UMIN-ICDS Clinical Trial

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

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Basic information

Public 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

Acronym

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

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

Scientific Title:Acronym

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

Region

Japan


Condition

Condition

Older adults requiring long-term care

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Others

Basic objectives -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.

Trial characteristics_1

Others

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Loneliness and Social Support

Key secondary outcomes

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


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

65 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

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)

Key exclusion criteria

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

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Yuta
Middle name
Last name Goto

Organization

Kio University

Division name

Graduate School of Health Sciences, Master's Program

Zip code

635-0832

Address

4-2-2 Umaminaka, Koryo -Cho, Kitakatsuragi-gun, Nara,635-0832, Japan

TEL

0745-54-1601

Email

y.goto.pt@gmail.com


Public contact

Name of contact person

1st name Yuta
Middle name
Last name Goto

Organization

Kio University

Division name

Graduate School of Health Sciences, Master's Program

Zip code

635-0832

Address

4-2-2 Umaminaka, Koryo -Cho, Kitakatsuragi-gun, Nara,635-0832, Japan

TEL

0745-54-1601

Homepage URL


Email

y.goto.pt@gmail.com


Sponsor or person

Institute

Kio University

Institute

Department

Personal name



Funding Source

Organization

Others

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nishiyamato Rehabilitation Hospital Research Ethics Committee

Address

3-2-2 Sasayuridai, Kamimaki-cho, Kitakatsuragi-gun, Nara 639-0218,Japan

Tel

0745-71-6688

Email

y.goto.pt@gmail.com


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 08 Month 28 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 08 Month 11 Day

Date of IRB


Anticipated trial start date

2026 Year 09 Month 15 Day

Last follow-up date

2027 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

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.


Management information

Registered date

2026 Year 08 Month 28 Day

Last modified on

2026 Year 08 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071767