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Trial registered on ANZCTR
Registration number
ACTRN12608000203358
Ethics application status
Approved
Date submitted
14/04/2008
Date registered
16/04/2008
Date last updated
25/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Living Well with Diabetes - Telephone Counselling for Maintenance of Physical Activity, Weight Loss and Glycaemic Control in Type 2 diabetes
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Scientific title
A randomised controlled trial to evaluate a telephone counselling intervention for physical activity, weight loss and glycaemic control in adult patients with type 2 diabetes
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Secondary ID [1]
283674
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
LWWD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 2 diabetes
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Condition category
Condition code
Metabolic and Endocrine
3182
3182
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The Intervention Group: Participants receive a series of telephone calls over the 18-month intervention. Calls are delivered weekly and fortnightly for the first 6 months and monthly for the following 12 months. Calls will be tapered according to particpant needs. Participants receive a detailed workbook containing feedback on their baseline assessment, sections on physical activity, diet and weight loss, information on goal setting, problem-solving, self-monitoring and supports. Participants receive feedback following each assessment. Using the workbook during calls, participants work collaboratively with their telephone counsellor to set goals for physical activity, dietary change and weight loss. Barriers and supports are identified; confidence is assessed and problem solving is discussed as necessary. Participants are encouraged to work towards achieving overall physical activity targets of putting together at least 200 minutes a week of moderate-intensity physical activity, 3-4 sessions a week of strength training and to reduce their sedentary time; weight loss targets of a loss of 5-7% of initial body weight and diet targets of reducing energy intake by 2000kJ, total fat intake to less than 30% of energy intake and saturated fat to less than 7% of energy intake.
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Intervention code [1]
2775
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Lifestyle
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Comparator / control treatment
The Control group: After each assessment, usual care participants are sent a thank you letter that includes brief feedback on their assessment. Included in this mailing are standard, off-the shelf brochures, that are suitable for persons with diabetes, on a range of health behaviours (including diet, physical activity, alcohol) and a project newsletter that updates them on how many people are participating in the study and gives general health tips.
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Control group
Active
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Outcomes
Primary outcome [1]
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Changes in Physical activity (exact measures to be confirmed)
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Assessment method [1]
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Timepoint [1]
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Assessed at baseline, 6-months, 12-months, 18-months and 24-months
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Primary outcome [2]
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Weight Loss
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Assessment method [2]
4071
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Timepoint [2]
4071
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Assessed at baseline, 6-months, 12-months, 18-months and 24-months
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Primary outcome [3]
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Glycaemic Control (HbA1c)
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Assessment method [3]
4072
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Timepoint [3]
4072
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Assessed at baseline, 6-months, 18-months and 24-months.
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Secondary outcome [1]
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Changes in dietary intake (exact changes to be confirmed)
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Assessment method [1]
6849
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Timepoint [1]
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Assessed at baseline, 6-months, 18-months and 24-months.
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Secondary outcome [2]
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Changes in blood lipid level (total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides)
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Assessment method [2]
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Timepoint [2]
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Assessed at baseline, 6-months, 18-months and 24-months.
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Secondary outcome [3]
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Changes in blood glucose level
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Assessment method [3]
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Timepoint [3]
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Assessed at baseline, 6-months, 18-months and 24-months.
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Secondary outcome [4]
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Changes in blood pressure
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Assessment method [4]
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Timepoint [4]
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Assessed at baseline, 6-months, 18-months and 24-months.
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Secondary outcome [5]
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Changes in liver function (Alanine Amino-Transferase, Aspartate Amino Transferase, Lactate Dehydrogenase, Alkaline Phosphatase and Gamma-Glutamyl Transpeptidase)
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Assessment method [5]
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Timepoint [5]
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Assessed at baseline, 6-months, 18-months and 24-months.
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Secondary outcome [6]
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Changes in body composition (waist circumference and body fat, using bio-electrical impedance analysis)
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Assessment method [6]
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Timepoint [6]
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Assessed at baseline, 6-months, 12-months, 18-months and 24-months
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Secondary outcome [7]
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Changes in medication use (including diabetes, cholesterol and hypertension medications)
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Assessment method [7]
6855
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Timepoint [7]
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Assessed at baseline, 6-months, 18-months and 24-months.
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Secondary outcome [8]
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Quality of Life, measured using the Short-Form (SF)-12 Health Survey
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Assessment method [8]
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Timepoint [8]
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Assessed at baseline, 6-months, 18-months and 24-months.
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Eligibility
Key inclusion criteria
Diagnosis of type 2 diabetes; English speaking; minimum age: 20 years, maximum age: 75 years; both males and females.
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Minimum age
20
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Not undergoing active treatment for cancer; not planning hip/knee replacement in next year; not using mobility aid; not with active heart disease; not with breathing problems; not undergoing dialysis; not taking warfarin; not pregnant.
