多学科团队管理模式下运动、认知双任务型训练对老年认知功能障碍干预作用的前瞻性随机对照研究

注册号:

Registration number:

ChiCTR2200064005 

最近更新日期:

Date of Last Refreshed on:

2023-04-15 20:44:39 

注册时间:

Date of Registration:

2022-09-23 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

多学科团队管理模式下运动、认知双任务型训练对老年认知功能障碍干预作用的前瞻性随机对照研究

Public title:

Simultaneous physical exercise and cognitive training in Chinese older inpatients with cognitive impairment based on integrated multidisciplinary care: a prospective, randomized, controlled trail

注册题目简写:

English Acronym:

研究课题的正式科学名称:

多学科团队管理模式下运动、认知双任务型训练对老年认知功能障碍干预作用的前瞻性随机对照研究

Scientific title:

Simultaneous physical exercise and cognitive training in Chinese older inpatients with cognitive impairment based on integrated multidisciplinary care: a prospective, randomized, controlled trail

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

石艳清 

研究负责人:

石艳清 

Applicant:

Yanqin Shi 

Study leader:

Yanqing Shi 

申请注册联系人电话:

Applicant telephone:

+86 591 86218419

研究负责人电话:

Study leader's
telephone:

+86 13365910057

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

shiyq311@163.com

研究负责人电子邮件:

Study leader's E-mail:

shiyq311@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

福建省福州市鼓楼区新权路29号

研究负责人通讯地址:

福建省福州市鼓楼区新权路29号

Applicant address:

29 Xinquan Road, Gulou District, Fuzhou, Fujian, China

Study leader's address:

29 Xinquan Road, Gulou District, Fuzhou, Fujian, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

福建医科大学附属协和医院

Applicant's institution:

Fujian Medical University Union Hospital

研究负责人所在单位:

福建医科大学附属协和医院

Affiliation of the Leader:

Fujian Medical University Union Hospital

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2022YF027-01

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

福建医科大学附属协和医院伦理委员会

Name of the ethic committee:

Ethics Committee of Fujian Medical University Union Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2022-03-31 00:00:00

伦理委员会联系人:

林兆函

Contact Name of the ethic committee:

Zhaohan Lin

伦理委员会联系地址:

福建省福州市鼓楼区新权路29号

Contact Address of the ethic committee:

29 Xinquan Road, Gulou District, Fuzhou, Fujian, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

福建医科大学附属协和医院

Primary sponsor:

Fujian Medical University Union Hospital

研究实施负责(组长)单位地址:

福建省福州市鼓楼区新权路29号

Primary sponsor's address:

29 Xinquan Road, Gulou District, Fuzhou, Fujian, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

福建省

市(区县):

Country:

China

Province:

Fujian

City:

单位(医院):

福建医科大学附属协和医院

具体地址:

福建省福州市新权路29号

Institution
hospital:

Fujian Medical University Union Hospital

Address:

29 Xinquan Road, Gulou District, Fuzhou, Fujian, China

经费或物资来源:

福建省医疗“创双高”老年病科国家临床重点专科建设项目、 国家重点研发计划主动健康和老龄化科技应对专项

Source(s) of funding:

Geriatrics national key clinical specialty construction project; National key research and development plan (active health and technological response to aging project)

研究疾病:

认知功能障碍  

Target disease:

cognitive impairment

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

针对认知功能障碍的老年住院患者,制定运动、认知双重任务型训练为主的干预方案,结合持续2年的随访、管理,探索“筛查-多重干预-联合管理”的老年多学科决策模式对老年认知功能障碍干预的远期效果,提高老年认知功能障碍的综合防控水平。  

Objectives of Study:

To assess the long-term effects of simultaneous physical exercise and cognitive training based on multidisciplinary decision-making model in elderly inpatient with cognition impairment. The model of "screening-multiple interventions-combined management" is implemented, and all enrolled patients are followed up for 2 years.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.精神、意识障碍; 2.严重视力或听力下降影响交流; 3.疾病终末期; 4.重要脏器功能严重衰竭; 5.急性重症患者;急性心肌梗死;剥离性主动脉瘤;重度主动脉瓣狭窄;心内膜炎/急性心包膜炎;急性肺栓塞或深静脉血栓;近期大手术或过去1个月发生肢体骨折者; 6.患者本人及家属拒绝参与本研究; 7.患者无法配合完成评估与干预; 8.存在研究者认为需排除的其他状况。

