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Trial registered on ANZCTR
Registration number
ACTRN12616001585415
Ethics application status
Approved
Date submitted
11/11/2016
Date registered
16/11/2016
Date last updated
16/11/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of reducing salt in bread on sales and total salt intake in remote Indigenous Australian community stores
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Scientific title
A trial to assess the effect of reducing salt in bread on sales and overall salt intake in remote Indigenous Australian communities
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Secondary ID [1]
290523
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Nil known
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Universal Trial Number (UTN)
U1111-1189-7328
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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:
Excess salt intake
300941
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Condition category
Condition code
Diet and Nutrition
300741
300741
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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
Intervention stores will receive salt-reduced white bread (300mg/100g) on their store shelves for 12 weeks.
The bread packaging will not be distinguishable from the control bread, however the markings on the carton the bread is packed in will differ to reduce the risk of the reduced salt bread being delivered to the control community or vice versa. In addition the price look up code (PLU) differed between the breads, to allow us to ensure that the correct bread is being sold in control and intervention stores.
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Intervention code [1]
296373
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Other interventions
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Comparator / control treatment
Control stores will receive regular salt white bread (400mg/100g) on store shelves for 12 weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in market share of study bread: change in % total dollars spent on study bread compared to dollars spent on all food and drink (%$) assessed through collecting data on all sales of food and drinks over the study period.
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Assessment method [1]
300155
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Timepoint [1]
300155
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Weekly reports of all sales over entire study period
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Primary outcome [2]
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Change in total dollars spent on study bread ($) assessed using sales data collected throughout the entire study period
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Assessment method [2]
300156
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Timepoint [2]
300156
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Weekly reports of all sales over entire study period
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Secondary outcome [1]
329204
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Change in total sodium density of purchases (sodium per megajoule of energy) assessed using sales data on all foods and drinks purchased linked to nutrition data.
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Assessment method [1]
329204
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Timepoint [1]
329204
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Weekly reports of all sales over entire study period
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Eligibility
Key inclusion criteria
Remote Indigenous Australian community stores that meet the following criteria will be included:
- Community store managed by one of the two participating store associations (ALPA and OBS).
- Community located within the Northern Territory (NT), Western Australia (WA) or South Australia (SA)
- Study bread represents >=45% of the market share for bread (i.e: >=45% of total dollars spent on bread is on study bread)
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Minimum age
No limit
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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?
Yes
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Key exclusion criteria
Store does not meet inclusion criteria or does not provide consent.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised 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
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
The study will include four periods in 2015: baseline (23 weeks, February-July), wash-in (six weeks, July-August), follow-up (12 weeks, August-November) and wash-out (six weeks, November-December).
This study was originally planned as a randomised controlled trial however changes to the baking location and supply route of the bread during the baseline period meant that many of the participating communities were unable to receive the reduced salt bread. For this reason, the study was adapted to a non-randomised controlled design, with allocation to intervention or control mostly determined by supply route of study bread for participating stores. Stores were blinded to their allocation.
