UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000038201
Receipt number R000043540
Scientific Title Examination of improvement effect of psychiatric symptoms by combined use of psychiatric occupational therapy and exercise therapy: a hospital-based RCT
Date of disclosure of the study information 2019/10/10
Last modified on 2020/11/13 10:50:40

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Basic information

Public title

Examination of improvement effect of psychiatric symptoms by combined use of psychiatric occupational therapy and physical exercise

Acronym

Examination of improvement effect of psychiatric symptoms by combined use of psychiatric occupational therapy and physical exercise

Scientific Title

Examination of improvement effect of psychiatric symptoms by combined use of psychiatric occupational therapy and exercise therapy: a hospital-based RCT

Scientific Title:Acronym

Examination of improvement effect of psychiatric symptoms by combined use of psychiatric occupational therapy and exercise therapy: a hospital-based RCT

Region

Japan


Condition

Condition

dementia

Classification by specialty

Geriatrics Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Examination of improvement effect of psychiatric symptoms by combined use of psychiatric occupational therapy and physical exercise

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Neuropsychiatric Inventory Nursing Home Version(NPI-NH)

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom Maneuver

Interventions/Control_1

Case:occupational therapy(5 days/w , 1 set/day , 120 min/set) and physical exercise(5 days/week , 2 set/day , 20 min/set) for 2 weeks

Interventions/Control_2

Control:occupational therapy(5 days/w , 1 set/day , 120 min/set)

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

Diagnosis of dementia (DSM-5)

Key exclusion criteria

Under 60 years old
Persons with movement disorders or diseases that interfere with ergometer driving
Delirium

Target sample size

80


Research contact person

Name of lead principal investigator

1st name Minoru
Middle name
Last name Takebayashi

Organization

Kumamoto University

Division name

Department of Neuropsychiatry Faculty of Life Sciences

Zip code

860-8556

Address

1-1-1,Honjo,Chuo-ku,Kumamoto

TEL

096-373-5184

Email

mtakebayashi@kumamoto-u.ac.jp


Public contact

Name of contact person

1st name Kazuhiro
Middle name
Last name Yoshiura

Organization

Kumamoto University Hospital

Division name

Department of Neuropsychiatry

Zip code

860-8556

Address

1-1-1,Honjo,Chuo-ku,Kumamoto

TEL

096-373-5184

Homepage URL


Email

kazuzak@kuh.kumamoto-u.ac.jp


Sponsor or person

Institute

Kumamoto University

Institute

Department

Personal name



Funding Source

Organization

Japanese association of occupational Therapists

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

Kumamoto University Clinical Research Ethics Committee

Address

1-1-1,Honjo,Chuo-ku,Kumamoto

Tel

096-373-5657

Email

ski-shien@jimu.kumamoto-u.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

2019 Year 10 Month 10 Day


Related information

URL releasing protocol

https://www.jaot.or.jp/files/page/wp-content/uploads/2019/12/kadai-2019-02.pdf

Publication of results

Partially published


Result

URL related to results and publications

https://www.jaot.or.jp/files/page/wp-content/uploads/2019/12/kadai-2019-02.pdf

Number of participants that the trial has enrolled

17

Results

Statistical analysis revealed that there were no significant differences in the subject's profile between the two groups. The two-group comparison of therapeutic effects was analyzed by repeated measures two-way ANOVA, and no significant difference was found in MENFIS (p= 0.34), NPI-NH(p= 0.34), Behave-AD(p=0.53), and DAD(p=0.67).

Results date posted

2020 Year 11 Month 13 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The subjects were inpatients at Kumamoto University Hospital, Department of Neuropsychiatry and Kumamoto Seimei Hospital, who were diagnosed with dementia based on the DSM-5 criteria and were over 60 years old. The subjects were those who could perform the Timed Up and Go Test (TUG). For the subjects who completed the survey, the characteristics of the intervention group (n = 10) were 79.1 years old, female rate 50.0%, and MMSE score 17.4 points. The control group (n = 7) was 75.9 years old, female rate was 14.3 %, and the MMSE score was 18.9 points.

Participant flow

Subjects were randomly assigned to receive interventions with a combination of exercise and occupational therapy and controls with occupational therapy only. The allocation method was a central registration method. Stratification was performed after considering age, gender ratio, MMSE score, and type of dementia. The number of participants was 18. Of these, 17 completed treatment as planned.

Adverse events

Not in particular.

Outcome measures

The initial evaluation was performed before the intervention (3 days before to the day).
The final evaluation was made after 2 weeks of intervention (from the day to 3 days later).
Four types of neuropsychological evaluations were used to determine the effect of this study.
The Mental Function impairment Scale (MENFIS) and Neuropsychiatric Inventory Nursing Home Version (NPI-NH) were used to evaluate neuropsychiatric symptoms. Behavioral Pathology in Alzheimer's Disease (Behave-AD) was used to assess behavioral disorders in dementia. The Disability Assessment for Dementia (DAD) was used to evaluate the daily living ability of patients with dementia.

Plan to share IPD

Not in particular.

IPD sharing Plan description

Not in particular.


Progress

Recruitment status

Suspended

Date of protocol fixation

2019 Year 09 Month 01 Day

Date of IRB

2020 Year 01 Month 28 Day

Anticipated trial start date

2020 Year 01 Month 28 Day

Last follow-up date

2020 Year 11 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

It is difficult to continue the investigation due to the influence of COVID-19.


Management information

Registered date

2019 Year 10 Month 04 Day

Last modified on

2020 Year 11 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000043540


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name