| Unique ID issued by UMIN | UMIN000062916 |
|---|---|
| Receipt number | R000072032 |
| Scientific Title | Development and Clinical Evaluation of a Digital Nutrition Management Support Tool to Improve Dietary Therapy Adherence in Patients with Inborn Errors of Metabolism and Intractable Epilepsy |
| Date of disclosure of the study information | 2026/09/14 |
| Last modified on | 2026/09/14 13:34:55 |
Development and Evaluation of a Web-based Nutrition Management Application for Patients Requiring Special Dietary Therapy and Their Families
Digital Adherence for Nutrition-dependent Ailments (The DiANA Study)
Development and Clinical Evaluation of a Digital Nutrition Management Support Tool to Improve Dietary Therapy Adherence in Patients with Inborn Errors of Metabolism and Intractable Epilepsy
Digital Adherence for Nutrition-dependent Ailments (The DiANA study)
| Japan |
Inborn errors of metabolism, Intractable epilepsy (ketogenic diet-eligible cases)
| Medicine in general |
Others
NO
To evaluate the impact of a web-based application that automatically calculates disease-specific nutrient intake on dietary therapy adherence, disease management indicators, and patient satisfaction before and after the intervention in patients with inborn errors of metabolism and intractable epilepsy.
Efficacy
Change in nutritional compliance score before and after the intervention (assessed by a registered dietitian). Nutritional compliance score: total score (5-20 points) based on the following 5 items, each rated on a 4-point scale (1-4 points): (i) Management of restricted nutrients; (ii) Appropriateness of food selection; (iii) Use of specialized formula and medical foods; (iv) Maintenance of dietary records; (v) Degree of self-management between outpatient visits
1. Change in System Usability Scale score before and after the intervention
2. Dietary therapy satisfaction questionnaire score (post-intervention)
3. Continued use rate of the application (at 6 months)
4. Changes in disease-specific management indicators before and after the intervention
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
| Other |
Nutrition management support using the developed web-based application (DiANA app). Patients and their families will be provided with access to the web application via QR code or URL and encouraged to use it freely for daily dietary management. The application automatically calculates methionine, protein, and calorie content of foods, as well as the ketogenic ratio derived from fat, carbohydrate, and protein content. The application is accessible from smartphones, tablets, and personal computers. The intervention period is 6 months, and a registered dietitian will confirm the usage status at each outpatient visit.
| 6 | months-old | <= |
| Not applicable |
Male and Female
1. Patients with inborn errors of metabolism requiring daily nutritional management
2. Patients requiring ketogenic diet therapy for seizure management
3. Patients or their families who regularly use a smartphone or tablet device
4. Patients who have started weaning (complementary feeding)
5. Patients or their legally authorized representatives who have provided written informed consent
1. Patients or their families who do not own a smartphone or tablet device
2. Family members of the principal investigator or co-investigators
3. Others whom the principal investigator deems inappropriate for participation in the study
10
| 1st name | Nobuhiko |
| Middle name | |
| Last name | Koga |
Fukuoka University
Department of pediatrics, Faculty of medicine
814-0180
7-45-1, Nanakuma, Jounanku, Fukuoka, Fukuoka
092-801-1011
koga12@adm.fukuoka-u.ac.jp
| 1st name | NOBUHIKO |
| Middle name | |
| Last name | KOGA |
Fukuoka University
Department of pediatrics, Faculty of medicine
814-0180
7-45-1, Nanakuma, Jounanku, Fukuoka, Fukuoka
0928011011
koga12@adm.fukuoka-u.ac.jp
Fukuoka University
No
Other
Fukuoka University
7-45-1, Nanakuma, Jounanku, Fukuoka, Fukuoka
0928011011
fu-merb-bigvan@fukuoka-u.ac.jp
NO
| 2026 | Year | 09 | Month | 14 | Day |
Unpublished
Preinitiation
| 2026 | Year | 09 | Month | 07 | Day |
| 2026 | Year | 09 | Month | 07 | Day |
| 2026 | Year | 10 | Month | 01 | Day |
| 2028 | Year | 03 | Month | 31 | Day |
| 2026 | Year | 09 | Month | 14 | Day |
| 2026 | Year | 09 | Month | 14 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072032