UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063532
Receipt number R000072708
Scientific Title Verification of a mind-body health promotion program incorporating spiritual care
Date of disclosure of the study information 2026/11/12
Last modified on 2026/11/05 17:23:11

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Basic information

Public title

A study examining the effects of a spirituality-based mind-body health promotion program on the health of community-dwelling older adults

Acronym

Spirituality-Based Health Promotion Program Study for Older Adults

Scientific Title

Verification of a mind-body health promotion program incorporating spiritual care

Scientific Title:Acronym

Exploratory RCT of a spirituality-based health promotion program for older adults

Region

Japan


Condition

Condition

Community-dwelling older adults

Classification by specialty

Nursing Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to implement a mind-body health promotion program incorporating the health concept of spirituality among community-dwelling older adults, with the aim of clarifying the following points:
1. The effect of the program on participants' spirituality
2. Changes in subjective well-being and health-related quality of life
3. The pathway from spirituality through subjective well-being to health-related quality of life

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

Change in spirituality from baseline to post-intervention, assessed using the total score of the 20-item SKY Spirituality Scale (SS-20; range 20-100). Assessments were conducted at baseline and post-intervention (at the end of the waiting period for the control group).

This study was registered retrospectively, and no single primary outcome had been prespecified before the study commenced. For this registration, spirituality was designated as the primary outcome because the intervention was developed as a mind-body health promotion program incorporating spirituality, with spirituality constituting a central concept of the intervention.

Key secondary outcomes

Measured at baseline and post-intervention, and compared between groups:
1. Subjective well-being (single item, 5-point scale, 0-4)
2. Health-related quality of life: SF-8 (Physical and Mental Component Summaries)
3. Cognitive social capital (5 items)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking

NO

Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

A group-based mind-body health promotion program incorporating the health concept of spirituality was delivered in three sessions, each lasting approximately 90 minutes. The program consisted of health-related education, spirituality-related content, and health-promoting exercises.

Interventions/Control_2

No intervention was provided during the comparison period; participants continued their usual community-based senior club activities. After the comparison period ended, the same program was offered (wait-list control).

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

60 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Community-dwelling adults aged 60 years or older who were selected from members of senior citizens' clubs affiliated with a local federation of senior citizens' clubs
(2) Individuals with the visual acuity, grip strength, and cognitive level required to complete a self-administered questionnaire
(3) Individuals free from severe illness or symptoms, with the physical capacity to perform exercises such as yoga and rhythmic gymnastics
(4) Individuals who provided written informed consent after receiving an explanation of the study

Key exclusion criteria

(1) Individuals with severe illnesses or symptoms
(2) Individuals without sufficient physical capacity to perform exercises such as yoga and rhythmic gymnastics

Target sample size

148


Research contact person

Name of lead principal investigator

1st name Minako
Middle name
Last name Kobayashi

Organization

Chukyo Gakuin University

Division name

Faculty of Nursing

Zip code

509-6192

Address

2216 Toki-cho, Mizunami, Gifu 509-6192, Japan

TEL

0572-68-4555

Email

m-kobayashi@chukyogakuin-u.ac.jp


Public contact

Name of contact person

1st name Minako
Middle name
Last name Kobayashi

Organization

Chukyo Gakuin University

Division name

Faculty of Nursing

Zip code

509-6192

Address

2216 Toki-cho, Mizunami, Gifu 509-6192, Japan

TEL

0572-68-4555

Homepage URL


Email

m-kobayashi@chukyogakuin-u.ac.jp


Sponsor or person

Institute

Heisei College of Health Sciences

Institute

Department

Personal name

Minako Kobayashi


Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

JAPAN


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Research Ethics Review Committee, Heisei College of Health Sciences

Address

180 Kurono, Gifu-shi, Gifu 501-1131, Japan

Tel

058-234-3324

Email

info@heisei-iryou.ac.jp


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 11 Month 12 Day


Related information

URL releasing protocol

Not applicable

Publication of results

Published


Result

URL related to results and publications

Not applicable

Number of participants that the trial has enrolled

153

Results

The results were presented at the 39th Annual Meeting of the Japan Academy of Nursing Science (2019).

Results date posted

2026 Year 11 Month 05 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Of the 153 randomized participants, 80 were allocated to the intervention group (mean age 75.4 years, SD 4.4) and 73 to the control group (mean age 74.9 years, SD 4.6). No significant between-group differences were found in age, sex, or baseline outcome scores.

Participant flow

Research explanation documents, consent forms, and pre-intervention questionnaires were distributed to 173 eligible members of senior citizens' clubs; 153 returned completed questionnaires and provided written informed consent (response rate 88.4%). All 153 were randomly allocated to the intervention group (n=80) or the control group (n=73), and all were included in the intention-to-treat analyses.

Adverse events

No adverse events or unintended effects were reported during the intervention period.

Outcome measures

For the primary outcome, spirituality (SS-20 total score) showed a significant between-group difference favoring the intervention (adjusted mean difference 2.67, 95% CI 0.53 to 4.81, p=.015). For the secondary outcomes, no significant differences were found in subjective well-being (p=.186), the SF-8 physical component summary (p=.241), or the mental component summary (p=.268). All analyses followed an intention-to-treat framework including all 153 randomized participants, with missing values handled by multiple imputation (m=10) and between-group comparisons made by analysis of covariance adjusting for baseline scores.

Plan to share IPD

The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request.

IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 07 Month 03 Day

Date of IRB

2018 Year 07 Month 12 Day

Anticipated trial start date

2019 Year 01 Month 18 Day

Last follow-up date

2019 Year 02 Month 14 Day

Date of closure to data entry

2019 Year 02 Month 14 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information

This study was an exploratory intervention study conducted with the approval of the Institutional Research Ethics Review Committee of Heisei College of Health Sciences (approval No. H30-07) in July 2018. Because the trial was not registered in a clinical trial registry at the planning stage, this registration was made after completion of the study. In addition, no single primary outcome had been prespecified before the study commenced.


Management information

Registered date

2026 Year 11 Month 05 Day

Last modified on

2026 Year 11 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072708