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Trial registered on ANZCTR
Registration number
ACTRN12624000555550
Ethics application status
Approved
Date submitted
11/04/2024
Date registered
2/05/2024
Date last updated
5/10/2024
Date data sharing statement initially provided
2/05/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of a Novel Eating Disorder Prevention Program (Australian Diabetes Body Project) for Young Women with Type 1 Diabetes in a Clinic Setting: A Randomized Controlled Trial.
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Scientific title
Evaluation of a Novel Eating Disorder Prevention Program (Australian Diabetes Body Project) for Young Women with Type 1 Diabetes in a Clinic Setting: A Randomized Controlled Trial.
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Secondary ID [1]
311942
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NA
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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:
Diabetes Type 1
333532
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Eating disorders
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Condition category
Condition code
Metabolic and Endocrine
330214
330214
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0
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Diabetes
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Mental Health
330215
330215
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0
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Eating disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The Australian Diabetes Body Project (ADBP) is a virtual, group-oriented, co-led (clinician and peer) ED prevention program based on cognitive dissonance theory.
The ADBP will involve six, one-hour, virtual sessions held over six consecutive weeks.
The group sessions will have two facilitators; a clinician (psychologist) and a peer-educator with T1D. Groups will include up to 8 participants, and will be held at various times throughout the year. In between the sessions, participants will complete homework exercises to be discussed at the following session.The topics for the six sessions are as follows:
1. Define the ideal and explore its origin
2. Examine the costs of pursuing this ideal
3. Explore ways to resist pressures to be thin
4. Discuss how to challenge our personal body image concerns
5. Learn new ways to talk more positively about our bodies.
6. Discuss how to promote a positive relationship with diabetes and insulin.
Adherence to the group sessions will be monitored by the group facilitators. Participants who fail to attend group sessions will be followed up by a facilitator or research team member.
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Intervention code [1]
328399
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Prevention
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Intervention code [2]
328486
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Lifestyle
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Comparator / control treatment
The active control group will watch educational videos relating to diabetes management for the same amount of time as the intervention participants engage in the intervention.
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Control group
Active
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Outcomes
Primary outcome [1]
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Body Dissatisfaction
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Assessment method [1]
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Body Dissatisfaction Scale (BDS)
Ideal-Body Stereotype Scale - Revised (IBSS-R)
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Timepoint [1]
337966
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Measured at baseline, post-intervention (six weeks), three months follow-up. The primary time-point for analysis will be three months.
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Primary outcome [2]
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Eating disorder symptoms
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Assessment method [2]
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Eating Disorder Examination Questionnaire (EDE-Q)
Diabetes Eating Problem Survey - Revised (DEPS-R)
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Timepoint [2]
337967
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Measured at baseline, post-intervention (six weeks), three months follow-up. The primary time-point for analysis will be three months.
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Secondary outcome [1]
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Diabetes distress
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Assessment method [1]
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Problem Areas In Diabetes (PAID) Scale
DAWN2 Impact of Diabetes Profile (DAWN-DIDP)
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Timepoint [1]
433916
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Measured at baseline, post-intervention (six weeks), three months follow-up.
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Secondary outcome [2]
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Anxiety and depression symptoms will be measured as a composite secondary outcome.
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Assessment method [2]
433917
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Patient Health Questionnaire (PHQ-4)
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Timepoint [2]
433917
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Measured at baseline, post-intervention (six weeks), three months follow-up.
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Secondary outcome [3]
433918
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Health-related quality of life
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Assessment method [3]
433918
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World Health Organisation 5-item scale (WHO-5)
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Timepoint [3]
433918
0
Measured at baseline, post-intervention (six weeks), three months follow-up.
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Secondary outcome [4]
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Diabetes management
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Assessment method [4]
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Medical data extraction of Glycated haemoglobin (HbA1c).
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Timepoint [4]
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Measured at baseline, post-intervention (six weeks), three months follow-up.
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Eligibility
Key inclusion criteria
1) Female
2) Age 15-25
3) Greater than 6 months post diagnosis of T1D
4) Administering insulin
5) Without ED-related hospitalisations in the prior 12 months
6) Answered “yes” to the question “do you have any body image concerns?”
