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Trial registered on ANZCTR
Registration number
ACTRN12613001078741
Ethics application status
Not yet submitted
Date submitted
25/09/2013
Date registered
26/09/2013
Date last updated
26/09/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
A Postpartum Motivational Interviewing Group Intervention for Women with a History of Gestational Diabetes
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Scientific title
A pilot study to evaluate the effect of a postpartum motivational interviewing group intervention on motivation, exercise and eating habits in women with a history of gestational diabetes
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Secondary ID [1]
283305
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Nil
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Universal Trial Number (UTN)
UTN: U1111-1148-3995
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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:
Gestational Diabetes Mellitus
290189
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Condition category
Condition code
Metabolic and Endocrine
290577
290577
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0
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Diabetes
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Reproductive Health and Childbirth
290581
290581
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A motivational interviewing group which involves reflection on the experience of gestational diabetes, what the women know about life after gestational diabetes, a discussion on their current lifestyle and encouraging intrinsic motivation to make changes if appropriate. This one off session will take 2 hours and can be followed up with additional support at home or via telephone if deemed useful.
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Intervention code [1]
288025
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Lifestyle
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Intervention code [2]
288026
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Behaviour
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Comparator / control treatment
Usual care (no treatment)
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Control group
Active
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Outcomes
Primary outcome [1]
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Motivation- measured using readiness rulers for importance, confidence and readiness to change: fat intake, sugar intake, portion size, exercise, fruit and vegetable intake, keeping a healthy weight.
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Assessment method [1]
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Timepoint [1]
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Baseline, end of group session and 1 month follow-up
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Secondary outcome [1]
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Eating habits (rapid eating assessment for participants shortened version)
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Assessment method [1]
304862
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Timepoint [1]
304862
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Baseline and 1 month follow-up
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Secondary outcome [2]
304876
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Physical exercise (International physical activity questionnaire)
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Assessment method [2]
304876
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Timepoint [2]
304876
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Baseline and follow-up (1 month)
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Eligibility
Key inclusion criteria
women with a history of gestational diabetes in their last pregnancy, 3-12 months postpartum; 18 years or over; able to give informed consent; fluent in English
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
major psychiatric disorders; severe cognitive dysfunction.
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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)
A local PHO will recruit participants through their database. They will make telephone contact with them and ask if they would like to be part of a study. Interested individuals will have their details passed onto the researcher who will then make contact with them and provide additional information. Participants will be allocated a participant number on recruitment, and then randomized to the control group or intervention group through an internet number randomizer. Allocation will be consealed as the person recruiting participants will not know which group they will be part of until the complete number of participants have been recruited.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Internet number generator
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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
Efficacy
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Statistical methods / analysis
The sample size selected in this study is 20 participants. This is based on recommendations of not having more than 5-7 participants per group session if it is facilitated by one facilitator. We have decided to over recruit slightly in case some participants are unable to attend the group session on the day. Given this study is a pilot study we did not recruit based on power calculations. We realise that this will impact on the statistical tests that we run. We plan to use one way repeated measures ANOVA or Friedman's ANOVA.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
4/11/2013
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Actual
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Date of last participant enrolment
Anticipated
2/12/2013
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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
20
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
5444
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New Zealand
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State/province [1]
5444
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Funding & Sponsors
Funding source category [1]
288037
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Charities/Societies/Foundations
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Name [1]
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Diabetes Projects Trust
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Address [1]
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100 Alexander Crescent
Otara
Auckland 2159
NZ
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Country [1]
288037
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New Zealand
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Primary sponsor type
Charities/Societies/Foundations
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Name
Diabetes Projects Trust
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Address
100 Alexander Crescent
Otara
Auckland 2159
NZ
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Country
New Zealand
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Secondary sponsor category [1]
286760
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None
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Name [1]
286760
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Address [1]
286760
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Country [1]
286760
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
289960
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Northern Regional X Ethics Committee
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Ethics committee address [1]
289960
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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26/09/2013
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Approval date [1]
289960
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Ethics approval number [1]
289960
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Summary
Brief summary
Research has shown that women with a history of gestational diabetes are at a much higher risk of getting gestational diabetes in future pregnancies and type 2 diabetes in the future than those who have not had gestational diabetes. Furthermore, these risks can be ameliorated by maintaining a healthy lifestyle i.e. regular exercise and healthy eating. Modifying lifestyle factors is often a challenging task and can take considerable time, commitment and motivation. It is therefore not surprising that patients often experience a sense of ambivalence around whether they want to make changes or not, regardless of the health benefits. Health practitioners have generally encouraged patients to make lifestyle changes through persuasive advice giving. However, the research shows that while this is an effective means of eliciting behaviour change for some patients, it does not appear to be effective for the majority of patients. Patient centred approaches to lifestyle modification (in which the patient does most of the talking and the patient and health practitioner work collaboratively) have produced more promising results. Furthermore, motivational interviewing (a patient centred approach) has shown significant effects on a range of physiological measures (including BMI) and a range of health problems e.g. diabetes and weight-related problems. In this pilot study a between groups experimental design will be used as part of a PDSA cycle to explore the efficacy of a 2-hour motivational interviewing group for women with a history of gestational diabetes. Process data will be collected in addition to outcome data on perceived risk of diabetes, motivation for change, physical activity levels, and eating habits
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Miss Heidi Baxter
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Address
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Diabetes Projects Trust
100 Alexander Crescent
Otara
Auckland 2159
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Country
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New Zealand
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Phone
43282
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649 273 9650
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
43283
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Heidi Baxter
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Address
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Diabetes Projects Trust
100 Alexander Crescent
Otara
Auckland 2159
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Country
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New Zealand
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Phone
43283
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649 273 9650
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Heidi Baxter
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Address
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Diabetes Projects Trust
100 Alexander Crescent
Otara
Auckland 2159
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Country
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New Zealand
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Phone
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649 273 9650
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Fax
43284
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Email
43284
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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
No additional documents have been identified.
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