| 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 |
A study examining the effects of a spirituality-based mind-body health promotion program on the health of community-dwelling older adults
Spirituality-Based Health Promotion Program Study for Older Adults
Verification of a mind-body health promotion program incorporating spiritual care
Exploratory RCT of a spirituality-based health promotion program for older adults
| Japan |
Community-dwelling older adults
| Nursing | Adult |
Others
NO
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
Efficacy
Exploratory
Pragmatic
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.
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)
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
No treatment
NO
NO
NO
2
Educational,Counseling,Training
| Behavior,custom |
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.
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).
| 60 | years-old | <= |
| Not applicable |
Male and Female
(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
(1) Individuals with severe illnesses or symptoms
(2) Individuals without sufficient physical capacity to perform exercises such as yoga and rhythmic gymnastics
148
| 1st name | Minako |
| Middle name | |
| Last name | Kobayashi |
Chukyo Gakuin University
Faculty of Nursing
509-6192
2216 Toki-cho, Mizunami, Gifu 509-6192, Japan
0572-68-4555
m-kobayashi@chukyogakuin-u.ac.jp
| 1st name | Minako |
| Middle name | |
| Last name | Kobayashi |
Chukyo Gakuin University
Faculty of Nursing
509-6192
2216 Toki-cho, Mizunami, Gifu 509-6192, Japan
0572-68-4555
m-kobayashi@chukyogakuin-u.ac.jp
Heisei College of Health Sciences
Minako Kobayashi
Japan Society for the Promotion of Science
Japanese Governmental office
JAPAN
Institutional Research Ethics Review Committee, Heisei College of Health Sciences
180 Kurono, Gifu-shi, Gifu 501-1131, Japan
058-234-3324
info@heisei-iryou.ac.jp
NO
| 2026 | Year | 11 | Month | 12 | Day |
Not applicable
Published
Not applicable
153
The results were presented at the 39th Annual Meeting of the Japan Academy of Nursing Science (2019).
| 2026 | Year | 11 | Month | 05 | Day |
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.
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.
No adverse events or unintended effects were reported during the intervention period.
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.
The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request.
Completed
| 2018 | Year | 07 | Month | 03 | Day |
| 2018 | Year | 07 | Month | 12 | Day |
| 2019 | Year | 01 | Month | 18 | Day |
| 2019 | Year | 02 | Month | 14 | Day |
| 2019 | Year | 02 | Month | 14 | Day |
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.
| 2026 | Year | 11 | Month | 05 | Day |
| 2026 | Year | 11 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072708