho, Yazu-gun, Tottori 689-1402, Japan

TEL

0858-75-3211

Homepage URL


Email

chizu.research2026kubo@gmail.com


Sponsor or person

Institute

National Health Insurance Chizu Hospital

Institute

Department

Personal name



Funding Source

Organization

Chizu Town

Organization

Division

Category of Funding Organization

Local Government

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Public Health Research Foundation (PHRF) Ethics Review Committee

Address

1-1-7 Nishiwaseda, Shinjuku-ku, Tokyo 169-0051, Japan

Tel

03-5287-5070

Email

N/A


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

国民健康保険智頭病院(鳥取県)


Other administrative information

Date of disclosure of the study information

2026 Year 07 Month 17 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

No

IPD sharing Plan description

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.


Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 07 Month 07 Day

Date of IRB

2026 Year 07 Month 08 Day

Anticipated trial start date

2026 Year 09 Month 16 Day

Last follow-up date

2038 Year 02 Month 28 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 07 Month 17 Day

Last modified on

2026 Year 07 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071250