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Trial registered on ANZCTR
Registration number
ACTRN12612001258842
Ethics application status
Approved
Date submitted
29/11/2012
Date registered
29/11/2012
Date last updated
29/11/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Bread n' Butter... Gluten Free of Course! An online intervention to improve gluten free diet adherence, coping, and quality of life in coeliac disease
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Scientific title
Bread n' Butter... Gluten Free of Course! An online intervention to improve gluten free diet adherence, coping, and quality of life in coeliac disease
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Secondary ID [1]
281600
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Nil
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Universal Trial Number (UTN)
U1111-1137-4677
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Coeliac Disease
287883
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Condition category
Condition code
Oral and Gastrointestinal
288253
288253
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Diet and Nutrition
288264
288264
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Six online modules to be completed over six weeks. Each module takes approximately 30 minutes to complete and involves participants engaging with an interactive computer program to apply the target skills to their own examples of target problems. Module 1: label reading skills
Module 2: problem solving skills
Module 3: communication skills
Module 4: cognitive challenging skills
Module 5: goal setting skills
Module 6: summary module
AT the end of each module participants are required to set specific plans for how they will practice the skills prior to completion of the next module. Plans are reviewed at the beginning of each subsequent module and participants asked to identify the factors which either facilitated their performance or acted as barriers to carrying out their plans.
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Intervention code [1]
286127
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Behaviour
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Intervention code [2]
286139
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Treatment: Other
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Comparator / control treatment
Waitlist control condition: immediately after completing the post-survey (8 weeks after baseline) participants in the waitlist group will be given access to the intervention materials.
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Control group
Active
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Outcomes
Primary outcome [1]
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Gluten free diet adherence: measured using the Coeliac Dietary Adherence Test (Leffler et al., 2009). The CDAT is a seven item questionnaire assessing gluten free diet adherence via questions about gluten avoidance habits, coeliac disease related symptoms and self-efficacy. The CDAT has been validated against more objective measures of adherence including the gold standard dietitian rated assessment of adherence.
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Assessment method [1]
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Timepoint [1]
288434
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Baseline, immediate post-intervention, three-month follow-up
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Secondary outcome [1]
300150
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Psychological symptoms: to be assessed using the Depression, Anxiety, Stress Scale (Lovibond & Lovibond, 1995) - a 21 item self-report questionnaire assessing the negative emotional states of depression, anxiety and stress. The Eating Disorders Inventory-3 Eating Disorder Risk Scale (Garner, 2004) - a 25 item questionnaire assessing the risk of an individual developing an eating disorder via questions related to body dissatisfaction, drive for thinness, and bulimic behaviours.
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Assessment method [1]
300150
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Timepoint [1]
300150
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Baseline, immediate post-intervention, three-month follow-up
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Secondary outcome [2]
300151
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Gluten free diet knowledge: to be assessed using 14 ingredient lists adapted from educational materials used by the coeliac society of NSW. Requires participants to state whether each product is gluten free or not based on their knowledge of safe and gluten-containing ingredients.
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Assessment method [2]
300151
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Timepoint [2]
300151
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Baseline, immediate post-intervention, three-month follow-up
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Secondary outcome [3]
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Theory of planned behaviour variables: Intention, Attitude, Subjective Norm and Perceived Behavioural Control. Assessed using the 17 item Coeliac Disease Theory of Planned Behaviour questionnaire (Sainsbury & Mullan, 2011).
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Assessment method [3]
300152
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Timepoint [3]
300152
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Baseline, immediate post-intervention, three-month follow-up
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Secondary outcome [4]
300153
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Quality of life: Overall QOL, psychological and physical QOL to be assessed using the World Health Organisation Quality of Life Instrument BREF (Murphy et al., 2000).
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Assessment method [4]
300153
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Timepoint [4]
300153
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Baseline, immediate post-intervention, three-month follow-up
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Eligibility
Key inclusion criteria
Biopsy confirmed coeliac disease, aged 16 years and over, gluten free diet duration minimum 3 months
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Minimum age
16
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Does not have biopsy confirmed coeliac disease, aged below 16 years, has been on a gluten free diet for less than 3 months.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Three separate sets of randomised numbers (1 = waitlist, 2 = intervention) were generated using an online random number generator. Following completion of the baseline measures participant's adherence category was determined (excellent, moderate, poor). The main researcher (Kirby Sainsbury) then allocated the participant to the intervention or waitlist group by using the next number within the respective adherence category. After each enrolment in the trial the allocation was crossed off the list.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
An online random number generator (http://www.random.org) was used to generate 3 sets of 80 integers between one and two. The 3 sets were labeled as "excellent", "moderate," and "poor."
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Waitlist control design
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
18/04/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
168
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
286406
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University
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Name [1]
286406
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The University of Sydney
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Address [1]
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The University of Sydney,
Sydney, NSW, 2006
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Country [1]
286406
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Australia
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Primary sponsor type
Individual
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Name
Kirby Sainsbury
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Address
The University of Sydney
School of Psychology
Brennan MacCallum room 446
Sydney, NSW, 2006
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Country
Australia
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Secondary sponsor category [1]
285190
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None
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Name [1]
285190
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Address [1]
285190
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Country [1]
285190
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288482
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The University of Sydney Human Research Ethics Committee
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Ethics committee address [1]
288482
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The University of Sydney Sydney, NSW, 2006
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Ethics committee country [1]
288482
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Australia
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Date submitted for ethics approval [1]
288482
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06/02/2012
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Approval date [1]
288482
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08/03/2012
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Ethics approval number [1]
288482
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14567
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Summary
Brief summary
An online intervention to improve gluten free diet adherence, coping, psychological symptoms and quality of life in adults with coeliac disease. The intervention modules are based on the theory of planned behaviour and cognitive behaviour therapy. It was hypothesised that relative to the waitlist control group the intervention group would evidence greater improvements in gluten free diet adherence, psychological symptoms, and quality of life from baseline to immediate post-intervention.
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Trial website
http://bread-n-butter-gf.com
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
34994
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Kirby Sainsbury
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Address
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The School of Psychology
Brennan MacCallum room 446
The University of Sydney
Sydney, NSW, 2006
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Country
18241
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Australia
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Phone
18241
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61 414468389
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Fax
18241
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Email
18241
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[email protected]
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Contact person for scientific queries
Name
9169
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Kirby Sainsbury
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Address
9169
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The School of Psychology
Brennan MacCallum room 446
The University of Sydney
Sydney, NSW, 2006
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Country
9169
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Australia
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Phone
9169
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61 414468389
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Fax
9169
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Email
9169
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Predicting intention and behaviour following participation in a theory-based intervention to improve gluten free diet adherence in coeliac disease.
2015
https://dx.doi.org/10.1080/08870446.2015.1022548
N.B. These documents automatically identified may not have been verified by the study sponsor.
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