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Trial registered on ANZCTR
Registration number
ACTRN12623000412639p
Ethics application status
Submitted, not yet approved
Date submitted
25/10/2022
Date registered
26/04/2023
Date last updated
26/04/2023
Date data sharing statement initially provided
26/04/2023
Type of registration
Prospectively registered
Titles & IDs
Public title
Shared Decision Making in Pregnancy in Inflammatory Bowel Disease: Validation of a Decision Aid for Pregnancy in Inflammatory Bowel Disease
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Scientific title
Shared Decision Making in Pregnancy in Inflammatory Bowel Disease: Validation of a Decision Aid to Assist Patients and their Health Care Team make informed decisions regarding the Management of IBD during Pregnancy and Peripartum
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Secondary ID [1]
308246
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Nil known
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Universal Trial Number (UTN)
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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:
Inflammatory Bowel Disease
328044
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Condition category
Condition code
Oral and Gastrointestinal
325100
325100
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0
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Inflammatory bowel disease
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Reproductive Health and Childbirth
325218
325218
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0
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Fetal medicine and complications of pregnancy
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Reproductive Health and Childbirth
326295
326295
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0
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Antenatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Delivery of a web based decision aid relating to pregnancy related issues in inflammatory bowel disease (IBD) 1 week prior to the consultation with their usual gastroenterologist.
Web based education tool (approximately 10 minutes anticipated to complete) that allows users to input their condition and circumstances to generate information relevant to them in relation to fertility and pregnancy in the context of inflammatory bowel disease.
Target population: Preconception patients
The first half of the study will allocate all patients to the control arm and the subsequent half of the study (once 60 controls recruited), to the interventional arm. This is aimed as preventing any influence of the decision aid on the treating gastroenterologist and their interactions with participants from the control arm.
No specific measure to monitor adherence - self reported only.
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Intervention code [1]
324720
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Prevention
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Comparator / control treatment
Standard of care - patients will attend their scheduled gastroenterology appointments which may or may not involve discussion regarding reproductive and pregnancy related issues in IBD.
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in the quality of the decision-making process as measured score in the Decisional Conflict Scale will be the primary outcome variable.
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Assessment method [1]
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Timepoint [1]
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Timepoint 1 - Baseline (pre-intervention)
Timepoint 2 - 2 weeks following consultation
Timepoint 3 - 2 months following consultation
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Secondary outcome [1]
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Preparation for Decision Making (PrepDM) scale
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Assessment method [1]
415687
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Timepoint [1]
415687
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Timepoint 1 - Baseline (pre-intervention)
Timepoint 2 - 2 weeks following consultation
Timepoint 3 - 2 months following consultation
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Secondary outcome [2]
415688
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Crohn’s & Colitis Pregnancy Knowledge Score (CPPKnow)
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Assessment method [2]
415688
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Timepoint [2]
415688
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Timepoint 1 - Baseline (pre-intervention)
Timepoint 2 - 2 weeks following consultation
Timepoint 3 - 2 months following consultation
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Secondary outcome [3]
415689
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Satisfaction with Decision Scale (SWD)
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Assessment method [3]
415689
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Timepoint [3]
415689
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Timepoint 1 - Baseline (pre-intervention)
Timepoint 2 - 2 weeks following consultation
Timepoint 3 - 2 months following consultation
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Eligibility
Key inclusion criteria
Female gender
18 to 45 years of age (reproductive age group)
Confirmed diagnosis of ulcerative colitis, Crohn’s disease or IBD-indeterminate
Preconception
Interest in considering issues surrounding pregnancy
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Post partum (within 6 months)
Inability to speak or read English sufficiently to complete surveys or use decision aid
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Study design
Purpose of the study
Educational / counselling / training
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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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
Participants in the first half of the study (first 6 months) - will ALL be enrolled into non-intervention arm (e.g. standard consultation only).
Participants in the second half of the study (second 6 months) will ALL be enrolled into the intervention (decision aid + standard consultation) arm.
This will prevent bias of the treating clinician from being incidentally exposed to patients who have and haven't received the decision aid (and hence altering their clinical practice).
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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
Not yet recruiting
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Date of first participant enrolment
Anticipated
16/05/2023
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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
120
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment outside Australia
Country [1]
25081
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Canada
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State/province [1]
25081
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Ontario
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Funding & Sponsors
Funding source category [1]
312503
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Self funded/Unfunded
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Name [1]
312503
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None
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Address [1]
312503
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Country [1]
312503
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Primary sponsor type
Government body
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Name
Sydney South West Local Health District (SWSLHD)
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Address
Administration Building, Eastern Campus, Liverpool Hospital Locked Bag 7279, Liverpool BC 1871
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
314795
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None
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Country [1]
314795
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
311839
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SWSLHD Human Research Ethics Committee
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Ethics committee address [1]
311839
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South Western Sydney Local Health District Executive Office Liverpool Hospital Eastern Campus Scrivener Street LIVERPOOL NSW 2170
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Ethics committee country [1]
311839
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Australia
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Date submitted for ethics approval [1]
311839
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25/10/2022
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Approval date [1]
311839
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Ethics approval number [1]
311839
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Summary
Brief summary
This is a multicentre non-randomized clinical trial looking to examine the benefit of implementing a decision aid named Pregnancy IBD Decision Aid (PIDA). Access to dedicated pre-conception counselling sessions within both metropolitan, regional and rural Australia and Canada however can be limited, given the restricted number of specialised ‘pregnancy in IBD’ clinics. A decision aid, to be utilised in conjunction with outpatient clinical appointments, may provide a method by which to overcome such limitations in access. Each site will have study outcomes collected over a six month period during the implementation of the current standard of care of preconception counselling; in the following six months the intervention (PIDA) will precede this standard of care. Sites will comprise a combination of tertiary centres with dedicated pregnancy in IBD Clinics, in addition to non-tertiary centres which provide non-specialised IBD care. An improvement in the quality of the decision-making process as measured by the Decisional Conflict Scale will be the primary outcome variable. The secondary outcome variables are: 1. Quality of decision-making process (as assessed by PrepDM scale questionnaire) 2. Quality of decision comprising knowledge and congruence of values (as assessed by CCPKnow; SWD questionnaires)
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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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Dr Patrick Chan
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Address
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Clinic 123, Level 1, Liverpool Hospital, Elizabeth St, Liverpool, NSW, 2170
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Country
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Australia
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Phone
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+61 287384085
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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
122551
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Patrick Chan
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Address
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Clinic 123, Level 1, Liverpool Hospital, Elizabeth St, Liverpool, NSW, 2170
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Country
122551
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Australia
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Phone
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+61 287384085
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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
122552
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Patrick Chan
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Address
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Clinic 123, Level 1, Liverpool Hospital, Elizabeth St, Liverpool, NSW, 2170
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Country
122552
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Australia
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Phone
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+61 287384085
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Fax
122552
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Email
122552
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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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