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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT01693536
Registration number
NCT01693536
Ethics application status
Date submitted
16/09/2012
Date registered
26/09/2012
Date last updated
26/09/2012
Titles & IDs
Public title
Can Primary Care Change Elderly Physical Activity and Salt Intake? An Australian Pilot Trial
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Scientific title
Effective Change of Behaviour of the Elderly in Normal General Practice
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Secondary ID [1]
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RO783
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Universal Trial Number (UTN)
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Trial acronym
ECOBEING
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Health Behaviour
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Behaviour - Lifestyle counselling
Experimental: Lifestyle counselling - Three dietician visits focussed on education to find food with sodium less than 120mg/100gms.
Two physiotherapist visits focussed on teaching personalised sustainable practical exercise.
No Intervention: Control - Control group was offered free skin cancer check and wait listed for the same lifestyle counselling after the six months of the study.
Behaviour: Lifestyle counselling
as in Arm Description
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Intervention code [1]
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Behaviour
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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the change in morning urine sodium/potassium ratio
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Assessment method [1]
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this measure is to reflect sodium intake. A 24hr urinary sodium cannot be readily validated as an accurate collection and even in the Trials of Hypertension Prevention study was changed to 8hrs to assist compliance. A spot morning ratio is a useful marker of sodium intake for group evaluation.
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Timepoint [1]
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between enrollment and six months
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Primary outcome [2]
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the increased distance in a six minute walk test
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Assessment method [2]
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to measure objectively an increase in fitness the increase in the six minute walk test was used
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Timepoint [2]
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between enrollment and six months
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Secondary outcome [1]
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change in systolic BP
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Assessment method [1]
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teaching people to reduce sodium intake and increase fitness may reduce systolic blood pressure as a secondary outcome
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Timepoint [1]
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between enrollment and six months
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Secondary outcome [2]
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change in doses/day of antihypertensive medication
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Assessment method [2]
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teaching reduction in sodium and increased fitness may mean people need less antihypertensive medication as a secondary outcome
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Timepoint [2]
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between enrollment and six months
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Secondary outcome [3]
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change in waist measurement
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Assessment method [3]
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teaching increased fitness would be expected to reduce waist measurement as a secondary outcome
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Timepoint [3]
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between enrollment and six months
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Secondary outcome [4]
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change in weight & BMI
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Assessment method [4]
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teaching increased fitness would be expected to reduce weight and therefore calculated Body Mass Index as a secondary outcome
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Timepoint [4]
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between enrollment and six months
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Secondary outcome [5]
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change in cognition measurement
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Assessment method [5]
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Cognition measurements using the Standardised Mini-Mental State Examination, and the more comprehensive and sensitive Addenbrooke Cognitive Examination to compare those in the intervention group with the highest and lowest quartiles of reduction in sodium intake + increased fitness (equally weighted), as a secondary outcome of teaching these lifestyle changes.
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Timepoint [5]
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between enrollment and six months
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Eligibility
Key inclusion criteria
- Living independently
- Must be able to walk for six minutes
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Minimum age
75
Years
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Maximum age
95
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
- Dementia as defined by Standardised Mini-Mental State Examination score <25/30
- All patients of HealthHQ-Southport General Practice
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Study design
Purpose of the study
Prevention
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/10/2008
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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
1/12/2010
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Sample size
Target
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Accrual to date
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Final
85
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Health HQ-Southport General Practice - Southport
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Recruitment postcode(s) [1]
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4215 - Southport
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Funding & Sponsors
Primary sponsor type
Other
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Name
Health HQ
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
A randomised controlled trial to test if offering three visits to a dietician + two visits to
a physiotherapist over six months + a home sphygmomanometer, will result in a reduction in
sodium intake and an increase in fitness in people over 75yrs. Volunteers were enrolled from
Oct 2008 to July 2009.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT01693536
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Trial related presentations / publications
Cook NR, Cutler JA, Obarzanek E, Buring JE, Rexrode KM, Kumanyika SK, Appel LJ, Whelton PK. Long term effects of dietary sodium reduction on cardiovascular disease outcomes: observational follow-up of the trials of hypertension prevention (TOHP). BMJ. 2007 Apr 28;334(7599):885-8. doi: 10.1136/bmj.39147.604896.55. Epub 2007 Apr 20.
Lindstrom J, Ilanne-Parikka P, Peltonen M, Aunola S, Eriksson JG, Hemio K, Hamalainen H, Harkonen P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Mannelin M, Paturi M, Sundvall J, Valle TT, Uusitupa M, Tuomilehto J; Finnish Diabetes Prevention Study Group. Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention Study. Lancet. 2006 Nov 11;368(9548):1673-9. doi: 10.1016/S0140-6736(06)69701-8.
Joint Health Surveys Unit (NatCen and UCL). A survey of 24 hour and spot urinary sodium and potassium excretion in a representative sample of the Scottish population. Food Standards Agency Scotland, 2007
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Public notes
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Contacts
Principal investigator
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Norman A Hohl, MBBS, FRACGP
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Address
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Medical Director Health HQ, Ass Prof Bond Uni Faculty Health Science
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Fax
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Email
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Contact person for public queries
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Fax
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT01693536
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