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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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Date of first participant enrolment
Anticipated
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Actual
4/02/2015
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Date of last participant enrolment
Anticipated
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Actual
15/06/2015
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Date of last data collection
Anticipated
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Actual
3/01/2016
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Sample size
Target
30
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Accrual to date
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Final
26
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Recruitment in Australia
Recruitment state(s)
NT,SA,WA
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Funding & Sponsors
Funding source category [1]
294939
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University
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Name [1]
294939
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University of South Australia
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Address [1]
294939
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Centre for Population Health Research, School of Health Sciences, University of South Australia, City East Campus, North Tce, Adelaide SA Australia 5001
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Country [1]
294939
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Menzies School of Health Research
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Address
Royal Hospital Campus, 105 Rocklands Dr, Tiwi NT Australia 0810
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Country
Australia
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Secondary sponsor category [1]
293776
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None
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Name [1]
293776
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Address [1]
293776
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Country [1]
293776
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Other collaborator category [1]
279301
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Commercial sector/Industry
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Name [1]
279301
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The Arnhem Land Progress Aboriginal Corporation
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Address [1]
279301
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70 O’Sullivan Circuit, East Arm NT 0822
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Country [1]
279301
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Australia
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Other collaborator category [2]
279302
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Commercial sector/Industry
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Name [2]
279302
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Outback Stores
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Address [2]
279302
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67 Pruen Road, Darwin NT 0828
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Country [2]
279302
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Australia
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Other collaborator category [3]
279303
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Other
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Name [3]
279303
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The George Institute for Global Health
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Address [3]
279303
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Level 13, 321 Kent Street Sydney NSW 2000
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Country [3]
279303
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Australia
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Other collaborator category [4]
279304
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Commercial sector/Industry
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Name [4]
279304
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Goodman Fielder Limited
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Address [4]
279304
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39 Delhi Road, North Ryde Nsw 2113
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Country [4]
279304
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296314
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Human Research Ethics Committee of the NT Department of Health and the Menzies School of Health Research
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Ethics committee address [1]
296314
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John Mathews Building (Bldg 58) Royal Darwin Hospital Campus Rocklands Drv Casuarina NT 0810 Australia
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Ethics committee country [1]
296314
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Australia
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Date submitted for ethics approval [1]
296314
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Approval date [1]
296314
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20/01/2015
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Ethics approval number [1]
296314
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HREC-2014-2311
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Ethics committee name [2]
296315
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Central Australian HREC
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Ethics committee address [2]
296315
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Ethics committee country [2]
296315
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Australia
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Date submitted for ethics approval [2]
296315
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Approval date [2]
296315
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05/01/2014
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Ethics approval number [2]
296315
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HREC-14-275
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Ethics committee name [3]
296316
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Aboriginal Health Research Ethics Committee of SA
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Ethics committee address [3]
296316
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Ethics committee country [3]
296316
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Australia
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Date submitted for ethics approval [3]
296316
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Approval date [3]
296316
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04/12/2014
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Ethics approval number [3]
296316
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HREC 04-14-595
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Ethics committee name [4]
296317
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Western Australian Aboriginal Health Ethics Committee
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Ethics committee address [4]
296317
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Ethics committee country [4]
296317
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Date submitted for ethics approval [4]
296317
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Approval date [4]
296317
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09/03/2015
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Ethics approval number [4]
296317
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HREC-599
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Ethics committee name [5]
296318
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University of South Australia HREC
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Ethics committee address [5]
296318
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Ethics committee country [5]
296318
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Date submitted for ethics approval [5]
296318
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Approval date [5]
296318
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09/02/2015
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Ethics approval number [5]
296318
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0000033947
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Summary
Brief summary
Aim: To investigate the effects of a reduced sodium bread on sales and overall sodium intake in remote Indigenous communities. Study design: Communities stores will receive salt-reduced study bread (300mg/100g) (intervention communities) or regular salt study bread (400mg/100g) (control communities) to stock on store shelves for 12 weeks. Population: Remote Indigenous communities serviced by Arnhemland Progress Aboriginal Corporation (ALPA) or Outback Stores (OBS) in Northern Territory, Western Australia or South Australia and where Study bread represents >=45% of the market share for bread sales will be invited to the study (29 communities meet this criteria). Outcomes: - Change in sales (market share and total dollars) - Change in total sodium of all food and drink purchases
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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
70398
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Dr Emma McMahon
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Address
70398
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Menzies School of Health Research
PO Box 10639, Brisbane Qld 4000
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Country
70398
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Australia
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Phone
70398
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+61731694212
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Fax
70398
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Email
70398
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[email protected]
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Contact person for public queries
Name
70399
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Emma McMahon
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Address
70399
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Menzies School of Health Research
PO Box 10639, Brisbane Qld 4000
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Country
70399
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Australia
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Phone
70399
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+61731694212
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Fax
70399
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Email
70399
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[email protected]
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Contact person for scientific queries
Name
70400
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Emma McMahon
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Address
70400
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Menzies School of Health Research
PO Box 10639, Brisbane Qld 4000
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Country
70400
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Australia
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Phone
70400
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+61731694212
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Fax
70400
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Email
70400
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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.
Download to PDF