UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000053148
Receipt number R000060342
Scientific Title Verification of the Effectiveness of Digital Transformation (Dx) in Nursing Homes to Improve the Nursing Care Environment
Date of disclosure of the study information 2023/12/27
Last modified on 2023/12/18 21:08:10

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Basic information

Public title

Verification of the Effectiveness of Digital Transformation (Dx) in Nursing Homes to Improve the Nursing Care Environment

Acronym

Verification of the Effectiveness of Digital Transformation (Dx) in Nursing Homes

Scientific Title

Verification of the Effectiveness of Digital Transformation (Dx) in Nursing Homes to Improve the Nursing Care Environment

Scientific Title:Acronym

Verification of the Effectiveness of Digital Transformation (Dx) in Nursing Homes

Region

Japan


Condition

Condition

Low back pain

Classification by specialty

Orthopedics Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to verify whether digital transformation (Dx), such as (1) power-assistive suits, (2) robotic walkers, and (3) bed release sensors, monitoring cameras, and nurse call interlocking services, improves the nursing environment by reducing the burden and fatigue of caregivers and improving the level of well-being of caregivers and the satisfaction of care recipients.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Primary endpoints: Questionnaire survey
1) Low back pain: NRS, JOABPEQ, Oswestry Disability Index, questionnaire survey based on abbreviated version of Pain Detect
2) Lower limb pain: NRS
3) Fatigue: modified Borg scale (Borg G. Scand J Work Environ Health. 1990, 16(1): 55-58)
4) Happiness: 11-point scale.

Key secondary outcomes

Secondary endpoints
1) Muscle strength: back strength, grip strength, lower limb strength
2) Blood pressure and pulse rate: Measured by wearable device (Fitbit)
3) QOL assessment: SF-8, EuroQOL 5 dimensions (EQ-5D)
4) Berg Balance Scale
5) 10 meter walk test
6) Timed Up and Go test
7) Body fat and skeletal muscle mass measurement with Inbody


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

4

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

The power-assistive suit will be used or not used for 4 weeks for transfer assistance tasks within the workday, followed by a 2-week pause, and then 4 weeks of work with or without the power-assistive suit.

Interventions/Control_2

We will survey 30 care recipients who are able to respond to a questionnaire survey, by means of questionnaires (back pain, leg pain, average fatigue level, and happiness level), to determine their situation and satisfaction level in care depending on whether the caregiver uses a power-assisted suit or not.

Interventions/Control_3

A crossover study will be conducted with two groups: a group that will practice walking with the robotic walker for 20-40 minutes per day for 4 weeks, then discontinue walking practice for 2 weeks, and then practice walking with the regular walker for 20-40 minutes per day for 4 weeks and evaluate the results weekly, and a group that will practice walking with the regular walker for 20-40 minutes per day for 4 weeks, then discontinue walking practice for 2 weeks , and then practice walking with the robotic walker for 20-40 minutes per day for 4 weeks and evaluate the results weekly.

Interventions/Control_4

The use of the bed release sensor will be examined in a crossover study in which one group will be evaluated weekly for 1 week of use of the bed release sensor, then 1 week of non-use of the bed release sensor, and then 1 week of non-use of the bed release sensor.
The use of the bed release sensor will be examined in a crossover study in which one group will be evaluated weekly during one week of use of the bed release sensor and the other group will be evaluated weekly during one week of non-use of the bed release sensor.

Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

100 years-old >

Gender

Male and Female

Key inclusion criteria

(1) Caregivers and caregivers at the "Nishiki-en" long-term care health facility for the elderly, the "Tazawa-no-Sato" long-term care health facility for the elderly, and the "Sawayaka Sakurakan" private-pay nursing home for the elderly in Senboku City, Akita Prefecture
(2) Persons who have consented to this study by signing a consent form.

Key exclusion criteria

(1) Pain due to musculoskeletal disorders such as back pain and leg pain that make it difficult to perform transfer assistance tasks.
(2) Difficulty in performing tasks and transfers due to cardiovascular, respiratory, endocrine, or other diseases
(3) Severe paralysis due to cranial nerve disease or spinal cord disease that makes transferring difficult
(4) Inability to answer self-administered questionnaires due to cognitive decline
(5) Inability to walk unaided or instability in walking unaided with the possibility of falling
(6) Unable to agree to the purpose of this study or sign the consent form
(7) Other participants who are considered inappropriate to participate in this study.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Yuji
Middle name
Last name Kasukawa

Organization

Akita University Hospital

Division name

Division of Rehabilitation Medicine

Zip code

010-8543

Address

1-1-1 Hondo, Akita

TEL

018-884-6148

Email

kasukawa@doc.med.akita-u.ac.jp


Public contact

Name of contact person

1st name Yuji
Middle name
Last name Kasukawa

Organization

Akita University Hospital

Division name

Division of Rehabilitation Medicine

Zip code

010-8543

Address

1-1-1 Hondo, Akita

TEL

018-884-6148

Homepage URL


Email

kasukawa@doc.med.akita-u.ac.jp


Sponsor or person

Institute

Akita University

Institute

Department

Personal name



Funding Source

Organization

Akita University

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

Akita University Graduate School of Medicine and Faculty of Medicine Ethics Committee

Address

1-1-1 Hondo, Akita

Tel

018-884-6028

Email

soken@hos.akita-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

2023 Year 12 Month 27 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

2023 Year 10 Month 24 Day

Date of IRB


Anticipated trial start date

2024 Year 01 Month 15 Day

Last follow-up date

2026 Year 01 Month 14 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 12 Month 18 Day

Last modified on

2023 Year 12 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000060342


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name