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Trial registered on ANZCTR
Registration number
ACTRN12608000233325
Ethics application status
Approved
Date submitted
5/05/2008
Date registered
7/05/2008
Date last updated
13/11/2018
Date data sharing statement initially provided
13/11/2018
Date results provided
13/11/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Healthier lifestyles: Preventing Gestational Diabetes in High Risk Pregnancies: A Research and Education Project
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Scientific title
Preventing Excess Weight Gain and Gestational Diabetes in Overweight and Obese Pregnancies: A Research and Education Project
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Secondary ID [1]
262167
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Healthy Lifestyles in Pregnancy (HeLP-her in Pregnancy)
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Universal Trial Number (UTN)
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Trial acronym
HeLP-her in pregnancy
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
prevention of excess weight gain and gestational diabetes in pregnancy
3111
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Condition category
Condition code
Reproductive Health and Childbirth
3271
3271
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0
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Normal pregnancy
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Diet and Nutrition
3272
3272
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0
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Obesity
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Metabolic and Endocrine
290696
290696
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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
Healthy lifestyle information (improved diet, exercise, behaviour modification) during duration of pregnancy. Information will delivered in the form of 4 interactive education modules that focus on healthy eating, regular moderate exercise, identifying and removing barriers to healthy lifestyle behaviours and improving self efficacy. Participants will also receive detailed written information on the content covered in the education modules. The 4 education modules will be delivered between 14-16 to 26-28 weeks gestation (i.e. 1 module every 2-3 weeks).
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Intervention code [1]
2853
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Prevention
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Intervention code [2]
2854
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Lifestyle
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Intervention code [3]
2855
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Behaviour
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Comparator / control treatment
receiving standard maternal care only (standard treatment)
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Control group
Active
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Outcomes
Primary outcome [1]
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maternal weight gain in pregnancy
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Assessment method [1]
4162
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Timepoint [1]
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at 6 weeks postpartum
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Secondary outcome [1]
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gestational diabetes. this outcome will be measured by an oral glucose tolerance test (OGTT) at 26-28 weeks gestation, which is part of routine maternal care.
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Assessment method [1]
7012
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Timepoint [1]
7012
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26-28 weeks gestation
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Secondary outcome [2]
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Physical activity measured subjectively (International Physical Activity Questionnaire) and objectively (pedometer; steps/day)
Self-efficacy (Chronic Disease Self-efficacy Scale)
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Assessment method [2]
305075
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Timepoint [2]
305075
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28 weeks and 6 weeks postpartum
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Eligibility
Key inclusion criteria
Women identified as high risk for developing GDM as indicated by the routine clinical risk screening tool at Southern Health within the first 12-14 weeks of pregnancy.
Body Mass Index of above 25 kg/m2 (high ethnic risk groups) and above 27kgm2 (caucasion)
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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
Women who have Type 1 or Type 2 diabetes.
Women not carrying singleton pregnancies.
Women who have an existing chronic illness/disease or contra-indication that prevents or restricts their participation and/or exacerbates their condition when participating in moderate physical activity during pregnancy.
Women who have a Body Mass Index of ³ 40kg/m2.
Women who have an active psychiatric illness.
Women who do not speak English/are not literate or who cannot attend the information session/s.
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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)
Sealed opaque envelops will contain group allocation information.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated randomisation will be used to draw up an allocation schedule containing even numbers of control and intervention groups. The schedule will allow randomisation to control or intervention when recruitment occurs.
