UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062624
Receipt number R000071687
Scientific Title Effects of an Activity Monitor-Based Discharge Support Program on Physical Activity After Hospital Discharge in Older Patients with Heart Failure: A Randomized Controlled Trial
Date of disclosure of the study information 2026/10/01
Last modified on 2026/08/19 21:08:24

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Basic information

Public title

Effects of an Activity Monitor-Based Discharge Support Program on Physical Activity in Older Patients with Heart Failure After Hospital Discharge

Acronym

Activity Monitor-Based Discharge Support Study

Scientific Title

Effects of an Activity Monitor-Based Discharge Support Program on Physical Activity After Hospital Discharge in Older Patients with Heart Failure: A Randomized Controlled Trial

Scientific Title:Acronym

Activity Monitor-Based Discharge Support Randomized Controlled Trial

Region

Japan


Condition

Condition

Heart Failure

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to determine the effects of an activity monitor-based discharge support program on physical activity after hospital discharge in older patients with heart failure, compared with usual discharge support.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Physical Activity

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Participants in the intervention group will receive an activity monitor-based discharge support program during hospitalization. The program will be provided once, for approximately 20 minutes, after the participant has been weaned from catecholamine agents or has become able to walk. The program will include individualized feedback on physical activity data obtained from an activity monitor, goal setting based on the participant's current physical activity level and resting heart rate, and behavioral planning to promote physical activity after hospital discharge. Participants will receive guidance on walking and simple resistance exercises, such as squats and calf raises, and will be encouraged to self-monitor their physical activity. The intervention will be provided in addition to usual cardiac rehabilitation and discharge support.

Interventions/Control_2

Participants in the control group will receive usual cardiac rehabilitation and standard discharge support during hospitalization. Standard discharge support will include general guidance on heart failure management, medication adherence, diet, exercise, and daily activities according to routine clinical practice and the cardiac rehabilitation guidelines. No activity monitor-based individualized feedback or additional behavioral planning will be provided.

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

100 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients will be eligible for this study if they are aged 65 years or older, have been admitted to our hospital due to acute exacerbation of heart failure, are eligible for cardiovascular rehabilitation, and have been prescribed rehabilitation by a physician.

In accordance with the guidelines for cardiac rehabilitation, eligible patients must be hemodynamically stable and have been cleared to participate in exercise therapy. In addition, participants must be able to understand the study procedures, be able to participate in the discharge support program, and provide written informed consent to participate in the study.

Key exclusion criteria

1. Patients who meet any of the contraindications to exercise therapy specified in the Guidelines for Cardiac Rehabilitation.
2. Patients who have difficulty walking and are unable to undergo physical activity assessment. The use of walking aids and partially assisted walking are permitted.
3. Patients classified as New York Heart Association (NYHA) functional class IV.
4. Patients with suspected cognitive impairment (Mini-Cog score <2).
5. Patients who are unable to provide informed consent to participate in this study.
6. Patients for whom continued participation in the study is deemed difficult due to medical reasons or other circumstances after study initiation.
7. Patients who die during hospitalization.

Target sample size

52


Research contact person

Name of lead principal investigator

1st name Yoshihiko
Middle name
Last name Fujita

Organization

Ibaraki Prefectural University

Division name

Department of Occupational Therapy, Faculty of Health Sciences

Zip code

3000394

Address

4669-2 Ami, Ami-machi, Inashiki-gun, Ibaraki, Japan

TEL

029-840-2220

Email

fujita@ipu.ac.jp


Public contact

Name of contact person

1st name Tomoyuki
Middle name
Last name Aiba

Organization

Ushiku-Aiwa General Hospital

Division name

Rehabilitation Center

Zip code

3001296

Address

896 Shishikocho, Ushiku, Ibaraki, Japan

TEL

0298733126

Homepage URL


Email

ts.16.am@icloud.com


Sponsor or person

Institute

Ibaraki Prefectural University

Institute

Department

Personal name



Funding Source

Organization

Ibaraki Prefectural University

Organization

Division

Category of Funding Organization

Local Government

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research Ethics Committee, Ibaraki Prefectural University of Health Sciences

Address

4669-2 Ami, Ami-machi, Inashiki-gun, Ibaraki, Japan

Tel

029-888-4000

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



Other administrative information

Date of disclosure of the study information

2026 Year 10 Month 01 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 09 Month 01 Day

Date of IRB


Anticipated trial start date

2026 Year 10 Month 01 Day

Last follow-up date

2028 Year 03 Month 31 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 08 Month 19 Day

Last modified on

2026 Year 08 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071687