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Trial registered on ANZCTR
Registration number
ACTRN12608000056392
Ethics application status
Approved
Date submitted
15/01/2008
Date registered
29/01/2008
Date last updated
2/12/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Positive feeding practices and food preferences in very early childhood: an innovative approach to obesity prevention
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Scientific title
Primary prevention of childhood overweight : An RCT to evaluate the efficacy of a parent education and peer support program for first time mothers of infants 4-7 months at enrolment that provides anticipatory guideance designed to promote early feeding practices that improve early maternal and child feeding behaviours and child food preferences and intakes to support healthy growth at 2 years of age.
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Secondary ID [1]
510
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None
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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:
Childhood overweight and obesity
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Condition category
Condition code
Diet and Nutrition
2840
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention will consist of two consecutive 9-month modules each comprising of (i) 6 x fortnightly group sessions then (ii) 5 x monthly maintenance contacts (choice sms/email). The intervention will be delivered through existing child health clinics in Brisbane and Adelaide, co-led by a dietician and a psychologist. The modules will focus on feeding relationships, processes and skills appropriate to the developmental stage. Module one will focus on establishing solid feeding and positive exposure and Module two will focus on managing the growing need for autonomy and independence. Both Modules have a shared content of enhancing attachment and encouraging recognition of and positive responses to the child's feeding cues appropriate to developmental stage.
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Intervention code [1]
2458
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Prevention
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Comparator / control treatment
The intervention is compared with 'standard care'; self-directed access to universal services at child health clinics.
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Control group
Active
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Outcomes
Primary outcome [1]
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Infant food intake - 3 non-consecutive days using 2 x 24hr food records and 1 x 24hr recall (T1,T2, T3)
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Assessment method [1]
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Timepoint [1]
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T1, T2, T3
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Primary outcome [2]
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Food preference - The Wardle Tool
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Assessment method [2]
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Timepoint [2]
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T1, T2, T3
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Primary outcome [3]
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Feeding behaviour - Children's Eating Behaviour Questionnaire
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Assessment method [3]
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Timepoint [3]
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T2, T3
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Secondary outcome [1]
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Weight and growth (WtHt z scores - length and weight using standard procedures)
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Assessment method [1]
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Timepoint [1]
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T1, T2, T3
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Secondary outcome [2]
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Maternal feeding style and practices - the Infant Feeding Questionnaire and Child Feeding Questionnaire
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Assessment method [2]
6397
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Timepoint [2]
6397
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T1, T2, T3
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Secondary outcome [3]
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Parenting skills and efficacy - Four brief scales from LSAC
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Assessment method [3]
6398
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Timepoint [3]
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T1, T2, T3
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Secondary outcome [4]
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Maternal BMI (height and weight standard procedures)
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Assessment method [4]
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Timepoint [4]
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T1, T2, T3
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Eligibility
Key inclusion criteria
Infants: born healthy, >37 weeks, <2500g
Mothers: first time (primiparous), >18years, willing and able to attend sessions at designated metropolitan child health clinics and facility with English.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Infant: any diagnosed congenital abnormality or chronic condition likely to influence normal development, including feeding behaviour. Mothers: eligible/enrolled in an intensive home-visiting program; maternal self-reported eating or psychiatric disorders/mental health problems. In addition, the Kessler Psychological Distress Scale (K10) will be used to screen for psychiatric morbidity.