7) Able to read and write English to a proficient level (that would impair their ability to complete online surveys).
8) Able to provide informed consent (those under 18 years of age must agree to participate, and also have a parent or guardian who will provide informed consent).
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Minimum age
15
Years
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Maximum age
25
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1) Established ED who are medically unstable (requiring hospital admissions in the preceding 12 months according to medical records and the young person’s self-report)
2) Rapid weight loss (>1kg/week over several weeks)
3) Body Mass Index (BMI) less than 14kg/m2.
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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)
Allocation using sealed envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Participants will be randomly assigned 1:1 to the virtual ADBP or the active control group (educational videos) via a random number sequence provided by an independent statistician. Random permuted block randomisation with variable block sizes will be used to minimise chances of imbalance while maintaining unpredictability in the assignment sequence.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people analysing the results/data
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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
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
3/06/2024
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Actual
26/09/2024
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Date of last participant enrolment
Anticipated
15/01/2025
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Actual
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Date of last data collection
Anticipated
30/05/2025
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Actual
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Sample size
Target
60
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Accrual to date
16
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
26390
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Mater Hospital Brisbane - South Brisbane
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Recruitment postcode(s) [1]
42365
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4101 - South Brisbane
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Funding & Sponsors
Funding source category [1]
316081
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Other Collaborative groups
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Name [1]
316081
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Mater Research: Betty McGrath Seeding Grant
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Address [1]
316081
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Country [1]
316081
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Australia
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Primary sponsor type
Hospital
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Name
Mater Hospital
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Address
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Country
Australia
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Secondary sponsor category [1]
318248
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None
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Name [1]
318248
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Address [1]
318248
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Country [1]
318248
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314902
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Mater Misericordiae Ltd Human Research Ethics Committee
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Ethics committee address [1]
314902
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http://www.materresearch.org.au/about-us/human-research-ethics-and-governance/human-research-ethics
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Ethics committee country [1]
314902
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Australia
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Date submitted for ethics approval [1]
314902
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04/03/2024
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Approval date [1]
314902
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08/04/2024
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Ethics approval number [1]
314902
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106039
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Summary
Brief summary
Research has identified that over one third of young people with Type 1 Diabetes (T1D) experience disordered eating behaviours or at risk for an eating disorder (ED), which can impact T1D management and lead to diabetes-related complications and death. The current study aims to determine whether participating in the ADBP will reduce ED risk factors, depression, anxiety, and distress, and improve body acceptance, T1D management, and quality of life. This Randomised controlled trial will recruit 80 females with T1D between the ages of 15 and 25. Participants will be randomly assigned to an active control (educational videos) or the ADBP, which includes attending 6 weekly, hour-long, online group sessions that discuss body ideals and diabetes concerns. Validated surveys measuring body dissatisfaction, body ideals, disordered eating, quality of life, and diabetes distress, along with biometric data to assess diabetes management, will be collected at baseline (immediately prior to ADBP), immediately post-ADBP, and at 3 months follow-up. We expect that participation in the ADBP will lead to improvements in disordered eating, body acceptance, quality of life, and diabetes management
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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 Neisha D'Silva
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Address
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Queensland Diabetes Centre, Mater Health Services, Raymond Terrace, South Brisbane QLD 4101
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Country
133098
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Australia
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Phone
133098
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+61 7 31632500
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Fax
133098
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Email
133098
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Neisha.D'
[email protected]
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Contact person for public queries
Name
133099
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Neisha D'Silva
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Address
133099
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Queensland Diabetes Centre, Mater Health Services, Raymond Terrace, South Brisbane QLD 4101
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Country
133099
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Australia
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Phone
133099
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+61 7 31632500
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Fax
133099
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Email
133099
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Neisha.D'
[email protected]
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Contact person for scientific queries
Name
133100
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Neisha D'Silva
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Address
133100
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Queensland Diabetes Centre, Mater Health Services, Raymond Terrace, South Brisbane QLD 4101
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Country
133100
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Australia
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Phone
133100
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+61 7 31632500
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Fax
133100
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Email
133100
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Neisha.D'
[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
Due to privacy constraints and the young age of participants, only aggregate data will be made available upon request.
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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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