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Study design
Purpose of the study
Educational / counselling / training
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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 is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated
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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
1/01/2009
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Actual
17/03/2009
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Date of last participant enrolment
Anticipated
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Actual
21/03/2011
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
350
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Accrual to date
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Final
302
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Recruitment in Australia
Recruitment state(s)
QLD
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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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National Health and Medical Research Council
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
School of Public Health, The University of Queensland
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Address
Level 4
Public Health Building
Herston road
Herston QLD 4006
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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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Address [1]
2951
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Country [1]
2951
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The University of Queensland
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Ethics committee address [1]
5282
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Ethics committee country [1]
5282
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Australia
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Date submitted for ethics approval [1]
5282
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01/02/2008
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Approval date [1]
5282
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26/02/2008
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Ethics approval number [1]
5282
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2008000188
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Summary
Brief summary
This 5-year, randomised controlled trial is evaluating a telephone-delivered physical activity, weight loss and glycaemic control intervention targeting patients with type 2 diabetes, recruited from the primary care setting, and compared to usual care.
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Trial website
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Trial related presentations / publications
Papers: Eakin EG, Reeves MM, Marshall AL, Dunstan DW, Graves N, Healy GN, Bleier J, Barnett AG, O’Moore-Sullivan T, Russell A, Wilkie K. Living Well with Diabetes: a randomized controlled trial of a telephone-delivered intervention for maintenance of weight loss, physical activity and glycaemic control in adults with type 2 diabetes. BMC Public Health, 2010:10:452. Eakin EG, Reeves MM, Winkler E, Healy GN, Dunstan DW, Owen N, Marshall AM, Wilkie KC. Six-month outcomes from Living Well with Diabetes: A randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control. Annals of Behavioral Medicine, 2013:46(2):193-203. Winkler E, Waters L, Eakin E, Fjeldsoe B, Owen N, Reeves M. Is measurement error altered by participation in a physical activity intervention? Medicine & Science in Sports & Exercise, 2013:45(5):1004-1011. Eakin EG, Winkler EA, Dunstan DW, Healy GN, Owen N, Marshall AM, Graves N, Reeves MM. Living Well with Diabetes: 24-month outcomes from a randomized trial of telephone-delivered weight loss and physical activity intervention to improve glycemic control. Diabetes Care, 2014: 37(8): 2177-85. Goode AD, Winkler EAH, Reeves MM, Eakin EG. Relationship between intervention dose and outcomes in Living Well with Diabetes - a randomized trial of a telephone-delivered lifestyle-based weight loss intervention. American Journal of Health Promotion. Epub ahead of print, 5 November 2014. Presentation: Eakin E, Reeves M, Dunstan D, Healy G, Winkler E, Marshall A, Owen N. (31 October – 3 November 2012). Living Well with Diabetes: Six-month randomised trial outcomes of a telephone-delivered weight loss intervention. Paper presented at the 4th International Congress on Physical Activity and Public Health, Sydney, Australia.
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Public notes
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Contacts
Principal investigator
Name
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Prof Elizabeth Eakin
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Address
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The University of Queensland, School of Public Health, Cancer Prevention Research Centre, Level 4 Public Health Building, Herston road, HERSTON, QLD, 4006
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Country
28516
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Australia
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Phone
28516
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+61 7 3365 5505
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Fax
28516
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+61 7 3365 5540
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Email
28516
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[email protected]
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Contact person for public queries
Name
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Elizabeth Eakin
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Address
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The University of Queensland, School of Public Health, Cancer Prevention Research Centre, Level 4 Public Health Building, Herston road, HERSTON, QLD, 4006
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Country
11673
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Australia
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Phone
11673
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+61 7 3365 5505
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Fax
11673
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+61 7 33655540
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Email
11673
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[email protected]
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Contact person for scientific queries
Name
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Elizabeth Eakin
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Address
2601
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The University of Queensland, School of Public Health, Cancer Prevention Research Centre, Level 4 Public Health Building, Herston road, HERSTON, QLD, 4006
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Country
2601
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Australia
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Phone
2601
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+61 7 33464692
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Fax
2601
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+61 7 33655540
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Email
2601
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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
Accelerometer-derived sedentary and physical activity time in overweight/obese adults with type 2 diabetes: Cross-sectional associations with cardiometabolic biomarkers.
2015
https://dx.doi.org/10.1371/journal.pone.0119140
Embase
Relationship between intervention dose and outcomes in living well with diabetes--a randomized trial of a telephone-delivered lifestyle-based weight loss intervention.
2015
https://dx.doi.org/10.4278/ajhp.140206-QUAN-62
N.B. These documents automatically identified may not have been verified by the study sponsor.
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