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Masking / blinding
Blinded (masking 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
15/05/2008
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Actual
11/06/2008
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Date of last participant enrolment
Anticipated
14/10/2010
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Actual
13/10/2010
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Date of last data collection
Anticipated
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Actual
2/04/2012
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Sample size
Target
275
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Accrual to date
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Final
228
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Monash Medical Centre - Clayton campus - Clayton
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Recruitment hospital [2]
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Casey Hospital - Berwick
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Recruitment hospital [3]
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Dandenong Hospital - Dandenong
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Funding & Sponsors
Funding source category [1]
3355
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Charities/Societies/Foundations
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Name [1]
3355
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Jack Brockhoff Foundation
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Address [1]
3355
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PO BOX 1580
Doncaster East
Victoria 3109
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Country [1]
3355
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Australia
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Funding source category [2]
265073
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Charities/Societies/Foundations
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Name [2]
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International Diabetes Federation
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Address [2]
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Chauss?e de la Hulpe 166
B-1170 Brussels, Belgium
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Country [2]
265073
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United States of America
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Primary sponsor type
Individual
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Name
Professor Helena Teede
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Address
MIMR
Locked Bag 29
Clayton
Victoria
3168
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Country
Australia
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Secondary sponsor category [1]
3003
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Individual
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Name [1]
3003
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Dr Caroyln Allen
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Address [1]
3003
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Prince Henry's Institute
PO BOX 5152
Clayton
Victoria
3168
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Country [1]
3003
0
Australia
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Other collaborator category [1]
279
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Individual
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Name [1]
279
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Cheryce Harrison
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Address [1]
279
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MIHSR
Locked Bag 29
Clayton
Victoria
3168
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Country [1]
279
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
5381
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Southern Health Human Research Ethics Committee
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Ethics committee address [1]
5381
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Human Research Ethics Locked Bag 29 Clayton Victoria 3168
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Ethics committee country [1]
5381
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Australia
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Date submitted for ethics approval [1]
5381
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Approval date [1]
5381
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01/04/2008
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Ethics approval number [1]
5381
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07216C
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Summary
Brief summary
The primary aim of this study is to investigate the efficacy of simple lifestyle modification (healthy food choices and increased physical activity) in preventing excess weight gain during pregnancy (assessed 6 weeks postpartum). Secondary aims are to prevent prevalence of Gestational Diabetes Mellitus (GDM), identify barriers to healthy lifestyle choices and to provide an evidence base to inform future interventions targeting education and prevention of excess weight gain in the prevention of long-term obesity and prevention or treatment of Gestational Diabetes. The expected outcomes for this study include; 1/ Weight gain that is equal to, or below, recommended weight gain in the intervention group in comparison to the controls. 2/ Reduced prevalence of Gestational Diabetes and/or reduced intensity of treatment if diagnosis does occur in the intervention group. 3/ Lower incidence of increased foetal birth weight or macrosomia in the intervention group. 4/ Improved biological markers of health in the intervention group. 5/ Enhanced self-efficacy, motivation, mood and quality of life in the intervention group that persists long-term (1 year postpartum).
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Trial website
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Trial related presentations / publications
Harrison CL, Lombard CB, Strauss BJ, Teede HJ. Erratum: Optimizing healthy gestational weight gain in women at high risk of gestational diabetes: A randomized controlled trial. Obesity, 2016. 24(1): 268. Harrison CL, Lombard CB, East C, Boyle J, & Teede HJ. Risk stratification in early pregnancy for women at increased risk of gestational diabetes. Diabetes research and clinical practice, 2015. 107(1): 61 – 68. 49. HARRISON CL, Teede HJ & Lombard CB How effective is self-weighing in the setting of a lifestyle intervention to reduce gestational weight gain and postpartum weight retention? ANZJOG, 2014. 54(4):382-5. Harrison CL, Lombard CB, & Teede HJ. Limiting postpartum weight retention through early antenatal intervention: the HeLP-her randomised controlled trial. IJBNPA, 2014. 11(1): 134 Harrison CL, Teede HJ & Lombard CB How effective is self-weighing in the setting of a lifestyle intervention to reduce gestational weight gain and postpartum weight retention? ANZJOG, 2014. 54(4):382-5. Harrison CL, Lombard CB, & Teede HJ. Limiting postpartum weight retention through early antenatal intervention: the HeLP-her randomised controlled trial. IJBNPA, 2014. 11(1): 134
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Public notes
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Contacts
Principal investigator
Name
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Prof Helena Teede
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Address
28567
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Monash University
Monash Centre for Health Research and Implementation
Locked Bag 29
Clayton
VIC
3168
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Country
28567
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Australia
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Phone
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+61385722662
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Fax
28567
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Email
28567
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[email protected]
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Contact person for public queries
Name
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Cheryce Harrison
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Address
11724
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Monash University Monash Centre for Health Research and Implementation Locked Bag 29 Clayton VIC 3168
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Country
11724
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Australia
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Phone
11724
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+61385722662
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Fax
11724
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Email
11724
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[email protected]
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Contact person for scientific queries
Name
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Professor Helena Teede
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Address
2652
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Monash University Monash Centre for Health Research and Implementation Locked Bag 29 Clayton VIC 3168
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Country
2652
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Australia
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Phone
2652
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+61 3 85722662
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Fax
2652
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Email
2652
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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
Data previously shared with the international Women in Pregnancy (iWIP) consortium.
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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
Source
Title
Year of Publication
DOI
Embase
Limiting postpartum weight retention through early antenatal intervention: The HeLP-her randomised controlled trial.
2014
https://dx.doi.org/10.1186/s12966-014-0134-8
Embase
Risk stratification in early pregnancy for women at increased risk of gestational diabetes.
2015
https://dx.doi.org/10.1016/j.diabres.2014.09.006
Embase
Limiting Postpartum Weight Retention in Culturally and Linguistically Diverse Women: Secondary Analysis of the HeLP-her Randomized Controlled Trial.
2022
https://dx.doi.org/10.3390/nu14142988
N.B. These documents automatically identified may not have been verified by the study sponsor.
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