| Unique ID issued by UMIN | UMIN000062722 |
|---|---|
| Receipt number | R000071767 |
| Scientific Title | Classification and Characteristics of Loneliness and Social Support Among Elderly Individuals Requiring Long-Term Care Who Use Day Care Rehabilitation Services: A Focus on Psychosocial Quality of Life |
| Date of disclosure of the study information | 2026/08/28 |
| Last modified on | 2026/08/28 12:35:25 |
Classification and Characteristics of Loneliness and Social Support Among Elderly Individuals Requiring Long-Term Care Who Use Day Care Rehabilitation Services: A Focus on Psychosocial Quality of Life
Classification and Characteristics of Loneliness and Social Support Among Elderly Individuals Requiring Long-Term Care Who Use Day Care Rehabilitation Services: A Focus on Psychosocial Quality of Life
Classification and Characteristics of Loneliness and Social Support Among Elderly Individuals Requiring Long-Term Care Who Use Day Care Rehabilitation Services: A Focus on Psychosocial Quality of Life
Classification and Characteristics of Loneliness and Social Support Among Elderly Individuals Requiring Long-Term Care Who Use Day Care Rehabilitation Services: A Focus on Psychosocial Quality of Life
| Japan |
Older adults requiring long-term care
| Rehabilitation medicine |
Others
NO
This study aims to elucidate how combinations of loneliness and social support among older adults requiring long-term care are typologized into distinct subgroups characterized by differing individual attributes and psychosocial quality of life (QOL). In addition, a preliminary longitudinal investigation will be conducted to examine how loneliness changes over time among individuals belonging to these subgroups through participation in group activities, with the aim of an exploratory analysis that anticipates future research development.
Others
It is hypothesized that alleviation of loneliness and subjective fulfillment derived from social support among older adults requiring long-term care exert a substantial influence on psychosocial quality of life (QOL). Furthermore, it can be hypothesized that establishing venues for group activities among individuals sharing a similar social position (e.g., peer support) serves as a support strategy that contributes to the enhancement of psychosocial QOL.
Others
Pragmatic
Not applicable
Loneliness and Social Support
Age, sex, place of residence, number of cohabiting family members, long-term care insurance copayment ratio, primary diagnosis, Charlson Comorbidity Index (CCI), Body Mass Index (height and weight), long-term care level, Degree of Independence in Daily Living for the Disabled Elderly, Degree of Independence in Daily Living for the Elderly with Dementia, frequency of day-care rehabilitation use, duration of day-care rehabilitation use, level of walking independence, Barthel Index, Frenchay Activities Index, social network, psychosocial quality of life (QOL), health-related quality of life (HRQOL), and interpersonal orientation
Observational
| 65 | years-old | <= |
| Not applicable |
Male and Female
Aged 65 years or older
Sex: no restriction
Certified as requiring support or requiring long-term care
Degree of Independence in Daily Living for the Elderly with Dementia rated as independent, I, or II, with no impairment in completing the questionnaire
Provision of informed consent to participate in this study by the participant themselves (proxy consent not permitted)
Living situation stabilized, with at least 3 months elapsed since the start of service use (cross-sectional study only)
Less than 1 month elapsed since the start of new service use (longitudinal study only)
Difficulty understanding the questionnaire content, with no appropriate response obtainable even through interview-based administration
Presence of severe visual or auditory impairment
Requiring acute-phase medical management
Corresponding to the terminal stage of illness or receiving palliative care
Japanese not being the participant's first language
Loss of a close family member within 6 months prior to the date of survey administration
Non-consent to participation in the study
100
| 1st name | Yuta |
| Middle name | |
| Last name | Goto |
Kio University
Graduate School of Health Sciences, Master's Program
635-0832
4-2-2 Umaminaka, Koryo -Cho, Kitakatsuragi-gun, Nara,635-0832, Japan
0745-54-1601
y.goto.pt@gmail.com
| 1st name | Yuta |
| Middle name | |
| Last name | Goto |
Kio University
Graduate School of Health Sciences, Master's Program
635-0832
4-2-2 Umaminaka, Koryo -Cho, Kitakatsuragi-gun, Nara,635-0832, Japan
0745-54-1601
y.goto.pt@gmail.com
Kio University
Others
Other
Nishiyamato Rehabilitation Hospital Research Ethics Committee
3-2-2 Sasayuridai, Kamimaki-cho, Kitakatsuragi-gun, Nara 639-0218,Japan
0745-71-6688
y.goto.pt@gmail.com
NO
| 2026 | Year | 08 | Month | 28 | Day |
Unpublished
Preinitiation
| 2026 | Year | 08 | Month | 11 | Day |
| 2026 | Year | 09 | Month | 15 | Day |
| 2027 | Year | 10 | Month | 31 | Day |
This study examines the relationship between loneliness and social support among approximately 100 care-dependent older adults using day-care rehabilitation services. Because social isolation and loneliness are conceptually distinct, existing typology studies based on social isolation may fail to adequately capture this population. Accordingly, considering the characteristics of care-dependent older adults, this study adopts not social isolation-which reflects the quantitative aspect of social connectedness-but rather a combination of social support and loneliness (DJGLS), reflecting qualitative sufficiency, as the classification variables.
In the cross-sectional study, cluster analysis will be used to classify participants into subgroups, and between-group differences will be examined with respect to sex, care-need level, independence in walking, social network, psychosocial quality of life (ICECAP-O), health-related quality of life, and affiliation motivation. In the preliminary longitudinal study, assessments will be conducted at one and three months after the start of day-care use, and the relationship between longitudinal changes in loneliness and social support following the start of day-care use and psychosocial quality of life will be explored.
As an expected outcome, it is hypothesized that four subgroups will emerge based on the levels of social support and loneliness (high support/low loneliness, low support/low loneliness, high support/high loneliness, and low support/high loneliness), and differences in psychosocial characteristics and interpersonal orientation among these groups will be discussed. By developing a typology combining loneliness and social support, this study aims to provide foundational data contributing to the selection of appropriate participants for group activity support programs designed to enhance the psychosocial quality of life of care-dependent older adults.
| 2026 | Year | 08 | Month | 28 | Day |
| 2026 | Year | 08 | Month | 28 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071767