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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 to the study arm is concealed by sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computer-generated randomisation schedule will be provided by a statistician, independent of the study, at the Institute of Health and Biomedical Innovation, QUT. This will be stratified by clinic (which consenting mothers nominate their preference for) and prepared as clinic specific, sequentially numbered, sealed envelopes
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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
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2008
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Actual
11/08/2008
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Date of last participant enrolment
Anticipated
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Actual
19/08/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
830
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Accrual to date
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Final
698
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council
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Address [1]
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GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Queensland University of Technology
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Address
Institute of Health and Biomedical Innovation
60 Musk Aveneue,
Kelvin Grove Qld 4059
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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Flinders University
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Address [1]
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Department of Nutrition and Dietetics,
GPO Box 2100
Adelaide South Australia
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Country [1]
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Australia
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Other collaborator category [1]
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Hospital
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Name [1]
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Royal Children's Hospital and Southside Health Service Districts, Community Child Health Services
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Address [1]
149
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Contact:
Western suburbs: 1300 366 039
Eastern suburbs: 1300 366 039
Northern suburbs: 1300 366 039
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Country [1]
149
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Australia
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Other collaborator category [2]
150
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Hospital
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Name [2]
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Royal Brisbane and Women's Hospital and Health Service Distric
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Address [2]
150
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Cnr Butterfield St and Bowen Bridge Rd,
Herston Qld 4029
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Country [2]
150
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Australia
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Other collaborator category [3]
151
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Hospital
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Name [3]
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Mater Health Services
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Address [3]
151
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Raymond Terrace
South Brisbane Qld 4101
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Country [3]
151
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Australia
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Other collaborator category [4]
152
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Hospital
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Name [4]
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Children Youth and Women's Health Services
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Address [4]
152
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Regional Office
Level 2, 77 King William Road
North Adelaide S 5006
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Country [4]
152
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Australia
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Other collaborator category [5]
153
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Hospital
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Name [5]
153
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Lyell McEwin
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Address [5]
153
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Haydown Road
Elizabeth Vale SA 5112
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Country [5]
153
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Australia
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Other collaborator category [6]
154
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Hospital
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Name [6]
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Ashford Private Hosptial
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Address [6]
154
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55 Anzac Highway
Ashford SA 5035
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Country [6]
154
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Australia
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Other collaborator category [7]
155
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Hospital
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Name [7]
155
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Logan Hospital
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Address [7]
155
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Cnr Armstrong and Loganlea Rds
Meadowbrook QLD 4133
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Country [7]
155
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Children?s Hospital and Health Service District Ethics Committee
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Ethics committee address [1]
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Level 3, Foundation Building Department of Paediatrics and Child Health Royal Children's Hospital HERSTON QLD 4029
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
4919
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Approval date [1]
4919
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06/09/2007
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Ethics approval number [1]
4919
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EC00175
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Ethics committee name [2]
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Mater Health Services Human Research Ethics Committee
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Ethics committee address [2]
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Mater Health Services Research Secretariat Room 235, Level 2, Aubigny Place Raymond Terrace SOUTH BRISBANE QLD 4101
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Ethics committee country [2]
4920
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Australia
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Date submitted for ethics approval [2]
4920
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Approval date [2]
4920
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08/10/2007
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Ethics approval number [2]
4920
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EC00332
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Ethics committee name [3]
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Queensland University of Technology University Human Research Ethics Committee
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Ethics committee address [3]
4921
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Research Ethics Officer Office of Research Queensland University of Technology GPO Box 2434 BRISBANE QLD 4001
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Ethics committee country [3]
4921
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Australia
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Date submitted for ethics approval [3]
4921
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Approval date [3]
4921
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28/09/2007
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Ethics approval number [3]
4921
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EC00171
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Ethics committee name [4]
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Central Northern Adelaide Health Services Ethics of Human Research Committtee (TQEH & LMH)
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Ethics committee address [4]
4922
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The Queen Elizabeth Hospital DX: 456 101 28 Woodville Road WOODVILLE SOUTH SA 5011
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Ethics committee country [4]
4922
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Australia
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Date submitted for ethics approval [4]
4922
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17/10/2007
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Approval date [4]
4922
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18/12/2007
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Ethics approval number [4]
4922
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EC00190
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Ethics committee name [5]
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Princess Alexandra Hospital Human Research Ethics Committee
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Ethics committee address [5]
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Level 2, Building 35 Princess Alexandra Hospital Ispwich Road WOOLLOONGABBA QLD 4102
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Ethics committee country [5]
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Australia
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Date submitted for ethics approval [5]
4923
