| 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 |
Effects of an Activity Monitor-Based Discharge Support Program on Physical Activity in Older Patients with Heart Failure After Hospital Discharge
Activity Monitor-Based Discharge Support Study
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
Activity Monitor-Based Discharge Support Randomized Controlled Trial
| Japan |
Heart Failure
| Cardiology |
Others
NO
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.
Efficacy
Physical Activity
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Active
2
Educational,Counseling,Training
| Behavior,custom |
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.
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.
| 65 | years-old | <= |
| 100 | years-old | >= |
Male and Female
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.
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.
52
| 1st name | Yoshihiko |
| Middle name | |
| Last name | Fujita |
Ibaraki Prefectural University
Department of Occupational Therapy, Faculty of Health Sciences
3000394
4669-2 Ami, Ami-machi, Inashiki-gun, Ibaraki, Japan
029-840-2220
fujita@ipu.ac.jp
| 1st name | Tomoyuki |
| Middle name | |
| Last name | Aiba |
Ushiku-Aiwa General Hospital
Rehabilitation Center
3001296
896 Shishikocho, Ushiku, Ibaraki, Japan
0298733126
ts.16.am@icloud.com
Ibaraki Prefectural University
Ibaraki Prefectural University
Local Government
Research Ethics Committee, Ibaraki Prefectural University of Health Sciences
4669-2 Ami, Ami-machi, Inashiki-gun, Ibaraki, Japan
029-888-4000
N/A
NO
| 2026 | Year | 10 | Month | 01 | Day |
Unpublished
Preinitiation
| 2026 | Year | 09 | Month | 01 | Day |
| 2026 | Year | 10 | Month | 01 | Day |
| 2028 | Year | 03 | Month | 31 | Day |
| 2026 | Year | 08 | Month | 19 | Day |
| 2026 | Year | 08 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071687