Exclusion criteria:

1. Mental or consciousness disorders, inability to communicate effectively; 2. Severe vision or hearing loss, inability to cooperate with evaluation or intervention; 3. Endstage disease; 4. Serious failure of vital organs; 5. Acute myocardial infarction; dissection aortic aneurysm; severe aortic valve stenosis; endocarditis /acute pericarditis; acute pulmonary embolism or deep vein thrombosis; recent major surgery or limb fracture in the past 1 month; 6. Patient or their family refuse to participate in the study; 7. Unable to coordinate the completion of assessment and intervention; 8. Other conditions that the researcher consider necessary to exclude.

研究实施时间:

Study execute time:

From 2022-04-01 00:00:00 To 2025-10-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2022-04-01 00:00:00 To 2023-10-31 00:00:00

干预措施:

Interventions:

组别:

对照组

样本量:

43

Group:

Control group

Sample size:

干预措施:

体育锻炼、认知训练同步训练

干预措施代码:

Intervention:

simultaneous physical exercise and cognitive training

Intervention code:

组别:

干预组

样本量:

43

Group:

intervention

Sample size:

干预措施:

“筛查-多重干预-联合管理”的老年多学科决策模式

干预措施代码:

Intervention:

multidisciplinary decision-making model including "screening-multiple interventions-combined management"

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

福建省 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

福建医科大学附属协和医院 

单位级别:

三级甲等 

Institution
hospital:

Fujian Medical University Union Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

福建省 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

福州市第一医院 

单位级别:

三级甲等 

Institution
hospital:

The First Hospital of Fuzhou City

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

福建省 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

莆田市第一医院 

单位级别:

三级甲等 

Institution
hospital:

The First Hospital of Putian City

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

蒙特利尔认知评估(MoCA)

指标类型:

主要指标

Outcome:

Montreal Cognitive Assessment

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

简易精神状态评价量表(MMSE)

指标类型:

主要指标

Outcome:

Mini-mental State Examination

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

日常生活能力(ADL)

指标类型:

主要指标

Outcome:

Activities of daily living

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

老年抑郁简易量表(GDS-15)

指标类型:

次要指标

Outcome:

Geriatric Depression Mini-Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

神经精神症状问卷

指标类型:

次要指标

Outcome:

Neuropsychiatric Symptoms Questionnaire

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

跌到风险评估(Morse跌倒量表)

指标类型:

次要指标

Outcome:

Morse Fall Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

简易体能状况量表SPPB

指标类型:

次要指标

Outcome:

Short Physical Performance Battery

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

衰弱量表

指标类型:

次要指标

Outcome:

Frailty Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

营养不良风险筛查(MNA-SF)

指标类型:

次要指标

Outcome:

Screening for malnutrition risk

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

握力

指标类型:

次要指标

Outcome:

Grip strength

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

体成分分析

指标类型:

次要指标

Outcome:

Body Composition Analysis

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

炎症指标

指标类型:

次要指标

Outcome:

Markers of inflammation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 60 years
最大 Max age max years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

应用区组分层随机法进行随机分组,分层因素为:认知功能障碍程度、受教育程度;分别设置为2个水平。由统计学专业人员应用随机数字表产生随机序列,符合条件的老年患者按1:1的比例随机分配到对照组或干预组。

Randomization Procedure (please state who generates the random number sequence and by what method):

The stratified blocked randomization is used to randomize groups, and the stratified factors are degree of cognitive dysfunction and education level, divided into two levels respectively. Statistical professionals generate random sequences with a random number table, and eligible elderly patients are randomly allocated into test group or control group.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

none

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

试验结束且论文发表后,在国家卫健委科教司“医学研究登记备案信息系统”上公开数据,平台网址https://www.medicalresearch.org.cn/login

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

The data will be shared on the Medical Research Registration and Archival Information System, https://www.medicalresearch.org.cn/login

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

采用纸质版CRF表收集数据,应用epidata 3.1进行数据录入、整理,数据为电子与纸质版双保存。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

The paper version of CRF is used to collect data, and Epidata 3.1 is used for data entry and sorting. The data are stored in both electronic and paper versions.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2022-09-23 16:50:23