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Approval date [5]
4923
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17/08/2007
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Ethics approval number [5]
4923
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EC00167
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Ethics committee name [6]
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Royal Brisbane and Women's Hospital Human Research Ethics Committee
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Ethics committee address [6]
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Level 7 Sir Raphael Cilento Building (Block 7) Royal Brisbane and Women's Hospital Butterfield Street HERSTON QLD 4029
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Ethics committee country [6]
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Australia
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Date submitted for ethics approval [6]
4924
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Approval date [6]
4924
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30/08/2007
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Ethics approval number [6]
4924
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EC00172
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Ethics committee name [7]
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Bayside Health Service District Human Research Ethics Committee
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Ethics committee address [7]
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Bayside Health Service District Redland Hospital PO Box 585 CLEVELAND QLD 4163
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Ethics committee country [7]
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Australia
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Date submitted for ethics approval [7]
4925
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Approval date [7]
4925
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02/10/2007
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Ethics approval number [7]
4925
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EC00295
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Ethics committee name [8]
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Flinders Clinical Research Ethics Committee
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Ethics committee address [8]
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Flinders Medical Centre BEDFORD PARK SA 5042
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Ethics committee country [8]
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Australia
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Date submitted for ethics approval [8]
4926
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Approval date [8]
4926
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08/02/2008
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Ethics approval number [8]
4926
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EC00188
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Ethics committee name [9]
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Children, Youth & Women's Health Service Research Ethics Committee
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Ethics committee address [9]
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Children, Youth and Women's Health Service 2nd Floor, Samuel Way Bldg 2 72 King William Road NORTH ADELAIDE SA 5006
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Ethics committee country [9]
4927
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Australia
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Date submitted for ethics approval [9]
4927
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Approval date [9]
4927
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19/12/2007
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Ethics approval number [9]
4927
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EC00197
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Ethics committee name [10]
4928
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Bellberry Human Research Ethics Committee
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Ethics committee address [10]
4928
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Level 1 81 Flinders Street 71 Anzac Highway ASHFORD SA 5035
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Ethics committee country [10]
4928
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Australia
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Date submitted for ethics approval [10]
4928
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Approval date [10]
4928
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19/12/2007
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Ethics approval number [10]
4928
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EC00372
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Summary
Brief summary
One-fifth of Australian children are overweight and at increased risk of becoming overweight adults. This study will evaluate if an intervention to equip parents with the confdence and skills to intitiate and maintain positive early feeding practices can foster healthy food preferences, dietary intakes and eating patterns in young children. The 18-month study will use a randomised controlled design and aims to enrol 830 first time mothers with healthy term infants in Brisbane and Adelaide. The intervention will provide anticipatory guidance via 2x12 week parent education and peer support modules (6 x 1.5hr group sessions), each followed by 6xmonthly maintenance contacts (choice sms/email). The modules will commence at ages 4-7 and 13-16 months to coicide with establishment of solid feeding and development of autonomy and independence. The intervention will be delivered in established community child health clinics in Brisbane and Adelaide. The control group will have self-directed access to usual services provided by local Child Health Clinics. Outcome measures will be assessed at baseline (age 4-7m), 9 m (age 13-16m) and 18 m (final, age 2y) and will include infant food intake and preferences, feeding behaviour and growth and maternal feeding style/practices, parenting efficacy and BMI. Additional co-variate measures include: demographics, maternal mental health, dietary restraint and weight concern, and infant temperament. This study will provide the first Level II evidence for efficacy of a comprehensive, structured intervention to promote positive feeding practices on early childhood intake and food preferences. It is consistent with current community interest in early childhood as the foundation for health and well being and addresses National Research Priority 2: Promoting and maintaining heath – ‘A healthy start to life’ and ‘Preventive health care’.
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Trial website
N/A
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Trial related presentations / publications
http://eprints.qut.edu.au/view/person/Daniels,_Lynne.html
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Public notes
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Contacts
Principal investigator
Name
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Prof Lynne Daniels
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Address
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School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, QLD, 4059
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Country
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Australia
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Phone
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+61 7 31386171
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Fax
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+61 7 3138 6030
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Email
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[email protected]
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Contact person for public queries
Name
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Lynne Daniels
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Address
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School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, QLD, 4059
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Country
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Australia
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Phone
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+61 7 3138 6139
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Fax
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+61 7 3138 6030
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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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Lynne Daniels
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Address
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School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, QLD, 4059
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Country
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Australia
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Phone
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+61 7 3138 6139
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Fax
2387
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+61 7 3138 6030
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Email
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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
Source
Title
Year of Publication
DOI
Embase
Extending the validity of the Feeding Practices and Structure Questionnaire.
2015
https://dx.doi.org/10.1186/s12966-015-0253-x
Dimensions AI
The Relationship between Number of Fruits, Vegetables, and Noncore Foods Tried at Age 14 Months and Food Preferences, Dietary Intake Patterns, Fussy Eating Behavior, and Weight Status at Age 3.7 Years
2015
https://doi.org/10.1016/j.jand.2015.06.006
Embase
Obesogenic eating behaviors mediate the relationships between psychological problems and BMI in children.
2017
https://dx.doi.org/10.1002/oby.21823
Embase
Perceived fussy eating in Australian children at 14months of age and subsequent use of maternal feeding practices at 2years.
2017
https://dx.doi.org/10.1186/s12966-017-0582-z
N.B. These documents automatically identified may not have been verified by the study sponsor.
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